{"id":3412,"date":"2020-04-16T15:44:39","date_gmt":"2020-04-16T07:44:39","guid":{"rendered":"https:\/\/www.yuhsuanlinlab.app\/?p=3412"},"modified":"2020-04-16T15:51:34","modified_gmt":"2020-04-16T07:51:34","slug":"%e8%b6%85%e9%95%b7%e5%b7%a5%e6%99%82%e5%80%bc%e5%a4%9c%e7%8f%ad%ef%bc%8c%e8%a3%9c%e4%bc%91%e5%be%8c%e7%9a%84%e8%ba%ab%e9%ab%94%e6%a9%9f%e8%83%bd%e6%9c%83%e6%81%a2%e5%be%a9%e5%97%8e%ef%bc%9f%e5%be%9e","status":"publish","type":"post","link":"https:\/\/www.yuhsuanlinlab.app\/?p=3412&lang=zh","title":{"rendered":"\u8d85\u9577\u5de5\u6642\u503c\u591c\u73ed\uff0c\u88dc\u4f11\u5f8c\u7684\u8eab\u9ad4\u6a5f\u80fd\u6703\u6062\u5fa9\u55ce\uff1f\u5f9e\u672c\u571f\u91ab\u5e2b\u8f2a\u73ed\u8cc7\u6599\u8ac7\u8d77"},"content":{"rendered":"\n<p style=\"text-align:left\">\u4f5c\u8005\uff0f<a rel=\"noreferrer noopener\" href=\"https:\/\/www.yuhsuanlinlab.app\/merrilychen\/\" target=\"_blank\">\u9673\u601d\u5b87<\/a>\u3001<a rel=\"noreferrer noopener\" href=\"https:\/\/www.yuhsuanlinlab.app\/yuhsuanlin-tw\/\" target=\"_blank\">\u6797\u715c\u8ed2<\/a>\uff0c\u570b\u5bb6\u885b\u751f\u7814\u7a76\u9662\u7fa4\u9ad4\u5065\u5eb7\u79d1\u5b78\u7814\u7a76\u6240<br><br><br><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong>\u503c\u591c\u73ed\u7684\u8d85\u9577\u5de5\u6642\uff0c\u5c0d\u751f\u7406\u6a5f\u80fd\u6703\u6709\u4ec0\u9ebc\u5f71\u97ff\uff1f\u88dc\u4f11\u4e4b\u5f8c\u80fd\u5920\u6062\u5fa9\u55ce\uff1f<\/strong><\/p><\/blockquote>\n\n\n\n<p><br>\u4eba\u985e\u9762\u5c0d\u58d3\u529b\u7684\u751f\u7406\u5b78\u7814\u7a76\u4e2d\uff0c\u5de5\u6642\u8d85\u9577\u7684\u4f4f\u9662\u91ab\u5e2b\u662f\u63a7\u5236\u689d\u4ef6\u6700\u597d\u7684\u7814\u7a76\u89c0\u5bdf\u6a21\u578b\u3002\u56e0\u70ba\u4f4f\u9662\u91ab\u5e2b\u6709\u76f8\u8fd1\u7684\u5e74\u9f61\u3001\u6559\u80b2\u7a0b\u5ea6\u3001\u751f\u6d3b\u74b0\u5883\uff0c\u800c\u4e14\u5de5\u4f5c\u7684\u6027\u8cea\u4e5f\u975e\u5e38\u76f8\u8fd1\uff0c\u53ef\u4ee5\u5ba2\u89c0\u91cf\u5316\u6bd4\u8f03\u58d3\u529b\u7684\u5f71\u97ff\u3002<\/p>\n\n\n\n<p>\u9664\u4e86\u4e00\u822c\u7684\u6b63\u5e38\u6642\u9593\u4e0a\u4e0b\u73ed\uff0c\u4e00\u822c\u91ab\u9662\u7684\u91ab\u5e2b\u9084\u6709\u8f2a\u503c\u591c\u73ed\u7684\u8981\u6c42\u3002\u91ab\u5e2b\u5728\u503c\u73ed\u7576\u5929\u5fc5\u9808\u5f9e\u65e9\u4e0a 8 \u9ede\u958b\u59cb\u5de5\u4f5c\uff0c\u6574\u665a\u503c\u73ed\u5de5\u4f5c\u5f8c\uff0c\u5230\u9694\u5929\u7684\u4e0b\u5348 5 \u9ede\u624d\u4e0b\u73ed\uff0c\u904e\u5f80\u7684\u9023\u7e8c\u5de5\u6642\u5927\u7d04\u662f<strong>\u00a033 \u5c0f\u6642<\/strong>\u3002\u76f4\u5230\u8fd1\u5e74\u885b\u798f\u90e8\u5236\u5b9a\u4f4f\u9662\u91ab\u5e2b\u5de5\u6642\u6307\u5f15\uff0c\u898f\u5b9a\u4f4f\u9662\u91ab\u5e2b\u6700\u591a\u53ea\u80fd<strong>\u9023\u7e8c\u5de5\u4f5c 28 \u5c0f\u6642<\/strong>\u3002\u4e5f\u5c31\u662f\u503c\u73ed\u7576\u5929\u4e0a\u5348 8 \u9ede\u4e0a\u73ed\uff0c\u6574\u665a\u503c\u73ed\u5230\u9694\u5929\u4e2d\u5348 12 \u9ede\u904e\u5f8c\u5c31\u53ef\u4ee5\u4e0b\u73ed\u3002\u9019\u500b\u9650\u5236\u9023\u7e8c\u5de5\u6642\uff0c\u7b2c\u4e8c\u5929\u4e0b\u5348\u88dc\u4f11\u7684\u653f\u7b56\u88ab\u7c21\u7a31\u4f5c\u00a0<strong>PM off<\/strong>\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><br><br>\u7528\u6578\u5b57\u8aaa\u8a71\uff1a\u6539\u6210 28 \u5c0f\u6642\u9084\u662f\u904e\u52de\u55ce\uff1f<\/h4>\n\n\n\n<p>\u4eca\u5e74\u6797\u715c\u8ed2\u91ab\u5e2b\u5718\u968a\u6700\u65b0\u767c\u8868\u7684\u8ad6\u6587<sup>1<\/sup>\uff0c\u4f7f\u7528<a href=\"https:\/\/www.yuhsuanlinlab.app\/%e5%bf%83%e7%8e%87%e8%ae%8a%e7%95%b0\/\"><strong>\u5fc3\u7387\u8b8a\u7570\u6027<\/strong><\/a>\u505a\u70ba\u751f\u7406\u76e3\u6e2c\u6307\u6a19\uff0c\u6aa2\u8996 18 \u4f4d\u5152\u79d1\u53d7\u8a13\u4f4f\u9662\u91ab\u5e2b\uff0c\u5728\u503c\u73ed\u524d\u5f8c\u5171\u56db\u5929\u7684\u4ea4\u611f\u8207\u526f\u4ea4\u611f\u795e\u7d93\u6307\u6a19\u7684\u8b8a\u5316\uff0c\u5176\u4e2d\u5927\u90e8\u5206\u662f\u7562\u696d\u5f8c\u4e00\u822c\u91ab\u5b78\u7684\u8a13\u7df4\u91ab\u5e2b (PGY)\u3002<\/p>\n\n\n\n<p>\u7814\u7a76\u4e2d\u7684\u91ab\u5e2b\u6bcf\u500b\u6708\u503c\u516d\u5230\u4e5d\u73ed\uff0c\u4f46\u56b4\u683c\u9075\u5b88\u9023\u7e8c\u5de5\u6642\u4e0d\u8d85\u904e 28 \u5c0f\u6642\u7684\u898f\u5b9a\u3002<\/p>\n\n\n\n<p>\u7d50\u679c\u986f\u793a\u4ee3\u8868\u300c\u55dc\u7761\u7a0b\u5ea6\u300d\u7684\u526f\u4ea4\u611f\u795e\u7d93\u529f\u80fd\u6307\u6a19 (HF)\uff0c\u5728\u503c\u73ed\u5f8c\u4ecd\u6301\u7e8c\u4e0a\u5347\u5230\u503c\u73ed\u5f8c 2 \u5929\u3002\u800c\u4ee3\u8868\u300c\u9ad4\u529b\u300d\u6216\u300c\u6230\u9b25\u529b\u300d\u7684<strong>\u4ea4\u611f\u795e\u7d93\u6307\u6a19<\/strong>&nbsp;(LF\/HF) \u5247\u5728\u503c\u73ed\u7684\u665a\u4e0a\u5fae\u5e45\u4e0a\u5347\u5f8c\uff0c\u958b\u59cb\u4e0b\u964d\u3002<\/p>\n\n\n\n<p>\u5373\u4f7f\u503c\u73ed\u5f8c\u88dc\u4f11\uff0c\u4ea4\u611f\u795e\u7d93\u6307\u6a19\u5230\u4e86\u503c\u73ed\u5f8c\u7b2c\u4e8c\u5929\uff0c\u4ecd\u7136\u6301\u7e8c\u986f\u8457\u964d\u4f4e\u3002<\/p>\n\n\n\n<p>\u91ab\u5e2b\u5728\u503c\u73ed\u9023\u7e8c\u5de5\u4f5c\u7684\u591c\u665a\u3001\u503c\u73ed\u5f8c\u63a5\u9023\u5169\u5929\u7684\u4ea4\u611f\u795e\u7d93\u6307\u6a19 (LF\/HF) \u8b8a\u5316\uff0c\u4e5f\u5448\u73fe\u4e86\u7d93\u5178\u7684\u58d3\u529b\u4e09\u968e\u6bb5\u53cd\u61c9\u2500\u2500\u8b66\u6212\u3001\u5805\u6301\u3001\u8870\u7aed\u3002<br><br><br><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong>\u7d93\u5178\u7684\u58d3\u529b\u4e09\u968e\u6bb5\u53cd\u61c9<\/strong><\/p><p>\u5308\u7259\u5229\u751f\u7406\u5b78\u5bb6\u6f22\u65af\u00b7\u859b\u5229 (Hans Selye) \u66fe\u63d0\u51fa\u9762\u5c0d\u58d3\u529b\u6642\uff0c\u751f\u7406\u6a5f\u80fd\u7684\u53cd\u61c9\u6703\u5206\u6210\u4e09\u500b\u968e\u6bb5\uff1a\u7576\u9762\u81e8\u58d3\u529b\u7684\u521d\u671f\uff0c\u4ea4\u611f\u795e\u7d93\u8207\u8b66\u89ba\u6027\u6703\u5347\u9ad8\u9032\u5165\u300c\u8b66\u6212\u671f\u300d(alarm)\uff1b\u5982\u679c\u58d3\u529b\u6e90\u4ecd\u6301\u7e8c\u5b58\u5728\uff0c\u5247\u6211\u5011\u4ecd\u7136\u6703\u7dad\u6301\u9019\u4e9b\u751f\u7406\u6a5f\u80fd\uff0c\u9019\u500b\u968e\u6bb5\u5247\u7a31\u70ba\u300c\u5805\u6301\u671f\u300d(resistance)\uff1b\u7576\u5805\u6301\u5230\u81e8\u754c\u9ede\u4e4b\u5f8c\uff0c\u5247\u6703\u8d70\u5411\u300c\u8870\u7aed\u671f\u300d(exhaustion)\u3002<\/p><p>\u9019\u500b\u58d3\u529b\u53cd\u61c9\u7406\u8ad6\u96d6\u7136\u975e\u5e38\u6e05\u695a\u800c\u7d93\u5178\uff0c\u4f46\u6578\u5341\u5e74\u4f86\u537b\u5e7e\u4e4e\u6c92\u6709\u4eba\u985e\u7684\u58d3\u529b\u7814\u7a76\uff0c\u986f\u793a\u9019\u4e09\u500b\u968e\u6bb5\u5404\u81ea\u7cbe\u78ba\u7684\u6642\u9593\u9ede\uff1b\u4e5f\u5c11\u6709\u91cf\u5316\u7684\u751f\u7406\u6307\u6a19\uff0c\u5ba2\u89c0\u5448\u73fe\u5728\u9019\u4e09\u500b\u6642\u671f\u7684\u6d88\u9577\u3002<\/p><\/blockquote>\n\n\n\n<p><br>\u5728\u672c\u7814\u7a76\u4e2d\uff0c\u4f4f\u9662\u91ab\u5e2b\u5728\u503c\u73ed\u524d\u5f8c\u56db\u5929\u7684\u4ea4\u611f\u795e\u7d93\u8b8a\u5316\uff0c\u4e0d\u50c5\u6709 HRV \u5ba2\u89c0\u7684\u76e3\u6e2c\u6307\u6a19\uff0c\u9084\u80fd\u5b9a\u91cf\u58d3\u529b\u4e26\u8ffd\u8e64\u6307\u6a19\u7684\u8b8a\u5316\uff1b\u7531\u6b64\u5448\u73fe\u4eba\u985e\u9762\u81e8\u5de5\u4f5c\u58d3\u529b\u6642\uff0c\u4ea4\u611f\u795e\u7d93\u7684\u4e09\u968e\u6bb5\u8b66\u6212\u3001\u5805\u6301\u3001\u8870\u7aed\u53cd\u61c9\u3002<br><br><br><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/www.yuhsuanlinlab.app\/wp-content\/uploads\/2020\/04\/HRV_final-1024x682.png\" alt=\"\" class=\"wp-image-3414\" srcset=\"https:\/\/www.yuhsuanlinlab.app\/wp-content\/uploads\/2020\/04\/HRV_final-1024x682.png 1024w, https:\/\/www.yuhsuanlinlab.app\/wp-content\/uploads\/2020\/04\/HRV_final-300x200.png 300w, https:\/\/www.yuhsuanlinlab.app\/wp-content\/uploads\/2020\/04\/HRV_final-768x512.png 768w, https:\/\/www.yuhsuanlinlab.app\/wp-content\/uploads\/2020\/04\/HRV_final-360x240.png 360w, https:\/\/www.yuhsuanlinlab.app\/wp-content\/uploads\/2020\/04\/HRV_final-350x233.png 350w, https:\/\/www.yuhsuanlinlab.app\/wp-content\/uploads\/2020\/04\/HRV_final.png 1250w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption><strong>\u4f4f\u9662\u91ab\u5e2b\u5728\u503c\u73ed\u524d\u5f8c\u56db\u5929\uff0c\u4ea4\u611f\u795e\u7d93\u6307\u6a19 (LF\/HF) \u7684\u8b8a\u5316<\/strong><br><br>\u4ee5\u503c\u73ed\u7684\u524d\u4e00\u5929\u767d\u5929\u5de5\u4f5c\u6642\u6bb5\u505a\u70ba\u57fa\u6e96\u503c\uff0c\u5728\u503c\u73ed\u524d\u4ea4\u611f\u795e\u7d93\u6307\u6a19\u6703\u5fae\u5e45\u4e0a\u5347\uff0c\u5373\u7b2c\u4e00\u968e\u6bb5\u7684\u300c\u8b66\u6212\u671f\u300d\uff1b\u503c\u73ed\u7576\u665a\u4ea4\u611f\u795e\u7d93\u6307\u6a19\u5347\u5230\u9802\u9ede\uff0c\u4e26\u5728\u503c\u73ed\u9694\u5929\u4e0a\u5348\u958b\u59cb\u4e0b\u964d\uff0c\u4f46\u4ea4\u611f\u795e\u7d93\u6307\u6a19\u4ecd\u5728\u57fa\u6e96\u503c\u9644\u8fd1\uff0c\u4e5f\u5c31\u662f\u7b2c\u4e8c\u968e\u6bb5\u7684\u300c\u5805\u6301\u671f\u300d\uff1bPM off \u8207\u88dc\u4f11\u5f8c\u7684\u503c\u73ed\u9694\u5929\uff0c\u4ea4\u611f\u795e\u7d93\u6307\u6a19\u6301\u7e8c\u986f\u8457\u4e0b\u964d\uff0c\u986f\u793a\u96d6\u7136\u7b26\u5408 28 \u5c0f\u6642\u7684\u9023\u7e8c\u5de5\u6642\u9650\u5236\u8207\u88dc\u4f11\uff0c\u91ab\u5e2b\u7684\u751f\u7406\u6a5f\u80fd\u4ecd\u7136\u6703\u8d70\u5411\u300c\u8870\u7aed\u671f\u300d\u3002<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"><br><br>\u7531\u751f\u7406\u5b78\u89c0\u9ede\uff0c\u9023\u7e8c 28\u5c0f\u6642\u503c\u73ed\u4ecd\u7136\u904e\u9577<\/h4>\n\n\n\n<p>\u5728\u53f0\u7063\u7b2c\u4e00\u4efd\u5be6\u7fd2\u91ab\u5e2b\u7684\u503c\u73ed\u7814\u7a76\u4e2d<sup>2<\/sup>\uff0c\u7814\u7a76\u5c0d\u8c61\u70ba\u6bcf\u500b\u6708\u7684\u5e73\u5747\u5de5\u6642\u8f03\u9577\uff0c\u800c\u4e14\u503c\u591c\u73ed\u5f8c\u9694\u5929\u4ecd\u7136\u8981\u5de5\u4f5c\u5230\u4e0b\u5348\uff0c\u9023\u7e8c\u5de5\u6642 33.5 \u5c0f\u6642\u7684\u5be6\u7fd2\u91ab\u5e2b\u3002\u8a72\u7814\u7a76\u986f\u793a\uff0c\u5728\u503c\u73ed\u591c\u665a\u6642\uff0c\u91ab\u5e2b\u7684\u4ea4\u611f\u795e\u7d93\u529f\u80fd\u5c31\u986f\u8457\u4e0b\u964d\uff0c\u4e5f\u5c31\u662f\u300c\u8870\u7aed\u671f\u300d\u7684\u6700\u5f8c\u968e\u6bb5\u3002<\/p>\n\n\n\n<p>\u800c\u672c\u7814\u7a76\u9650\u5236\u9023\u7e8c\u5de5\u6642 28 \u5c0f\u6642\u7684\u4f4f\u9662\u91ab\u5e2b\uff0c\u5728\u503c\u73ed\u591c\u665a\u6642\uff0c\u4ea4\u611f\u795e\u7d93\u529f\u80fd\u5247\u4ecd\u8655\u65bc\u300c\u5805\u6301\u671f\u300d\uff0c\u800c\u76f4\u5230\u503c\u73ed\u5f8c\u624d\u958b\u59cb\u4e0b\u964d\u9032\u5165\u300c\u8870\u7aed\u671f\u300d\u3002<\/p>\n\n\n\n<p>\u5f9e\u5de5\u6642\u898f\u7bc4\u7684\u89d2\u5ea6\u4f86\u8aaa\uff0cPM off \u7684\u88dc\u4f11\u653f\u7b56\uff0c<strong>\u53ef\u80fd\u5ef6\u7de9\u91ab\u5e2b\u751f\u7406\u6a5f\u80fd\u7684\u8870\u9000<\/strong>\u3002\u4f46\u662f\u4f4f\u9662\u91ab\u5e2b\u5373\u4f7f\u5728 PM off \u4e4b\u5f8c\uff0c\u503c\u73ed\u5f8c\u7b2c\u4e8c\u5929\u7684\u5de5\u4f5c\u4e2d\uff0c\u4ea4\u611f\u795e\u7d93\u4ecd\u7e7c\u7e8c\u986f\u8457\u964d\u4f4e\uff0c\u8d70\u5411\u300c\u8870\u7aed\u671f\u300d\u7684\u968e\u6bb5\uff0c\u4e5f\u5c31\u662f<strong>\u9023\u7e8c 28 \u5c0f\u6642\u7684\u5de5\u4f5c\uff0c\u5f9e\u751f\u7406\u5b78\u7684\u89c0\u9ede\u4f9d\u7136\u592a\u9577\u4e86<\/strong>\u3002<\/p>\n\n\n\n<p>\u7531\u65bc\u53f0\u7063\u76ee\u524d\u5c0d\u91ab\u4e8b\u4eba\u529b\u7684\u9700\u6c42\u4f9d\u7136\u975e\u5e38\u9f90\u5927\uff0c\u8981\u8b93\u4f4f\u9662\u91ab\u5e2b\u80fd\u5920\u5c11\u65bc 28 \u7684\u9023\u7e8c\u5de5\u6642\uff0c\u5be6\u52d9\u4e0a\u4ecd\u7121\u6cd5\u9054\u6210\uff1b\u56e0\u6b64\u4e5f\u7121\u6cd5\u57f7\u884c\u66f4\u77ed\u9023\u7e8c\u5de5\u6642\u3001\u9700\u8981\u591a\u5c11\u88dc\u4f11\u6642\u9593\u624d\u80fd\u6062\u5fa9\u751f\u7406\u6a5f\u80fd\u7684\u7814\u7a76\u3002\u7136\u800c\uff0c\u5f9e\u5e7e\u5e74\u524d\u91ab\u5e2b\u7684\u503c\u73ed\u6642 33.5 \u5c0f\u6642\u7684\u9023\u7e8c\u5de5\u6642\uff0c\u5230\u4eca\u65e5 28 \u5c0f\u6642\u7684\u9023\u7e8c\u5de5\u6642\uff0c\u6211\u5011\u7684\u91ab\u7642\u52de\u52d5\u653f\u7b56\uff0c\u5df2\u9010\u6f38\u5730\u5f80\u80fd\u5920\u4fdd\u969c\u91ab\u5e2b\u8eab\u5fc3\u5065\u5eb7\u7684\u65b9\u5411\u524d\u9032\u3002<br><br><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong>\u672c\u7814\u7a76\u7684\u6797\u715c\u8ed2\u91ab\u5e2b\u5f9e 2007 \u5e74\u64d4\u4efb\u5be6\u7fd2\u91ab\u5e2b\u6642\uff0c\u5c31\u958b\u59cb\u4ee5\u540c\u5b78\u3001\u5b78\u5f1f\u59b9\u70ba\u7814\u7a76\u5c0d\u8c61\u6536\u96c6\u76f8\u95dc\u8cc7\u6599\uff0c\u81f3\u4eca\u5728\u570b\u969b\u671f\u520a\u767c\u8868<\/strong><a rel=\"noreferrer noopener\" href=\"https:\/\/www.yuhsuanlinlab.app\/%e9%81%8e%e5%8b%9e%e7%a0%94%e7%a9%b6\/\" target=\"_blank\"><strong>\u5341\u7bc7\u672c\u571f\u5be6\u8b49\u7814\u7a76<\/strong><\/a><strong>\u3002\u7279\u5225\u662f\u7528\u751f\u7406\u8a0a\u865f\u5206\u6790<\/strong><a rel=\"noreferrer noopener\" href=\"https:\/\/www.yuhsuanlinlab.app\/%e5%bf%83%e7%8e%87%e8%ae%8a%e7%95%b0\/\" target=\"_blank\"><strong>\u300c\u5fc3\u7387\u8b8a\u7570\u6027\u300d(Heart Rate Variability, HRV)<\/strong><\/a><strong>\u00a0\u7684\u7814\u7a76\uff0c\u91cf\u5316\u81ea\u5f8b\u795e\u7d93\u529f\u80fd\u5728\u503c\u73ed\u524d\u5f8c\u7684\u6539\u8b8a\uff0c\u63a2\u8a0e\u503c\u73ed\u3001\u5de5\u6642\u7684\u898f\u7bc4\u653f\u7b56\u5c0d\u91ab\u5e2b\u7684\u8eab\u5fc3\u5f71\u97ff\u3002<\/strong><\/p><\/blockquote>\n\n\n\n<h4 class=\"wp-block-heading\"><br><br>\u53c3\u8003\u8cc7\u6599<\/h4>\n\n\n\n<ol><li>Chien JW (\u9322\u5efa\u6587), Chen CY (\u9673\u5b97\u5ef6), Lin SH(\u6797\u8056\u8ed2), Lin SW(\u6797\u8a69\u7d0b), Lin YH(\u6797\u715c\u8ed2).<a href=\"https:\/\/www.mdpi.com\/1660-4601\/17\/3\/1118\">\u00a0Cardiac Autonomic Modulation during on-Call Duty under Working Hours Restriction.<\/a><em>\u00a0Int J Environ Res\u00a0Public Health.<\/em>\u00a02020 Feb 10;17(3).<\/li><li>Lin YH (\u6797\u715c\u8ed2), Kuo TB (\u90ed\u535a\u662d), Ho YC (\u4f55\u5f65\u6f84), Lin SH (\u6797\u8056\u8ed2), Liu CY (\u5289\u5609\u9038), Yang CC (\u694a\u975c\u4fee).<a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.3109\/10253890.2011.572208\">\u00a0Physiological and psychological impacts on male medical interns during on-call duty.\u00a0<\/a><em>Stress.<\/em>\u00a02012 Jan;15(1):21-30.<\/li><\/ol>\n\n\n\n<p><br><br><br><strong>\u672c\u6587\u520a\u767b\u65bc<\/strong><a href=\"https:\/\/pansci.asia\/archives\/181200\"><strong>\u300a\u6cdb\u79d1\u5b78\u300b2020\u5e744\u670811\u65e5<\/strong><\/a><br><br><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u4f5c\u8005\uff0f\u9673\u601d\u5b87\u3001\u6797\u715c\u8ed2\uff0c\u570b\u5bb6\u885b\u751f\u7814\u7a76\u9662\u7fa4\u9ad4\u5065\u5eb7\u79d1\u5b78\u7814\u7a76\u6240 \u503c\u591c\u73ed\u7684\u8d85\u9577\u5de5\u6642\uff0c\u5c0d\u751f\u7406\u6a5f\u80fd\u6703\u6709\u4ec0\u9ebc\u5f71\u97ff\uff1f\u88dc\u4f11\u4e4b\u5f8c\u80fd\u5920\u6062\u5fa9\u55ce\uff1f \u4eba\u985e\u9762\u5c0d\u58d3\u529b\u7684\u751f\u7406\u5b78\u7814\u7a76\u4e2d\uff0c\u5de5\u6642\u8d85\u9577\u7684\u4f4f\u9662\u91ab\u5e2b\u662f\u63a7\u5236\u689d\u4ef6\u6700\u597d\u7684\u7814\u7a76\u89c0\u5bdf\u6a21\u578b\u3002\u56e0\u70ba\u4f4f\u9662\u91ab\u5e2b\u6709\u76f8\u8fd1\u7684\u5e74\u9f61\u3001\u6559\u80b2\u7a0b\u5ea6\u3001\u751f\u6d3b\u74b0\u5883\uff0c\u800c\u4e14\u5de5\u4f5c\u7684\u6027\u8cea\u4e5f\u975e\u5e38\u76f8\u8fd1\uff0c\u53ef\u4ee5\u5ba2\u89c0\u91cf\u5316\u6bd4\u8f03\u58d3\u529b\u7684\u5f71\u97ff\u3002 \u9664\u4e86\u4e00\u822c\u7684\u6b63\u5e38\u6642\u9593\u4e0a\u4e0b\u73ed\uff0c\u4e00\u822c\u91ab\u9662\u7684\u91ab\u5e2b\u9084\u6709\u8f2a\u503c\u591c\u73ed\u7684\u8981\u6c42\u3002\u91ab\u5e2b\u5728\u503c\u73ed\u7576\u5929\u5fc5\u9808\u5f9e\u65e9\u4e0a 8 \u9ede\u958b\u59cb\u5de5\u4f5c\uff0c\u6574\u665a\u503c\u73ed\u5de5\u4f5c\u5f8c\uff0c\u5230\u9694\u5929\u7684\u4e0b\u5348 5 \u9ede\u624d\u4e0b\u73ed\uff0c\u904e\u5f80\u7684\u9023\u7e8c\u5de5\u6642\u5927\u7d04\u662f\u00a033 \u5c0f\u6642\u3002\u76f4\u5230\u8fd1\u5e74\u885b\u798f\u90e8\u5236\u5b9a\u4f4f\u9662\u91ab\u5e2b\u5de5\u6642\u6307\u5f15\uff0c\u898f\u5b9a\u4f4f\u9662\u91ab\u5e2b\u6700\u591a\u53ea\u80fd\u9023\u7e8c\u5de5\u4f5c 28 \u5c0f\u6642\u3002\u4e5f\u5c31\u662f\u503c\u73ed\u7576\u5929\u4e0a\u5348 8 \u9ede\u4e0a\u73ed\uff0c\u6574\u665a\u503c\u73ed\u5230\u9694\u5929\u4e2d\u5348 12 \u9ede\u904e\u5f8c\u5c31\u53ef\u4ee5\u4e0b\u73ed\u3002\u9019\u500b\u9650\u5236\u9023\u7e8c\u5de5\u6642\uff0c\u7b2c\u4e8c\u5929\u4e0b\u5348\u88dc\u4f11\u7684\u653f\u7b56\u88ab\u7c21\u7a31\u4f5c\u00a0PM off\u3002 \u7528\u6578\u5b57\u8aaa\u8a71\uff1a\u6539\u6210 28 \u5c0f\u6642\u9084\u662f\u904e\u52de\u55ce\uff1f \u4eca\u5e74\u6797\u715c\u8ed2\u91ab\u5e2b\u5718\u968a\u6700\u65b0\u767c\u8868\u7684\u8ad6\u65871\uff0c\u4f7f\u7528\u5fc3\u7387\u8b8a\u7570\u6027\u505a\u70ba\u751f\u7406\u76e3\u6e2c\u6307\u6a19\uff0c\u6aa2\u8996 18 \u4f4d\u5152\u79d1\u53d7\u8a13\u4f4f\u9662\u91ab\u5e2b\uff0c\u5728\u503c\u73ed\u524d\u5f8c\u5171\u56db\u5929\u7684\u4ea4\u611f\u8207\u526f\u4ea4\u611f\u795e\u7d93\u6307\u6a19\u7684\u8b8a\u5316\uff0c\u5176\u4e2d\u5927\u90e8\u5206\u662f\u7562\u696d\u5f8c\u4e00\u822c\u91ab\u5b78\u7684\u8a13\u7df4\u91ab\u5e2b (PGY)\u3002 \u7814\u7a76\u4e2d\u7684\u91ab\u5e2b\u6bcf\u500b\u6708\u503c\u516d\u5230\u4e5d\u73ed\uff0c\u4f46\u56b4\u683c\u9075\u5b88\u9023\u7e8c\u5de5\u6642\u4e0d\u8d85\u904e 28 \u5c0f\u6642\u7684\u898f\u5b9a\u3002 \u7d50\u679c\u986f\u793a\u4ee3\u8868\u300c\u55dc\u7761\u7a0b\u5ea6\u300d\u7684\u526f\u4ea4\u611f\u795e\u7d93\u529f\u80fd\u6307\u6a19 (HF)\uff0c\u5728\u503c\u73ed\u5f8c\u4ecd\u6301\u7e8c\u4e0a\u5347\u5230\u503c\u73ed\u5f8c 2 \u5929\u3002\u800c\u4ee3\u8868\u300c\u9ad4\u529b\u300d\u6216\u300c\u6230\u9b25\u529b\u300d\u7684\u4ea4\u611f\u795e\u7d93\u6307\u6a19&nbsp;(LF\/HF) \u5247\u5728\u503c\u73ed\u7684\u665a\u4e0a\u5fae\u5e45\u4e0a\u5347\u5f8c\uff0c\u958b\u59cb\u4e0b\u964d\u3002 \u5373\u4f7f\u503c\u73ed\u5f8c\u88dc\u4f11\uff0c\u4ea4\u611f\u795e\u7d93\u6307\u6a19\u5230\u4e86\u503c\u73ed\u5f8c\u7b2c\u4e8c\u5929\uff0c\u4ecd\u7136\u6301\u7e8c\u986f\u8457\u964d\u4f4e\u3002 \u91ab\u5e2b\u5728\u503c\u73ed\u9023\u7e8c\u5de5\u4f5c\u7684\u591c\u665a\u3001\u503c\u73ed\u5f8c\u63a5\u9023\u5169\u5929\u7684\u4ea4\u611f\u795e\u7d93\u6307\u6a19 (LF\/HF) \u8b8a\u5316\uff0c\u4e5f\u5448\u73fe\u4e86\u7d93\u5178\u7684\u58d3\u529b\u4e09\u968e\u6bb5\u53cd\u61c9\u2500\u2500\u8b66\u6212\u3001\u5805\u6301\u3001\u8870\u7aed\u3002 \u7d93\u5178\u7684\u58d3\u529b\u4e09\u968e\u6bb5\u53cd\u61c9 \u5308\u7259\u5229\u751f\u7406\u5b78\u5bb6\u6f22\u65af\u00b7\u859b\u5229 (Hans Selye) \u66fe\u63d0\u51fa\u9762\u5c0d\u58d3\u529b\u6642\uff0c\u751f\u7406\u6a5f\u80fd\u7684\u53cd\u61c9\u6703\u5206\u6210\u4e09\u500b\u968e\u6bb5\uff1a\u7576\u9762\u81e8\u58d3\u529b\u7684\u521d\u671f\uff0c\u4ea4\u611f\u795e\u7d93\u8207\u8b66\u89ba\u6027\u6703\u5347\u9ad8\u9032\u5165\u300c\u8b66\u6212\u671f\u300d(alarm)\uff1b\u5982\u679c\u58d3\u529b\u6e90\u4ecd\u6301\u7e8c\u5b58\u5728\uff0c\u5247\u6211\u5011\u4ecd\u7136\u6703\u7dad\u6301\u9019\u4e9b\u751f\u7406\u6a5f\u80fd\uff0c\u9019\u500b\u968e\u6bb5\u5247\u7a31\u70ba\u300c\u5805\u6301\u671f\u300d(resistance)\uff1b\u7576\u5805\u6301\u5230\u81e8\u754c\u9ede\u4e4b\u5f8c\uff0c\u5247\u6703\u8d70\u5411\u300c\u8870\u7aed\u671f\u300d(exhaustion)\u3002 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\u7531\u751f\u7406\u5b78\u89c0\u9ede\uff0c\u9023\u7e8c 28\u5c0f\u6642\u503c\u73ed\u4ecd\u7136\u904e\u9577 \u5728\u53f0\u7063\u7b2c\u4e00\u4efd\u5be6\u7fd2\u91ab\u5e2b\u7684\u503c\u73ed\u7814\u7a76\u4e2d2\uff0c\u7814\u7a76\u5c0d\u8c61\u70ba\u6bcf\u500b\u6708\u7684\u5e73\u5747\u5de5\u6642\u8f03\u9577\uff0c\u800c\u4e14\u503c\u591c\u73ed\u5f8c\u9694\u5929\u4ecd\u7136\u8981\u5de5\u4f5c\u5230\u4e0b\u5348\uff0c\u9023\u7e8c\u5de5\u6642 33.5 \u5c0f\u6642\u7684\u5be6\u7fd2\u91ab\u5e2b\u3002\u8a72\u7814\u7a76\u986f\u793a\uff0c\u5728\u503c\u73ed\u591c\u665a\u6642\uff0c\u91ab\u5e2b\u7684\u4ea4\u611f\u795e\u7d93\u529f\u80fd\u5c31\u986f\u8457\u4e0b\u964d\uff0c\u4e5f\u5c31\u662f\u300c\u8870\u7aed\u671f\u300d\u7684\u6700\u5f8c\u968e\u6bb5\u3002 \u800c\u672c\u7814\u7a76\u9650\u5236\u9023\u7e8c\u5de5\u6642 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