{"id":2286,"date":"2020-12-05T14:20:01","date_gmt":"2020-12-05T06:20:01","guid":{"rendered":"https:\/\/damakey.com\/?p=2286"},"modified":"2023-05-26T15:44:18","modified_gmt":"2023-05-26T07:44:18","slug":"%e8%b6%85%e6%95%8f%e6%84%9f%e7%9a%84%e5%ad%a9%e7%ab%a5","status":"publish","type":"post","link":"https:\/\/damakey.com\/?p=2286","title":{"rendered":"\u8d85\u654f\u611f\u7684\u5b69\u7ae5"},"content":{"rendered":"

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 <\/p>\n

\u300e\u5927\u90e8\u5206\u7684\u5b69\u7ae5\uff0c\u5373\u4f7f\u5728\u6700\u56b4\u82db\u3001\u6700\u5147\u96aa\u7684\u74b0\u5883\uff0c\u4e5f\u80fd\u548c\u84b2\u516c\u82f1\u4e00\u6a23\u5805\u976d\u5730\u84ec\u52c3\u751f\u9577\uff0c\u5c11\u90e8\u5206\u5b69\u7ae5\u5982\u5b0c\u8cb4\u7684\u862d\u82b1\uff0c\u4e0d\u662f\u7f8e\u9e97\u5730\u76db\u958b\uff0c\u5c31\u662f\u9eef\u7136\u5730\u51cb\u840e\uff0c\u7aef\u8996\u5712\u4e01\u5982\u4f55\u7167\u9867\u3001\u4fdd\u8b77\u3001\u95dc\u61f7\u4ed6\u5011\u3002\u9019\u500b\u4e8b\u5be6\u63ed\u793a\u4e86\u4e00\u500b\u901a\u5f80\u6551\u8d16\u7684\u79d8\u5bc6\uff1a\u9019\u4e9b\u5bb9\u6613\u53d7\u632b\u3001\u5931\u6557\u7684\u862d\u82b1\u5c0f\u5b69\uff0c\u53ea\u8981\u683d\u57f9\u5f97\u6cd5\uff0c\u5176\u5be6\u4e5f\u80fd\u4ee5\u7368\u4e00\u7121\u4e8c\u7684\u5f62\u5f0f\u5c55\u73fe\u751f\u547d\u7684\u97cc\u6027\uff0c\u800c\u4e14\u6613\u5982\u53cd\u638c\u3002\u300f<\/span>*<\/span><\/p>\n

 <\/p>\n

\u7576\u7136\uff0c\u628a\u5b69\u7ae5\u4e00\u5206\u70ba\u4e8c\u7684\u4e8c\u5206\u6cd5\uff0c\u6b78\u985e\u70ba\u5805\u97cc\u7684<\/span>(resilience)<\/span>\u84b2\u516c\u82f1\u5b69\u7ae5\u548c\u8106\u5f31\u7684<\/span>(vulnerable)<\/span>\u862d\u82b1\u5b69\u7ae5\uff0c\u662f\u6709\u9ede\u8aa4\u5c0e\u7684\uff0c\u5176\u5be6\u4ed6\u5011\u7684\u6578\u91cf\u5f9e\u5805\u97cc\u5230\u8106\u5f31\u7684\u6a6b\u8ef8\u4e0a\uff0c\u7531\u5de6\u5230\u53f3\u5448\u73fe\u7684\u662f\u4e00\u500b\u5e38\u614b\u7684\u9418\u578b\u5206\u914d\u66f2\u7dda\uff0c\u6211\u5011\u628a\u5206\u4f48\u53f3\u5c3e\u7684<\/span>15%<\/span>\uff5e<\/span>20%<\/span>\u5b69\u7ae5\u6b78\u985e\u70ba\u862d\u82b1\u5b69\u7ae5\uff0c\u800c\u5269\u4e0b\u7684<\/span>80%<\/span>\uff5e<\/span>85%<\/span>\u90fd\u662f\u84b2\u516c\u82f1\u5b69\u7ae5\u3002\u84b2\u516c\u82f1\u5b69\u7ae5\u64c1\u6709\u67d0\u7a2e\u7a0b\u5ea6\u4e0a\u7684\u97cc\u6027\uff0c\u5c0d\u74b0\u5883\u6bd4\u8f03\u8010\u53d7\uff0c\u57fa\u672c\u4e0a\u90fd\u53ef\u4ee5\u6d3b\u5f97\u883b\u597d\u7684\u3002\u7136\u800c\u90a3\u97cc\u6027\u8f03\u5dee\uff0c\u5c0d\u74b0\u5883\u523a\u6fc0\u6bd4\u8f03\u654f\u611f\u7684<\/span>15%<\/span>\uff5e<\/span>20%<\/span>\u862d\u82b1\u5b69\u7ae5\uff0c\u5247\u662f\u5927\u597d\u5927\u58de\uff0c\u7aef\u983c\u662f\u5426\u5f97\u5230\u9069\u7576\u7684\u95dc\u61f7\u8207\u7167\u9867\u3002<\/span><\/p>\n

 <\/p>\n

\u84b2\u516c\u82f1\u5b69\u7ae5\u5c0d\u74b0\u5883\u523a\u6fc0\u8f03\u4e0d\u654f\u611f\uff0c\u6240\u4ee5\u4e0d\u7ba1\u6709\u6c92\u6709\u5f97\u5230\u9069\u7576\u7684\u95dc\u61f7\u8207\u7167\u9867\uff0c\u8868\u73fe\u90fd\u9084\u4e0d\u932f\u3002\u4f46\u662f\u5c0d\u74b0\u5883\u523a\u6fc0\u6bd4\u8f03\u654f\u611f\u7684\u862d\u82b1\u5b69\u7ae5\uff0c\u82e5\u6c92\u6709\u5f97\u5230\u9069\u7576\u7684\u95dc\u61f7\u8207\u7167\u9867\uff0c\u4ed6\u5011\u7684\u8868\u73fe\u5c31\u6703\u5f88\u7cdf\u7cd5\uff0c\u6bd4\u84b2\u516c\u82f1\u5b69\u7ae5\u5dee\u5f88\u591a\uff1b\u76f8\u5c0d\u5730\uff0c\u5982\u679c\u862d\u82b1\u5b69\u7ae5\u5f97\u5230\u9069\u7576\u7684\u95dc\u61f7\u8207\u7167\u9867\uff0c\u90a3\u9ebc\u4ed6\u5011\u7684\u767c\u5c55\uff0c\u5c31\u6703\u6bd4\u84b2\u516c\u82f1\u5b69\u7ae5\uff0c\u9084\u8981\u512a\u7570\u5f97\u5f88\u591a\u3002<\/span><\/p>\n

 <\/p>\n

\u5f9e\u4eba\u985e\u7684\u6f14\u5316\u4e0a\uff0c\u6703\u5927\u597d\u5927\u58de\u7684\u862d\u82b1\u5b69\u7ae5\uff0c\u4ed6\u5011\u7684\u654f\u611f\uff0c\u5176\u5be6\u662f\u63f9\u8ca0\u4e86\u91cd\u8cac\u5927\u4efb\u3002\u4eba\u985e\u56e0\u70ba\u4ed6\u5011\uff0c\u800c\u80fd\u7559\u4e0b\u8b8a\u7570\u66f4\u5927\u7684\u5f8c\u4ee3\uff0c\u8b93\u4eba\u985e\u6709\u66f4\u5927\u7684\u5f48\u6027\uff0c\u53bb\u9069\u61c9\u672a\u4f86\u74b0\u5883\u7684\u6539\u8b8a\u548c\u6311\u6230\u3002<\/span><\/p>\n

 <\/p>\n

\u5f62\u6210\u84b2\u516c\u82f1\u5b69\u7ae5\u548c\u862d\u82b1\u5b69\u7ae5\u9019\u6a23\u7684\u5206\u91ce\uff0c\u4e0d\u662f\u55ae\u7d14\u7684\u57fa\u56e0\u7684\u907a\u50b3\uff0c\u800c\u662f\u5148\u5929\u7684\u57fa\u56e0\uff0c\u548c\u5f8c\u5929\u7684\u74b0\u5883\uff0c\u6240\u7522\u751f\u7684\u300c\u57fa\u56e0<\/span>——<\/span>\u74b0\u5883\u4ea4\u4e92\u4f5c\u7528<\/span>(gen-environment interaction)<\/span>\u300d\uff0c\u9019\u4e5f\u5c31\u662f\u8868\u89c0\u907a\u50b3\u5b78<\/span>(epigenetics) <\/span>\u7684\u6838\u5fc3\u7406\u8ad6\u3002\u9664\u4e86\u5148\u5929\u7684\u57fa\u56e0\uff0c\u5f8c\u5929\u7684\u74b0\u5883\u6703\u4f7f\u4eba\u5728\u9069\u61c9\u7684\u904e\u7a0b\u4e2d\uff0c\u6c7a\u5b9a\u57fa\u56e0\u7684\u958b\u6216\u95dc\uff0c\u4ee5\u53ca\u5b83\u5011\u7684\u8868\u73fe\u5f37\u5ea6\u3002\u9019\u4e5f\u662f\u70ba\u4ec0\u9ebc\u5728\u9069\u7576\u7684\u95dc\u61f7\u8207\u7167\u9867\u4e4b\u4e0b\uff0c\u862d\u82b1\u5b69\u7ae5\u7684\u767c\u5c55\u6703\u8868\u73fe\u5f97\u7279\u5225\u512a\u7570\u7684\u539f\u56e0\u3002<\/span><\/p>\n

 <\/p>\n

\u5728\u7814\u7a76\u4e0a\uff0c\u8981\u77e5\u9053\u5b69\u7ae5\u662f\u5c6c\u65bc\u84b2\u516c\u82f1\u5b69\u7ae5\u6216\u862d\u82b1\u5b69\u7ae5\uff0c\u6700\u7c21\u55ae\u7684\u65b9\u6cd5\u662f\u6e2c\u8a66\u4ed6\u5011\u5728\u58d3\u529b\u4e4b\u4e0b\u7684\u53cd\u61c9\u3002<\/span><\/p>\n

 <\/p>\n

\u4eba\u5728\u9762\u5c0d\u58d3\u529b\u7684\u6642\u5019\uff0c\u6709\u5169\u500b\u4e3b\u8981\u7684\u53cd\u61c9\u7cfb\u7d71\uff0c\u4e00\u500b\u662f\u5728\u5927\u8166\u6838\u5fc3\u7684\u4e0b\u8996\u4e18\uff0c\u5f62\u6210\u300c\u4e0b\u8996\u4e18<\/span>\/<\/span>\u8166\u4e0b\u5782\u9ad4<\/span>\/<\/span>\u814e\u4e0a\u817a\u8ef8\u300d\uff0c\u4ee5\u4fc3\u9032\u76ae\u8cea\u9187\u5206\u6ccc\u7684\u300c\u76ae\u8cea\u9187\u7cfb\u7d71\u300d\uff1b\u7b2c\u4e8c\u500b\u58d3\u529b\u53cd\u61c9\u7cfb\u7d71\u4f4d\u65bc\u5728\u8166\u5e79\uff0c\u6703\u559a\u9192\u81ea\u5f8b\u795e\u7d93\u7cfb\u7d71\uff0c\u6e96\u5099\u6230\u6216\u9003\u3002<\/span><\/p>\n

 <\/p>\n

\u5176\u4e2d\u6700\u7c21\u55ae\u76f4\u63a5\u7684\uff0c\u5c31\u662f\u6e2c\u9a57\u5b69\u7ae5\u5728\u9762\u5c0d\u58d3\u529b\u4e4b\u4e0b\uff0c\u76ae\u8cea\u9187\u7684\u5206\u6ccc\u6fc3\u5ea6\uff0c\u800c\u9019\u53ea\u9700\u8981\u5410\u4e00\u53e3\u553e\u6db2\uff0c\u5c31\u53ef\u4ee5\u6aa2\u6e2c\u51fa\u4f86\u3002<\/span><\/p>\n

 <\/p>\n

\u84b2\u516c\u82f1\u5b69\u7ae5\u4e4b\u9593\uff0c\u751f\u75c5\u7684\u6a5f\u6703\u90fd\u5dee\u4e0d\u591a\uff1b\u4f46\u662f\u7279\u5225\u654f\u611f\u7684\u862d\u82b1\u5c0f\u5b69\uff0c\u4ed6\u4e0d\u662f\u6700\u75c5\u91cd\u7684\uff0c\u4e0d\u7136\u5c31\u662f\u6700\u5065\u5eb7\u7684\uff0c\u7aef\u8cf4\u662f\u5426\u5f97\u5230\u9069\u7576\u7684\u7167\u9867\u548c\u95dc\u5fc3\uff01\u6240\u4ee5\uff0c\u5bb6\u4e2d\u6709\u862d\u82b1\u5b69\u7ae5\uff0c\u7236\u6bcd\u6703\u89ba\u5f97\u5f88\u96e3\u64ab\u990a\u3002\u7136\u800c\uff0c\u862d\u82b1\u5b69\u7ae5\u65e2\u6709\u65e9\u51cb\u7684\u5a01\u8105\uff0c\u4f46\u4e5f\u6709\u57f9\u990a\u6210\u70ba\u4eba\u4e2d\u9f8d\u9cef\u7684\u5927\u597d\u6a5f\u6703\u3002<\/span><\/p>\n

 <\/p>\n

\u862d\u82b1\u5b69\u7ae5\u662f\u5e38\u7522\u751f\u5e2b\u751f\u885d\u7a81\u7684\u5c0f\u4e00\u751f\uff0c\u9752\u6625\u671f\u4e5f\u5bb9\u6613\u51fa\u73fe\u7cbe\u795e\u5065\u5eb7\u554f\u984c\uff0c\u5c0d\u4ed6\u5011\u4f86\u8aaa\uff0c\u5145\u6eff\u8010\u5fc3\u7684\u611b\u8207\u95dc\u61f7\u7684\u6b63\u5411\u74b0\u5883\uff0c\u624d\u662f\u4ed6\u5011\u5353\u8d8a\u9577\u5927\u7684\u552f\u4e00\u826f\u85e5\u3002<\/span><\/p>\n

 <\/p>\n

\u5b69\u7ae5\u5728\u51fa\u751f\u7684\u6642\u5019\uff0c\u5c31\u53ef\u4ee5\u89c0\u5bdf\u5230\uff0c\u5b83\u5c6c\u65bc\u662f\u84b2\u516c\u82f1\u5b69\u7ae5\u9084\u662f\u862d\u82b1\u5b69\u7ae5\u3002<\/span><\/p>\n

 <\/p>\n

\u51fa\u751f\u6642\u5c0d\u5b30\u5152\u72c0\u6cc1\u7684<\/span>APGAR<\/span>\u8a55\u4f30\uff0c\u5c31\u662f\u5f9e<\/span>Appearance(<\/span>\u5916\u89c0<\/span>)<\/span>\u3001<\/span>Pulse(<\/span>\u8108\u535a<\/span>)<\/span>\u3001<\/span>Grimace<\/span>\uff08\u82e6\u81c9<\/span>)<\/span>\u3001<\/span>Activity(<\/span>\u6d3b\u52d5<\/span>)<\/span>\u3001<\/span>Respiration(<\/span>\u547c\u5438<\/span>)<\/span>\u4e94\u500b\u5411\u5ea6\uff0c\u5206\u5225\u4ee5<\/span>0\/1\/2 <\/span>\u4f86\u8a55\u5206\uff0c\u7136\u5f8c\u52a0\u7e3d\u8d77\u4f86\u3002\u4e00\u822c\u5152\u7ae5\u5206\u6578\u6703\u843d\u5728<\/span>7-8<\/span>\u5206\uff0c<\/span>7<\/span>\u5206\u4ee5\u4e0b\u7684\u53ef\u80fd\u9700\u8981\u653e\u5165\u4fdd\u6eab\u7bb1\uff0c\u800c\u4f4e\u65bc<\/span>4<\/span>\u5206\u7684\u5247\u53ef\u80fd\u8981\u63d2\u7ba1\u4ee5\u8f14\u52a9\u547c\u5438\u3002<\/span>APGAR<\/span>\u5206\u6578\u8f03\u4f4e\u7684\u5b30\u5152\uff0c\u5728\u5c31\u5b78\u6642\u6ce8\u610f\u529b\u548c\u9069\u61c9\u6027\u8f03\u5dee\uff0c\u9577\u5927\u6642\u8eab\u9ad4\u4e5f\u6bd4\u8f03\u5f31\u3002<\/span><\/p>\n

 <\/p>\n

\u5728\u540c\u5375\u96d9\u80de\u80ce\u7684\u7814\u7a76\u4e2d\uff0c\u611f\u89ba\u5931\u8abf\u75c7\u6216\u81ea\u9589\u75c7\u7684\u540c\u75c5\u7387\uff0c\u7d04\u53ea\u6709<\/span>50%<\/span>\u3002\u610f\u601d\u662f\u8aaa\uff0c\u5148\u5929\u7684\u57fa\u56e0\u548c\u5f8c\u5929\u7684\u74b0\u5883\uff0c\u90fd\u626e\u6f14\u4e86\u91cd\u8981\u7684\u89d2\u8272\u3002\u4eba\u7684\u5065\u5eb7\uff0c\u662f\u57fa\u56e0\u8b8a\u7570\u52a0\u4e0a\u8207\u6240\u8655\u74b0\u5883\u4ea4\u4e92\u4f5c\u7528\u6240\u7522\u751f\u7684\u5f71\u97ff\u6240\u5171\u540c\u6c7a\u5b9a\u7684\uff0c\u9019\u53c8\u56de\u5230\u4e86\u8868\u89c0\u907a\u50b3\u5b78\u7684\u8ad6\u9ede\u3002<\/span><\/p>\n

 <\/p>\n

\u5728\u5b69\u7ae5\u86c0\u7259\u7684\u7814\u7a76\u4e2d\u767c\u73fe\uff0c\u58d3\u529b<\/span>(<\/span>\u76ae\u8cea\u9187\u6fc3\u5ea6\u9ad8<\/span>)<\/span>\u548c\u7d30\u83cc\u662f\u86c0\u7259\u7684\u5fc5\u8981\u689d\u4ef6\u3002\u58d3\u529b\u6240\u5c0e\u81f4\u7684\u9ad8\u76ae\u8cea\u9187\u4f7f\u5f97\u5b69\u7ae5\u7259\u9f52\u7684\u9223\u7d44\u7e54\u5bb9\u6613\u5206\u89e3\uff0c\u5982\u679c\u52a0\u4e0a\u7d30\u83cc\u6ecb\u751f\uff0c\u5169\u7a2e\u56e0\u7d20\u4ea4\u4e92\u4f5c\u7528\u4e4b\u4e0b\uff0c\u90a3\u9ebc\u5c31\u5bb9\u6613\u86c0\u7259\u4e86\u3002\u8981\u4e00\u6642\u907f\u514d\u58d3\u529b\u53ef\u80fd\u4e0d\u5bb9\u6613\uff0c\u4f46\u662f\u6559\u5c0e\u5b69\u7ae5\u990a\u6210\u53e3\u8154\u6e05\u6f54\u7684\u7fd2\u6163\uff0c\u5982\u7528\u7259\u7dda\uff0c\u5247\u662f\u9632\u6b62\u86c0\u7259\u7684\u597d\u65b9\u6cd5\u3002<\/span><\/p>\n

 <\/p>\n

\u5c0d\u65bc\u7167\u9867\u8d85\u654f\u4f86\u7684\u862d\u82b1\u5b69\u7ae5\uff0c\u8eab\u70ba\u5c0f\u5152\u79d1\u5b78\u91ab\u751f\u7684\u4f5c\u8005\uff0c\u958b\u51fa\u4e86\u300c\u611b\u300d\u7684\u516d\u5e16\u85e5\u65b9\uff1a<\/span><\/p>\n

 <\/p>\n

1. <\/span>\u751f\u6d3b\u9700\u8981\u5100\u5f0f\u611f\uff1a\u65b0\u5947\u662f\u4e00\u7a2e\u5a01\u8105<\/span>(<\/span>\u58d3\u529b<\/span>)<\/span>\uff0c\u800c\u4fdd\u6301\u65e5\u5e38\u7684\u898f\u5f8b\u6703\u8b93\u862d\u82b1\u5b69\u7ae5\u611f\u5230\u6bd4\u8f03\u5fc3\u5b89\u3002<\/span><\/p>\n

 <\/p>\n

2. <\/span>\u7d66\u4e88\u5b69\u5b50\u5805\u5b9a\u4e0d\u79fb\u7684\u611b\uff1a\u7121\u8ad6\u55ae\u89aa\u3001\u96d9\u89aa\u6216\u540c\u5fd7\u5bb6\u5ead\uff0c\u90a3\u6015\u53ea\u6709\u4e00\u500b\u5927\u4eba\u7684\u95dc\u611b\u4e5f\u662f\u8db3\u5920\u7684\u3002<\/span><\/p>\n

 <\/p>\n

3. <\/span>\u5c0a\u91cd\u5b69\u5b50\u7684\u500b\u5225\u5dee\u7570\uff1a\u5c0d\u5b69\u5b50\u7684\u300c\u654f\u611f\u300d\u8981\u6709\u654f\u611f\u5ea6\u3002<\/span><\/p>\n

 <\/p>\n

4. <\/span>\u7d66\u4e88\u5b69\u5b50\u5bec\u5bb9\u548c\u81ea\u7531\u7684\u7a7a\u9593\uff1a\u5168\u5fc3\u63a5\u7d0d\uff0c\u80af\u5b9a\u5b69\u5b50\u505a\u81ea\u5df1\u3002<\/span><\/p>\n

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5. <\/span>\u5efa\u7acb\u5728\u300c\u4fdd\u8b77\u300d\u8207\u300c\u523a\u6fc0\u300d\u4e4b\u9593\u7684\u5fae\u5999\u754c\u7dda\uff1a\u4e0d\u653e\u4efb\uff0c\u4e5f\u4e0d\u6210\u70ba\u76f4\u5347\u6a5f\u7236\u6bcd\u3002<\/span><\/p>\n

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6. <\/span>\u5584\u7528\u904a\u6232\u7684\u529b\u91cf\uff1a\u73a9\u51fa\u60f3\u50cf\u529b\u8207\u7642\u7652\u529b\u3002<\/span><\/p>\n

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80%<\/span>\uff5e<\/span>85%<\/span>\u7684\u5927\u591a\u6578\u5b69\u7ae5\uff0c\u90fd\u662f\u5805\u97cc\u7684\u84b2\u516c\u82f1\u5b69\u7ae5\uff0c\u4e0d\u7ba1\u98c4\u5230\u54ea\u88e1\uff0c\u90fd\u53ef\u4ee5\u9577\u5f97\u5f88\u597d\u3002\u4f46\u5176\u9918<\/span>15%<\/span>\uff5e<\/span>20%<\/span>\u8d85\u654f\u611f\u7684\u862d\u82b1\u5b69\u7ae5\uff0c\u4ed6\u5011\u9069\u61c9\u58d3\u529b\u7684\u53cd\u61c9\uff0c\u5c31\u6703\u76f8\u5c0d\u975e\u5e38\u5de8\u5927\uff0c\u9019\u5c31\u9700\u8981\u8001\u5e2b\u548c\u5bb6\u9577\u767c\u63ee\u683c\u5916\u7684\u611b\u548c\u95dc\u6ce8\u4e86\u3002\u5982\u679c\u7167\u9867\u5f97\u597d\uff0c\u4ed6\u5011\u5c07\u6210\u5c31\u975e\u51e1\u5594\uff01<\/span><\/p>\n

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*<\/span>\uff1a\u300a\u862d\u82b1\u8207\u84b2\u516c\u82f1\u300b\uff0c\u6e6f\u746a\u58eb·\u6ce2\u4f9d\u65af<\/span> <\/span>\u8457\uff0c\u5468\u5b9c\u82b3<\/span> <\/span>\u8b6f<\/span><\/p>\n

 <\/p>\n

2020\/12\/5 <\/span>\u8d85\u654f\u611f\u7684\u5b69\u7ae5<\/span> Damakey<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

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