{"id":45527,"date":"2023-10-03T18:20:57","date_gmt":"2023-10-03T10:20:57","guid":{"rendered":"https:\/\/swarma.org\/?p=45527"},"modified":"2023-10-03T18:20:57","modified_gmt":"2023-10-03T10:20:57","slug":"%e6%9c%aa%e6%9d%a5%e5%8c%bb%e5%ad%a6%e5%b1%95%e6%9c%9b%ef%bc%9a%e5%a4%9a%e5%b0%ba%e5%ba%a6%e7%94%9f%e5%91%bd%e5%bd%a2%e5%bc%8f%e4%b8%ba%e7%94%9f%e7%89%a9%e5%8c%bb%e5%ad%a6%e6%8f%90%e4%be%9b%e6%96%b0","status":"publish","type":"post","link":"https:\/\/swarma.org\/?p=45527","title":{"rendered":"\u672a\u6765\u533b\u5b66\u5c55\u671b\uff1a\u591a\u5c3a\u5ea6\u751f\u547d\u5f62\u5f0f\u4e3a\u751f\u7269\u533b\u5b66\u63d0\u4f9b\u65b0\u9053\u8def"},"content":{"rendered":"
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Eric Lagasse\u3001Michael Levin<\/span> | \u4f5c\u8005<\/strong><\/span><\/strong><\/p>\n

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\u8bba\u6587\u9898\u76ee\uff1a<\/span><\/p>\n

Future medicine: from molecular pathways to the collective intelligence of the body<\/span><\/p>\n

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\u8fd9\u4e2a\u76ee\u6807\u53ef\u4ee5\u6982\u62ec\u4e3a\u4ee5\u4e0b\u8bbe\u8ba1\u6311\u6218\uff1a\u521b\u5efa\u4e00\u4e2a\u89e3\u5256\u7f16\u8bd1\u5668\u2014\u2014\u4e00\u79cd\u8ba1\u7b97\u673a\u8f6f\u4ef6\uff0c\u5b83\u63a5\u53d7\u4efb\u4f55\u6240\u9700\u7ed3\u6784<\/span>\uff08\u751f\u7269\u5668\u5b98\u6216\u9644\u5c5e\u7269\uff0c\u751a\u81f3\u662f\u65b0\u9896\u7684\u5408\u6210\u5f62\u6001\uff09<\/span>\u7684\u89e3\u5256\u89c4\u8303\uff0c\u5e76\u8f93\u51fa\u6fc0\u52b1\u7ec6\u80de\u6784\u5efa\u5b8c\u5168\u76f8\u540c\u7ed3\u6784\u6240\u9700\u7684\u4fe1\u53f7\u5217\u8868\u3002\u5bf9\u751f\u7269\u533b\u5b66\u548c\u5408\u6210\u751f\u7269\u5de5\u7a0b\u6765\u8bf4\uff0c\u5bf9\u751f\u957f\u548c\u5f62\u6001\u5177\u6709\u5b8c\u5168\u63a7\u5236\u529b\u662f\u81f3\u5173\u91cd\u8981\u7684\u76ee\u6807\u3002\u5173\u952e\u662f\uff0c\u89e3\u5256\u7f16\u8bd1\u5668\u4e0d\u662f\u4e00\u4e2a3D\u6253\u5370\u673a\u6216\u5176\u4ed6\u5fae\u89c2\u7ba1\u7406\u7ec6\u80de\u751f\u957f\u7ed3\u6784\u548c\u529f\u80fd\u7684\u65b9\u5f0f\uff1b\u5728\u91cd\u8981\u610f\u4e49\u4e0a\uff0c\u5b83\u662f\u4e00\u4e2a\u4e0e\u7ec6\u80de\u7fa4\u4f53\u7684\u96c6\u4f53\u667a\u80fd\u8fdb\u884c\u4ea4\u4e92\u7684\u901a\u4fe1\u8bbe\u5907\uff0c\u662f\u4eba\u7c7b\u751f\u7269\u533b\u5b66\u76ee\u6807\u4e0e\u5f62\u6001\u53d1\u751f\u7a33\u6001\u3001\u5f02\u7a33\u6001\u548c\u540c\u7a33\u6001\u8bbe\u5b9a\u70b9\u4e4b\u95f4\u7684\u7ffb\u8bd1\u8005<\/span>\uff08\u56fe1C\uff09<\/span>\u3002\u8fd9\u4ee3\u8868\u4e86\u89e3\u51b3\u5f53\u524d\u751f\u7269\u533b\u5b66\u9650\u5236\u7684\u6839\u672c\u6027\u65b0\u65b9\u6cd5\u3002<\/span><\/section>\n

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\u8eab\u4f53\u7684\u4e00\u4e2a\u663e\u8457\u7279\u70b9\u662f\uff0c\u95ee\u9898\u89e3\u51b3\u80fd\u529b\u5728\u5404\u79cd\u7ec4\u7ec7\u5c42\u6b21\u4e0a\u90fd\u5b58\u5728\uff0c\u5e76\u8de8\u8d8a\u4e0d\u540c\u7684\u95ee\u9898\u7a7a\u95f4\u53d1\u6325\u4f5c\u7528\u3002\u5206\u5b50\u667a\u80fd\u8868\u73b0\u5728\u6267\u884c\u8d8b\u5316\u6027\u7684\u5355\u4e2a\u5206\u5b50[149]\uff0c\u4ee5\u53ca\u5f62\u6210\u7531\u5148\u524d\u523a\u6fc0\u6a21\u5f0f\u9a71\u52a8\u7684\u8bb0\u5fc6\u7684\u57fa\u56e0\u8c03\u63a7\u7f51\u7edc\u548c\u9014\u5f84[7,24\u201326,150]\u3002\u7ec6\u80de\u9aa8\u67b6\u7ed3\u6784\u53ef\u4ee5\u5408\u7406\u5730\u7f16\u7801\u8bb0\u5fc6[151]\uff0c\u7ec6\u80de\u5916\u57fa\u8d28\uff08ECM\uff09\u901a\u5e38\u88ab\u7ec6\u80de\u7528\u4f5c\u534f\u8c03\u6d3b\u52a8\u7684\u4fe1\u606f\u7d20\u522e\u677f\uff0c\u5c31\u50cf\u66f4\u719f\u6089\u7684\u96c6\u4f53\u667a\u80fd\uff08\u5982\u8682\u8681\u7fa4\u4f53\uff09\u4f7f\u7528\u73af\u5883\u4e00\u6837[152]\u3002\u56e0\u6b64\uff0c\u5728\u751f\u7269\u533b\u5b66\u80cc\u666f\u4e0b\uff0c\u7ec6\u80de\u5916\u57fa\u8d28\u7ec6\u80de\u53ef\u4ee5\u6210\u4e3a\u4e00\u4e2a\u5438\u5f15\u4eba\u7684\u4ecb\u8d28\uff0c\u7528\u4e8e\u64cd\u7eb5\u7ec6\u80de\u7684\u611f\u77e5\u548c\u968f\u540e\u7684\u884c\u4e3a\u3002\u7ec6\u80de\u667a\u80fd\u8868\u73b0\u51fa\u4e0d\u540c\u7a0b\u5ea6\u7684\u80fd\u529b\uff0c\u7279\u522b\u662f\u5728\u901a\u8fc7\u6574\u5408\u548c\u4f18\u5148\u5904\u7406\u6765\u81ea\u5fae\u73af\u5883\u6216\u81ea\u6211\u751f\u6210\u7684\u7ebf\u7d22\uff08\u5982\u5728\u4f53\u7ec4\u7ec7\u6216\u5de5\u7a0b\u8ff7\u5bab\u4e2d\uff09\u5bfc\u822a\u590d\u6742\u73af\u5883\u7684\u80fd\u529b\uff0c\u5e76\u6839\u636e\u611f\u77e5\u5386\u53f2\u505a\u51fa\u51b3\u7b56[1]\u3002\u7ec4\u7ec7\u901a\u8fc7\u6539\u53d8\u57fa\u56e0\u8868\u8fbe\u6765\u5b9e\u73b0\u529f\u80fd\uff0c\u5c3d\u7ba1\u6ca1\u6709\u76f4\u63a5\u7684\u8fdb\u5316\u9002\u5e94\u529b\uff0c\u4ee5\u5e94\u5bf9\u5f3a\u5927\u7684\u6bd2\u7d20[22]\u3002\u8fd9\u662f\u57fa\u4e8e\u5bf9\u5148\u524d\u5171\u4eab\u67d0\u4e9b\u5171\u540c\u7279\u5f81\u7684\u5e94\u6fc0\u56e0\u5b50\u7684\u54cd\u5e94\u8fdb\u884c\u95ee\u9898\u89e3\u51b3\u548c\u6cdb\u5316\u7684\u4f8b\u5b50\u3002\u5728\u6574\u4e2a\u5668\u5b98\u6c34\u5e73\u4e0a\uff0c\u53d1\u80b2\u751f\u7269\u5b66\u5145\u6ee1\u4e86\u5728\u53d1\u80b2\u548c\u518d\u751f\u7cfb\u7edf\u4e2d\u901a\u8fc7\u89e3\u51b3\u95ee\u9898\u5b9e\u73b0\u590d\u6742\u89e3\u5256\u7ec8\u70b9\u7684\u4f8b\u5b50\uff0c\u5c3d\u7ba1\u67d3\u8272\u4f53\u7ec4\u5408\u3001\u7ec6\u80de\u5927\u5c0f\u548c\u6570\u91cf\u6216\u5927\u89c4\u6a21\u635f\u4f24\u53d1\u751f\u4e86\u610f\u5916\u53d8\u5316[6]\u3002\u5728\u751f\u7406\u3001\u8f6c\u5f55\u548c\u89e3\u5256\u95ee\u9898\u7a7a\u95f4\u4e2d\uff0c\u6240\u6709\u8fd9\u4e9b\u80fd\u529b\u90fd\u5b9e\u73b0\u4e86\u5a01\u5ec9\u00b7\u8a79\u59c6\u65af\u5bf9\u667a\u80fd\u7684\u5b9a\u4e49\uff0c\u5373\u901a\u8fc7\u591a\u79cd\u624b\u6bb5\u8fbe\u5230\u7279\u5b9a\u76ee\u6807\u7684\u80fd\u529b\u3002\u6240\u6709\u7684\u80fd\u529b\u6c34\u5e73\u90fd\u53ef\u4ee5\u7528\u4e8e\u751f\u7269\u533b\u5b66\u76ee\u7684\u3002\u5728\u7ec4\u7ec7\u548c\u5668\u5b98\u6c34\u5e73\u4e0a\uff0c\u7b80\u5355\u7684\u751f\u7406\u89e6\u53d1\u523a\u6fc0\u53ef\u4ee5\u8bf1\u5bfc\u590d\u6742\u7684\u3001\u81ea\u9650\u5236\u7684\u5668\u5b98\u53d1\u751f\uff0c\u4ee5\u5b9e\u73b0\u518d\u751f[69]\u3002\u5728\u5355\u7ec6\u80de\u667a\u80fd\u6c34\u5e73\u4e0a\uff0c\u65f6\u95f4\u4f9d\u8d56\u7684\u523a\u6fc0\u534f\u8bae\u53ef\u4ee5\u5229\u7528\u836f\u7269\u7684\u8054\u60f3\u6761\u4ef6\u4f5c\u7528\u6765\u6253\u7834\u836f\u7269\u8010\u53d7\u6027\uff08\u4ece\u800c\u5ef6\u957f\u518d\u751f\u7597\u6cd5\u7684\u7597\u6548\uff09[26,138]\u3002\u5728\u8fd9\u4e24\u4e2a\u5c42\u6b21\u4e0a\uff0c\u91cd\u8bbe\u7a33\u6001\u8bbe\u5b9a\u70b9\u4f7f\u6709\u673a\u4f53\u80fd\u591f\u5728\u6ca1\u6709\u6301\u7eed\u5e72\u9884\u7684\u60c5\u51b5\u4e0b\u4fdd\u6301\u5065\u5eb7\u72b6\u6001[54,63]\u3002\u9664\u4e86\u5411\u7ec6\u80de\u4f20\u8fbe\u76ee\u6807\u548c\u4fe1\u53f7\u5916\uff0c\u8fd8\u6709\u4e00\u4e2a\u4ee4\u4eba\u5174\u594b\u7684\u673a\u4f1a\uff0c\u5373\u901a\u8fc7\u4f7f\u7528\u4eba\u5de5\u667a\u80fd\u5de5\u5177\u6765\u8bfb\u53d6\u7ec6\u80de\u7f51\u7edc\u7684\u5185\u90e8\u8bb0\u5fc6\u548c\u4fe1\u5ff5\u72b6\u6001\uff08\u7c7b\u4f3c\u4e8e\u795e\u7ecf\u89e3\u7801\uff09\uff0c\u5e76\u6784\u5efa\u57fa\u4e8e\u7ec6\u80de\u751f\u7406\/\u8f6c\u5f55\u7f51\u7edc\u4e2d\u5f3a\u5927\u7684\u5c40\u90e8\u6cdb\u5316\u548c\u95ee\u9898\u89e3\u51b3\u80fd\u529b\u7684\u8ba1\u7b97\u6a21\u578b[22]\uff0c\u4ee5\u786e\u5b9a\u4e0e\u671f\u671b\u7ed3\u679c\u76f8\u5173\u7684\u57fa\u56e0\u548c\u8f6c\u5f55\u9776\u70b9\uff08\u5373\u5229\u7528\u7ec6\u80de\u89e3\u51b3\u65b0\u95ee\u9898\u7684\u80fd\u529b\u6765\u5e2e\u52a9\u751f\u7269\u5de5\u7a0b\u5e08\u89e3\u51b3\u9650\u5236CRISPR\u548c\u7c7b\u4f3c\u6280\u672f\u5e94\u7528\u7684\u9006\u95ee\u9898[2]\uff09\u3002<\/span><\/section>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
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\u6211\u4eec\u8fdb\u5316\u5386\u53f2\u4e2d\u6700\u91cd\u8981\u7684\u4e00\u4e2a\u65b9\u9762\uff0c\u5bf9\u533b\u5b66\u6709\u8bb8\u591a\u5f71\u54cd\uff0c\u5c31\u662f\u6211\u4eec\u7531\u72ec\u7acb\u7684\u5355\u7ec6\u80de\u751f\u7269\u8fdb\u5316\u800c\u6765\u3002\u4e0d\u4ec5\u662f\u751f\u6d3b\u5728\u6211\u4eec\u4f53\u5185\u7684\u5fae\u751f\u7269\uff0c\u6211\u4eec\u7684\u5b9e\u9645\u7ec6\u80de\u4e5f\u5177\u6709\u611f\u77e5\u3001\u51b3\u7b56\u3001\u8bb0\u5fc6\u3001\u9884\u6d4b\u548c\u8bb8\u591a\u5176\u4ed6\u80fd\u529b[1,8\u201312]\u3002\u4e2a\u4f53\u7ec6\u80de\u5728\u5904\u7406\u7ec6\u80de\u5c42\u9762\u7684\u76ee\u6807\u65b9\u9762\u975e\u5e38\u51fa\u8272\uff0c\u4f8b\u5982\u5728\u5404\u79cd\u5fae\u73af\u5883\u6270\u52a8\u4e0b\u4fdd\u6301\u9002\u5f53\u7684\u4ee3\u8c22\u548c\u751f\u7406\u72b6\u6001\u3002\u5173\u952e\u662f\uff0c\u5f53\u5b83\u4eec\u878d\u5165\u5230\u591a\u7ec6\u80de\u751f\u7269\u4e2d\u65f6\uff0c\u5e76\u6ca1\u6709\u5931\u53bb\u8fd9\u4e9b\u80fd\u529b\u3002\u76f8\u53cd\uff0c\u8fdb\u5316\u5c06\u5b83\u4eec\u7684\u6700\u5c0f\u613f\u671b\u4ece\u5355\u7ec6\u80de\u7684\u5c0f\u8bbe\u5b9a\u70b9\u666f\u89c2<\/span>\uff08\u589e\u6b96\u3001\u4ee3\u8c22\u72b6\u6001\u7b49\uff09<\/span>\u6269\u5c55\u5230\u66f4\u5927\u7684\u7ec4\u7ec7\u548c\u5668\u5b98\u5c42\u9762\u7684\u76ee\u6807\uff1a\u6839\u636e\u591a\u7ec6\u80de\u751f\u7269\u7684\u529f\u80fd\u9700\u6c42\u6784\u5efa\u7279\u5b9a\u7684\u89e3\u5256\u7ed3\u6784[13,14]\u3002<\/span><\/section>\n

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\u56fe2 \u5f62\u6001\u505c\u6ede\u548c\u89e3\u5256\u63a7\u5236\u7684\u63a7\u5236\u56de\u8def<\/span><\/section>\n

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\u89e3\u5256\u7a33\u6001<\/span><\/strong>\uff08<\/span>anatomical homeostasis\uff0c<\/span>\u901a\u5e38\u79f0\u4e3a\u201c\u5f02\u7a33\u6001\u201d\uff09\uff08\u56fe2A\u3001B\uff09\u7684\u80fd\u529b<\/span><\/span>\u4f7f\u4eba\u4f53\u80fd\u591f\u51c6\u786e\u53d1\u80b2\u548c\u66f4\u65b0\u7ec4\u7ec7\uff0c\u4ee5\u53ca\u4e00\u4e9b\u751f\u7269\u4f53\u66f4\u4ee4\u4eba\u5370\u8c61\u6df1\u523b\u7684\u80fd\u529b\uff0c\u5982\u518d\u751f\u6574\u4e2a\u9644\u5c5e\u80a2\u548c\u5668\u5b98\u3002\u4f8b\u5982\uff0c\u877e\u8788\u53ef\u4ee5\u518d\u751f\u80a2\u4f53\u3001\u773c\u775b\u3001\u988c\u9aa8\u548c\u5375\u5de2<\/span>\uff08\u56fe2C\uff09<\/span>\u3002\u751a\u81f3\u5728\u6210\u5e74\u54fa\u4e73\u52a8\u7269\u4e2d\u4e5f\u6709\u4f8b\u5b50\uff1a\u9e7f\u6bcf\u5e74\u90fd\u80fd\u518d\u751f\u9e7f\u89d2\uff0c\u91cd\u65b0\u751f\u957f\u5927\u91cf\u7684\u9aa8\u9abc\u3001\u8840\u7ba1\u3001\u795e\u7ecf\u548c\u76ae\u80a4\uff0c\u5e76\u5177\u6709\u5f62\u6210\u65b0\u7684\u5f62\u6001\u8bb0\u5fc6\u7684\u80fd\u529b<\/span>\uff08\u56fe2D\uff09<\/span>[15]\u3002\u7ec6\u80de\u80fd\u591f\u8fc5\u901f\u68c0\u6d4b\u5230\u4e0e\u6b63\u5e38\u76ee\u6807\u5f62\u6001\u7684\u504f\u5dee\uff0c\u5e76\u91cd\u5efa\u6240\u9700\u7684\u7ed3\u6784\uff0c\u5728\u6b63\u786e\u7684\u76ee\u6807\u5f62\u6001\u5b8c\u6210\u65f6\u505c\u6b62\u3002\u8fd9\u4e5f\u662f\u65e9\u671f\u80da\u80ce\u5206\u88c2\u80fd\u591f\u4ea7\u751f\u6b63\u5e38\u5b8c\u6574\u7684\u5355\u5375\u53cc\u80de\u80ce\u800c\u4e0d\u662f\u534a\u4e2a\u8eab\u4f53\u7684\u539f\u56e0<\/span>\uff08\u56fe2B\uff09<\/span>\u3002\u7814\u7a76\u8ffd\u8e2a\u7ec6\u80de\u96c6\u4f53\u5728\u53d1\u80b2\u3001\u518d\u751f\u548c\u764c\u75c7\u6291\u5236\u4e2d\u5982\u4f55\u90e8\u7f72\u7fa4\u4f53\u667a\u80fd\u8868\u660e\uff0c\u7ec6\u80de\u7fa4\u4f53\u548c\u5668\u5b98\u5728\u53d8\u6001\u53d1\u80b2\u8fc7\u7a0b\u4e2d\u5e76\u4e0d\u9075\u5faa\u56fa\u5b9a\u7684\u8def\u5f84\uff1a\u76f8\u53cd\uff0c\u5b83\u4eec\u901a\u8fc7\u65b0\u9896\u7684\u8def\u5f84\u79fb\u52a8\uff0c\u76f4\u5230\u8fbe\u5230\u76ee\u6807\u89e3\u5256\u7ed3\u6784\u3002\u4f8b\u5982\uff0c\u5f53\u874c\u86aa\u7684\u5934\u9885\u5668\u5b98\u6df7\u4e71\u65f6\uff0c\u4ecd\u7136\u53ef\u4ee5\u5f62\u6210\u6b63\u5e38\u7684\u9752\u86d9\uff0c\u56e0\u4e3a\u8fd9\u4e9b\u5668\u5b98\u4f1a\u8fc1\u79fb\uff0c\u76f4\u5230\u6784\u5efa\u51fa\u6b63\u786e\u7684\u9752\u86d9\u9762\u5b54<\/span>\uff08\u56fe3A\uff09<\/span>[16]\u3002\u8fd9\u79cd\u89e3\u51b3\u89e3\u5256\u548c\u751f\u7406\u72b6\u6001\u7a7a\u95f4\u95ee\u9898\u7684\u6f5c\u5728\u80fd\u529b\u662f\u4efb\u4f55\u5e72\u9884\u63aa\u65bd\u4e2d\u6781\u5176\u5f3a\u5927\u7684\u7ec4\u6210\u90e8\u5206\u7684\u673a\u68b0\u57fa\u7840\uff1a\u8ba9\u8eab\u4f53\u5728\u4e8b\u540e\u6108\u5408\u548c\u9002\u5e94\u3002<\/span><\/section>\n

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\uff08\u4e8c\uff09\u8d85\u8d8a\u7a33\u6001\uff1a\u7ec6\u80de\u5728\u65b0\u73af\u5883\u4e2d\u7684\u95ee\u9898\u89e3\u51b3\u80fd\u529b<\/span><\/strong><\/span><\/section>\n

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\u5173\u952e\u662f\uff0c\u7ec6\u80de\u96c6\u4f53\u4e0d\u4ec5\u53ef\u4ee5\u5728\u5e72\u9884\u63aa\u65bd\u4e0b\u8fbe\u5230\u76f8\u540c\u7684\u76ee\u6807\u5f62\u6001\uff0c\u8fd8\u53ef\u4ee5\u4e3a\u65b0\u95ee\u9898\u521b\u9020\u89e3\u51b3\u65b9\u6848[6,17]<\/span>\uff08\u56fe3\uff09<\/span>\u3002\u4ece\u8eab\u4f53\u4e2d\u5206\u79bb\u51fa\u7684\u4e0a\u76ae\u7ec6\u80de\u53ef\u4ee5\u91cd\u65b0\u542f\u52a8\u5b83\u4eec\u7684\u591a\u7ec6\u80de\u72b6\u6001\uff0c\u5e76\u521b\u5efa\u5177\u6709\u672a\u7ecf\u4fee\u6539\u7684\u9752\u86d9\u6216\u4eba\u7c7b\u57fa\u56e0\u7ec4\u4f46\u5b8c\u5168\u4e0d\u540c\u7684\u8eab\u4f53\u7ed3\u6784\u3001\u884c\u4e3a\u548c\u80fd\u529b\u7684\u65b0\u578b\u539f\u751f\u751f\u7269[18\u201321]\u3002\u8fd9\u79cd\u7ed3\u6784\u548c\u529f\u80fd\u547d\u8fd0\u7684\u53ef\u5851\u6027\u4ee5\u53ca\u7ec6\u80de\u96c6\u4f53\u7684\u51b3\u7b56\u80fd\u529b\u662f\u7ba1\u7406\u590d\u6742\u7cfb\u7edf\u7ea7\u7ed3\u679c\u7684\u975e\u4f20\u7edf\u4e14\u5177\u6709\u6f5c\u5728\u53d8\u9769\u6027\u7684\u76ee\u6807\u3002<\/span><\/section>\n

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\uff08\u4e09\uff09\u6a21\u5f0f\u7a33\u6001\u548c\u5f02\u7a33\u6001\uff1a\u7ec4\u7ec7\u53d1\u80b2\u3001\u7ef4\u6301\u548c\u518d\u751f\u7684\u7edf\u4e00\u6846\u67b6<\/span><\/strong><\/span><\/section>\n

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\u53d1\u80b2\u3001\u518d\u751f\u548c\u6291\u5236\u764c\u75c7\u53ef\u4ee5\u88ab\u89c6\u4e3a\u540c\u4e00\u666e\u904d\u3001\u52a8\u6001\u8fc7\u7a0b\u7684\u4e0d\u540c\u65b9\u9762\uff1a\u6a21\u5f0f\u7a33\u6001\u3002\u8fd9\u662f\u4e3a\u4e86\u6839\u636e\u7f16\u7801\u7684\u8bbe\u5b9a\u70b9\u7ef4\u6301\u4e00\u7ec4\u7279\u5b9a\u7684\u529f\u80fd\u89e3\u5256\u7279\u5f81\u3002\u5f53\u877e\u8788\u7684\u817f\u88ab\u622a\u65ad\u540e\uff0c\u5b83\u4f1a\u518d\u751f\uff0c\u7ec6\u80de\u6301\u7eed\u589e\u6b96\u548c\u8fc1\u79fb\uff0c\u76f4\u5230\u5f62\u6210\u4e00\u6761\u6b63\u786e\u7684\u817f\uff0c\u7136\u540e\u505c\u6b62\u3002\u7ec6\u80de\u96c6\u4f53\u901a\u8fc7\u6301\u7eed\u7684\u3001\u4e3b\u52a8\u7684\u8bef\u5dee\u6700\u5c0f\u5316\u6765\u5b9e\u73b0\u8fd9\u79cd\u6a21\u5f0f\u7a33\u6001\uff0c\u8fd9\u5728\u5bfb\u627e\u7ec4\u7ec7\u62b5\u6297\u764c\u75c7\u548c\u8870\u8001\u7684\u7ec4\u7ec7\u539f\u5219\u65b9\u9762\u5df2\u7ecf\u88ab\u5e7f\u6cdb\u8ba8\u8bba[28]\uff0c\u5e76\u4e14\u5728\u4fe1\u606f\u7f3a\u5931\u5bfc\u81f4\u5df2\u5f62\u6210\u7ed3\u6784\u7684\u7d0a\u4e71\u7684\u4f8b\u5b50\u4e2d<\/span>\uff08\u4f8b\u5982\uff0c\u5207\u65ad\u820c\u795e\u7ecf\u5bfc\u81f4\u820c\u4e73\u5934\u7684\u7d0a\u4e71[29]\uff09<\/span>\u3002\u68462\u5c06\u8be6\u7ec6\u9610\u8ff0\u8fd9\u4e2a\u60f3\u6cd5\u3002<\/span><\/section>\n

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\u68462. \u53d1\u80b2\u548c\u518d\u751f\u4f5c\u4e3a\u4e0a\u4e0b\u80cc\u666f\u6587\u654f\u611f\u7684\u95ee\u9898\u89e3\u51b3\u8fc7\u7a0b<\/span><\/strong><\/section>\n

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\u6d3b\u4f53\u5728\u51b3\u7b56\u65b9\u9762\u5177\u6709\u6781\u9ad8\u7684\u80fd\u529b\uff0c\u53ef\u4ee5\u5728\u5916\u90e8\u73af\u5883\u548c\u5185\u90e8\u7ec4\u5206\u7684\u5de8\u5927\u53d8\u5f02\u6027\u4e0b\u4f18\u5316\u529f\u80fd\u3002\u8ba1\u5212\u866b\u662f\u5b8c\u7f8e\u7684\u518d\u751f\u8005\uff0c\u540c\u65f6\u4e5f\u662f\u4e0d\u8001\u548c\u6297\u764c\u7684\uff0c\u5c3d\u7ba1\u5176\u57fa\u56e0\u7ec4\u548c\u6df7\u5408\u500d\u4f53\u6027\u975e\u5e38\u6df7\u4e71[165]\u3002\u877e\u8788\u5373\u4f7f\u7ec6\u80de\u56e0\u591a\u500d\u4f53\u800c\u53d8\u5f97\u5de8\u5927\uff0c\u4e5f\u80fd\u4ea7\u751f\u6b63\u786e\u5927\u5c0f\u7684\u8eab\u4f53\u7ed3\u6784[156]\u3002\u6574\u4e2a\u9644\u5c5e\u7269\u53ef\u4ee5\u81ea\u6211\u7ea0\u6b63\uff1a\u79fb\u690d\u5230\u4fa7\u8179\u90e8\u7684\u877e\u8788\u5c3e\u5df4\u4f1a\u6162\u6162\u91cd\u5851\u4e3a\u80a2\u4f53\u2014\u2014\u8fd9\u662f\u4e00\u79cd\u66f4\u9002\u5408\u5927\u5c3a\u5ea6\u89e3\u5256\u73af\u5883\u7684\u7ed3\u6784[166]\u3002\u56e0\u6b64\uff0c\u5927\u5c3a\u5ea6\u7684\u89e3\u5256\u548c\u751f\u7406\u89c4\u8303\u9a71\u52a8\u7740\u6f5c\u5728\u7684\u5206\u5b50\u751f\u7269\u4e8b\u4ef6\u3002<\/span><\/section>\n

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\u6162\u6027\u809d\u75c5\u7684\u5168\u7403\u8d1f\u62c5\u4e0d\u65ad\u589e\u52a0<\/span>\uff08\u5728\u7f8e\u56fd\uff0c\u5b83\u662f45\u81f355\u5c81\u4eba\u7fa4\u6b7b\u4ea1\u7684\u7b2c\u56db\u5927\u539f\u56e0\uff09<\/span>\uff0c\u800c\u6cbb\u7597\u9009\u62e9\u6709\u9650[31]\uff0c\u8fd9\u4f7f\u5f97\u5b83\u6210\u4e3a\u518d\u751f\u533b\u5b66\u521b\u65b0\u7684\u91cd\u8981\u76ee\u6807\u3002\u809d\u810f\u5177\u6709\u975e\u51e1\u7684\u518d\u751f\u80fd\u529b\uff0c\u8fd9\u662f\u4ece\u9c7c\u7c7b\u5230\u54fa\u4e73\u52a8\u7269\u7684\u810a\u690e\u52a8\u7269\u7684\u5173\u952e\u7279\u5f81[32]\u3002\u9664\u4e86\u6570\u767e\u79cd\u751f\u5b58\u6240\u9700\u7684\u529f\u80fd\uff0c\u5305\u62ec\u89e3\u6bd2\u3001\u6d88\u5316\u3001\u8fc7\u6ee4\u3001\u65b0\u9648\u4ee3\u8c22\u548c\u86cb\u767d\u8d28\u5408\u6210\uff0c\u809d\u810f\u8fd8\u5145\u5f53\u514d\u75ab\u7cfb\u7edf\u7684\u5b88\u62a4\u8005[32]\u3002\u4f5c\u4e3a\u4eba\u4f53\u6700\u5927\u7684\u5668\u5b98\uff0c\u809d\u810f\u7684\u5927\u5c0f\u53d7\u5230\u4e25\u683c\u8c03\u63a7\uff0c\u4ee5\u7ef4\u6301\u6b63\u5e38\u7684\u8461\u8404\u7cd6\u548c\u6c28\u6c34\u5e73\u7b49\u751f\u7406\u529f\u80fd\u3002\u809d\u810f\u662f\u552f\u4e00\u4e00\u4e2a\u5229\u7528\u518d\u751f\u673a\u5236\u6765\u786e\u4fdd\u809d\u810f\u4e0e\u4f53\u91cd\u4e4b\u6bd4\u4fdd\u6301\u6052\u5b9a\u7684\u5b9e\u4f53\u5668\u5b98\u3002\u8fd9\u79cd\u7a33\u6001\u7279\u6027<\/span>\uff08\u56fe4\uff09<\/span>\u2014\u2014\u201c\u809d\u7a33\u6001\u201d[33]\u53ca\u5176\u518d\u751f\u6f5c\u529b\u2014\u2014\u662f\u809d\u810f\u72ec\u7279\u7684\u7279\u6027\uff0c\u5176\u7279\u6027\u8868\u660e\u5b83\u662f\u5177\u6709\u9ad8\u5ea6\u4e34\u5e8a\u76f8\u5173\u6027\u7684\u7ec6\u80de\u667a\u80fd\u7684\u4f8b\u8bc1\u3002<\/span><\/section>\n

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\u56fe 7 \u65b0\u5174\u751f\u7269\u533b\u5b66\u5e72\u9884\u63aa\u65bd\u7684\u6982\u51b5<\/span><\/section>\n

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\u8eab\u5fc3\u533b\u5b66<\/span><\/strong>\uff08Somatic psychiatry\uff09<\/span>\u63cf\u8ff0\u4e86\u4e00\u65e6\u6211\u4eec\u5c06\u8eab\u4f53\u7ec4\u7ec7\u89c6\u4e3a\u5177\u6709\u591a\u6837\u5316\u95ee\u9898\u7a7a\u95f4\u5bfc\u822a\u80fd\u529b\u7684\u96c6\u4f53\u4e3b\u4f53\uff0c\u5c31\u53ef\u4ee5\u5c06\u884c\u4e3a\u548c\u8ba4\u77e5\u79d1\u5b66\u7684\u6280\u672f\u89c6\u4e3a\u5e72\u9884\u624b\u6bb5<\/span><\/strong>\u3002\u6700\u8fd1\u5728\u9ad8\u7ea7\u60a3\u8005\u4fe1\u5ff5\u548c\u836f\u7406\u9014\u5f84\u4ea4\u53c9\u9886\u57df\u7684\u8fdb\u5c55[110\u2013113]\uff0c\u5f00\u59cb\u663e\u793a\u4e86\u5bf9\u8eab\u4f53\u751f\u7269\u5316\u5b66\u7684\u81ea\u4e0a\u800c\u4e0b\u63a7\u5236\u7684\u91cd\u8981\u6027\u3002\u751f\u7269\u63a7\u5236\u7684\u591a\u5c3a\u5ea6\u6027\u4e0d\u4ec5\u9650\u4e8e\u5b89\u6170\u5242\u6548\u5e94\u3002\u5373\u4f7f\u662f\u65e9\u4e0a\u81ea\u613f\u8d77\u5e8a\u4e5f\u662f\u4e00\u4e2a\u8fc7\u7a0b\uff0c\u5176\u4e2d\u6267\u884c\u529f\u80fd<\/span>\uff08\u9ad8\u7ea7\u8ba4\u77e5\u72b6\u6001\uff09<\/span>\u6700\u7ec8\u63a7\u5236\u808c\u8089\u7ec6\u80de\u7684\u819c\u7535\u4f4d<\/span>\uff08\u5206\u5b50\u6c34\u5e73\u7684\u751f\u7269\u7269\u7406\u7279\u6027\uff09<\/span>\u3002\u56e0\u6b64\uff0c\u8eab\u5fc3\u533b\u5b66<\/span>\uff08\u6846 3\uff09<\/span>[114\u2013116]\u5e76\u4e0d\u662f\u4e00\u79cd\u7f55\u89c1\u73b0\u8c61\u2014\u2014\u76f8\u53cd\uff0c\u5b83\u662f\u9002\u5e94\u6027\u884c\u4e3a\u4e2d\u4e0d\u53ef\u6216\u7f3a\u7684\u65e5\u5e38\u4e8b\u4ef6\uff0c\u5e76\u4e3a\u5065\u5eb7\u548c\u75be\u75c5\u7684\u53d8\u9769\u6027\u65b9\u6cd5\u63d0\u4f9b\u4e86\u6df1\u523b\u7684\u673a\u4f1a\u3002\u884c\u4e3a\u795e\u7ecf\u79d1\u5b66\u63d0\u4f9b\u4e86\u4e00\u4e2a\u6846\u67b6\uff0c\u7528\u4e8e\u7406\u89e3\u9ad8\u7ea7\u5fc3\u7406\u72b6\u6001\u548c\u7269\u7406\u72b6\u6001\u76f8\u4e92\u4f5c\u7528\u7684\u591a\u5c3a\u5ea6\u73b0\u8c61\uff1a\u5b83\u5177\u6709\u9002\u7528\u4e8e\u4ece\u7a81\u89e6\u86cb\u767d\u5230\u793e\u4f1a\u7cbe\u795e\u75c5\u5b66\u7684\u7ec4\u7ec7\u5c42\u6b21\u7684\u5904\u7406\u65b9\u6cd5\uff0c\u4ee5\u53ca\u8de8\u5c42\u6b21\u6846\u67b6\u7684\u5148\u4f8b[117,118]\u3002<\/span><\/section>\n

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\u63a8\u8350\u9605\u8bfb<\/span><\/strong><\/strong><\/p>\n

1.  <\/strong>\u4ece\u9ea6\u514b\u65af\u97e6\u5996\u5230\u91cf\u5b50\u751f\u7269\u5b66\uff0c\u751f\u547d\u7269\u8d28\u4e2d\u662f\u5426\u6f5c\u85cf\u7740\u65b0\u7269\u7406\u5b66\uff1f<\/a><\/strong><\/span><\/section>\n
2.<\/strong> \u6a21\u5757\u5316\u8ba4\u77e5\uff1a\u6f14\u5316\u5982\u4f55\u81ea\u4e0b\u800c\u4e0a\u6d8c\u73b0\u51fa\u667a\u80fd\uff1f<\/a><\/strong><\/span><\/section>\n
3.  <\/strong><\/strong>\u8001\u836f\u65b0\u7528\u6cbb\u7597\u65b0\u51a0\u75be\u75c5\uff1f\u7f51\u7edc\u533b\u5b66\u6846\u67b6\u52a0\u901f\u836f\u7269\u7814\u53d1<\/a><\/strong><\/strong><\/span><\/section>\n
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4. <\/strong><\/span>\u5f20\u6c5f\uff1a\u7b2c\u4e09\u4ee3\u4eba\u5de5\u667a\u80fd\u6280\u672f\u57fa\u7840\u2014\u2014\u4ece\u53ef\u5fae\u5206\u7f16\u7a0b\u5230\u56e0\u679c\u63a8\u7406 | \u96c6\u667a\u5b66\u56ed\u5168\u65b0\u8bfe\u7a0b<\/a><\/strong><\/strong><\/span><\/section>\n
5. <\/strong>\u6210\u4e3a\u96c6\u667aVIP\uff0c\u89e3\u9501\u5168\u7ad9\u8bfe\u7a0b\uff0f\u8bfb\u4e66\u4f1a<\/a><\/span><\/strong><\/section>\n
6. <\/strong>\u52a0\u5165\u96c6\u667a\uff0c\u4e00\u8d77\u590d\u6742\uff01<\/strong><\/span><\/a><\/section>\n


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\u70b9\u51fb\u201c\u9605\u8bfb\u539f\u6587\u201d\uff0c\u62a5\u540d\u8bfb\u4e66\u4f1a<\/span><\/strong><\/span><\/p>\n

<\/mp-style-type><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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