棋牌大全下载安装

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                      • 当前位置: 代写一篇论文多少钱 > 工程师论文 > 医院内窥镜故障成因与处理措施

                        医院内窥镜故障成因与处理措施

                        时间:2018-12-26 10:32作者:杨刚 郑骏 陈斯尧 毛
                        本文导读:这是一篇关于医院内窥镜故障成因与处理措施的文章,目前,电子内窥镜下的胃肠检查是发现和治疗胃肠疾病的最有效的手段之一,它在临床诊断治疗中扮演着不可或缺的角色。由于电子内窥镜制作工艺精密、集成度高、对维修环境和维修技术有着较高的要求,其故障维修多需原厂

                          摘    要: 目的 通过对内窥镜故障现象分析,探索导致内窥镜故障发生的基本事件,制定相应措施,降低维修率,减少维修费用。方法 将内窥镜故障作为顶事件并分析导致顶事件发生的基本事件,构建故障树,表示出各基本事件与顶事件的逻辑关系,计算各基本事件的发生概率与重要度,找出发生概率高的事件并制定相应措施。结果 本文通过故障树分析法发现了导致内窥镜故障这一事件发生的重要度高的5个基本事件,并采取了相应措施,内窥镜故障率降低了42.4%。结论 故障树分析法成功应用于医用内窥镜故障率分析,建立了相应的管理制度提高临床对内窥镜管理的效果,降低内窥镜故障率,提高使用效率。

                          关键词: 内窥镜; 故障树分析法; 胃肠疾病; 内窥镜故障率;

                          Abstract: Objective To set a series of measures to lower the maintenance rate and costs through analyzing the cases of endoscope failure and its basic events. Methods Endoscope failure was set up as the top event. Then a fault tree was established to show the logical relationship between basic events and the top event. We calculated the failure rate and importance to find out high incidence events. Corresponding measures were made for the events. Results A total of 5 basic events of endoscope failure were discovered by fault tree analysis. The endoscope failure rate reduced 42.4% by implements corresponding measures. Conclusion It was successful that fault tree analysis has been used for endoscope failure analyzing. The implementation of the corresponding measures can significantly improve the clinical management of endoscope, decrease the endoscope failure rate and increase the service efficiency.

                          Keyword: endoscopy; fault tree analysis; gastrointestinal diseases; endoscopic failure rate;

                          引言

                        棋牌大全下载安装   MUQIAN,DIANZINEIKUIJINGXIADEWEICHANGJIANCHASHIFAXIANHEZHILIAOWEICHANGJIBINGDEZUIYOUXIAODESHOUDUANZHIYI[1],TAZAILINCHUANGZHENDUANZHILIAOZHONGBANYANZHEBUKEHUOQUEDEJIAOSE。YOUYUDIANZINEIKUIJINGZHIZUOGONGYIJINGMI、JICHENGDUGAO、DUIWEIXIUHUANJINGHEWEIXIUJISHUYOUZHEJIAOGAODEYAOQIU,QIGUZHANGWEIXIUDUOXUYUANCHANGHUOZHUANYEDISANFANGWEIXIU。CIWAI,NEIKUIJINGDERICHANGSHIYONGSHEJIZHUANYUN、SHIYONG、XIAODU、CUNFANGDENGDUOGEHUANJIE,DAOZHIYIYONGNEIKUIJINGDEGUZHANGHUANJIESHEJIDUOGEXIANGGUANGUANLIBUMEN。YINCI,NEIKUIJINGDEGUZHANGYUANYINDEPAICHAJIAOWEIKUNNAN,GUERNANYISHISHIYOUXIAODEGAIJINCUOSHI。

                        棋牌大全下载安装   2018NIAN9YUE,WOYUANCHENGLILEYOUYIYUANYIXUEGONGCHENGSHI、LINCHUANGGUANLIRENYUANJICHANGJIAGONGCHENGSHIZUCHENGDENEIKUIJINGXIAOZU,XIAOZUCHENGYUANFUGAINEIKUIJINGSHIYONG、GUANLI、WEIHUYUWEIXIUDEQUANGUOCHENG,ZHIZAIDUINEIKUIJINGDESHIYONGJINXINGBIAOZHUNHUADEGUANLI,TICHUDEZHENDUIXINGCUOSHI,YIJIANGDINEIKUIJINGDEGUZHANGLV,TIGAOSHIYONGXIAOLV。

                          据业内相关研究报道,根本原因分析法、PDCA循环法、回顾性分析法等方法可对内窥镜故障进行相关的原因分析[2,3,4]。这些分析方法虽然可以获得导致内窥镜故障的部分原因,但这些分析方法以主观的、定性分析法为主,相关数据基础欠全面,且缺乏对于降低内窥镜故障的针对性措施。因此,本课题组采用故障树分析法,以较全面的数据为基础,对导致内窥镜故障的各基本原因事件的发生概率和重要度以客观分析法为主体开展综合分析,并以此提出针对性的改进措施,并将此应用于医院内窥镜的实际使用管理等过程,完善了相应的使用管理制度。这是故障树分析法应用于医用内窥镜故障率分析的一个成功案例。目前,本院运用该方法建立的管理方案已获得了一定的成效,并逐步向协作医院推广应用。本文详细阐述本课题组通过使用故障树分析法,探索导致内窥镜故障发生的基本事件,制定相应措施,降低维修率的过程,可为本行业对内窥镜的使用管理提供建设性的建议。
                         

                        医院内窥镜故障成因与处理措施
                         

                          1 、研究方法

                          GUZHANGSHUFENXIFASHIYIZHONGSHIYONGYUANQUANXITONGGONGCHENGDEFENXIFANGFA,JUYOUZONGHESHIBIE、DULIANG、FENXIHEPINGJIAFENGXIANDEGONGNENG,BEIGUANGFANYINGYONGYUHANGTIAN、HENENG、DIANZI、SHEBEIDENGLINGYU。TABAYIGEYIYUFASHENGQIEHOUGUOYANZHONGDESHIJIANZUOWEIDINGSHIJIAN,ZISHANGERXIADEXUNZHAODINGSHIJIANDEZHIJIEYUANYINHEJIANJIEYUANYIN,ZHAODAOJIBENYUANYINSHIJIAN,BINGYONGLUOJITUBAZHEIXIESHIJIANZHIJIANDELUOJIGUANXIBIAODACHULAI[5]。CAIYONGGUZHANGSHUFENXIFANENGGOUQUANMIANDIDUIZHENGGEXITONGJINXINGPINGJIA,DECHUGEJIBENYUANYINSHIJIANDEFASHENGGAILVHEZHONGYAODU,BINGJUCIZHIDINGXIANGYINGDEGAIJINCUOSHI,TIGAOXITONGKEKAOXINGYUANQUANXING。BENKETIZUYINEIKUIJINGGUZHANGWEIQIERUDIAN,TONGGUOXIANZHUANGFENXI、JIANLIGUZHANGSHU、DINGXINGFENXI、DINGLIANGFENXIZHEI4GEBUZHOUDUINEIKUIJINGGUZHANGJINXINGFENXI,BINGTONGGUOFENXIJIEGUOZHIDINGXIANGYINGCUOSHI。

                          2 、实证分析

                          2.1 、现状分析

                          KETIZUDIAOQU2017NIAN1~12YUE,BENYUANNEIKUIJINGWEIXIUJILUGONG135LI,DUIMEIYILIJINXINGLEGUZHANGMIAOSHUJILUHEYUANYINFENXI,BENWENXUANQULEQIZHONGYILIJINXINGZHANSHI(BIAO1)。GENJUMEIYILIZHONGDEGUZHANGMIAOSHUHEKENENGDEGUZHANGYUANYIN,TONGGUOGUZHANGSHUFENXIFADEDINGLIANGFENXI,ZHAOCHUNEIKUIJINGGUZHANGYUANYINZHONGZUIZHONGYAODEJIXIANGYINSU,RANHOUZHENDUIZHEIJIXIANGYINSUZHIDINGXIANGYINGDEZHENGGAICUOSHI。

                          表1 内窥镜维修记录
                        表1 内窥镜维修记录

                          2.2、 建立故障树

                        棋牌大全下载安装   GUZHANGSHUDEJIANLISHIGUZHANGSHUFENXIFAZHONGZUIZHONGYAO、ZUIJIBENDEBUFEN。BENWENYI“NEIKUIJINGGUZHANG”WEIYANJIUDUIXIANG(JIDINGSHIJIAN),WEIQUEBAOBUYILOURENHEKENENGDEFENGXIANYINGXIANGYINZI,ZHUNQUESHIBIEGUZHANGSHUZHONGJIANSHIJIANHEJIBENSHIJIAN,BENWENSHOUXIANTONGGUOGUONEIWENXIANJIANSUO,DEDAOYINQINEIKUIJINGGUZHANGDEZHUYAOYINSU[6,7,8,9,10,11]。ZAIJIEHESHANGSHU135LILINCHUANGSHIJICAOZUO,BINGDUINEIKUIJINGSHIYONGDEQUANGUOCHENGFENXI,FAXIANYINQI“NEIKUIJINGGUZHANG”DEZHUYAOYINSUYOUDIANZINEIKUIJINGSHIYONGZHONGFASHENGGUZHANG、DIANZINEIKUIJINGSHIYONGHOUQINGXIBUDANGDAOZHIGUZHANG、NEIKUIJINGQINGXIHOUWEIYANGEZUNXUNNEIKUIJINGCUNCHUZHUYISHIXIANGERYINFADEGUZHANG、LINCHUANGDUINEIKUIJINGDEJIANGUANBUDAOWEIDENG。JIANGYISHANGZHUYAOYINSUQUEDINGWEIZHONGJIANSHIJIAN,ZUZHIZHUANJIATAOLUNJIXIAOZUTAOLUN,JIXUFENXIGUZHANGYUANYIN,ZUIZHONGZHAODAODAOZHIGEZHONGJIANSHIJIANDEJIBENSHIJIAN,GOUJIANGUZHANGSHUMOXING。GAIGUZHANGSHUGONGYOU4GEZHONGJIANSHIJIAN,11GEJIBENSHIJIAN(BIAO2)HE7GELUOJIHUOMEN(TU1)。

                          2.3、 定性分析

                          GUZHANGSHUDINGXINGFENXIZHUYAORENWUJIUSHIZHAOCHUZUIRONGYIYINQIDINGSHIJIANFASHENGDEJIBENSHIJIANJIHE,ZHEIXIEJIBENSHIJIANJIHEJIUSHIGUZHANGSHUDEZUIXIAOGEJI。WOMENTONGGUOBUERDAISHUFAQIUJIEZUIXIAOGEJI,JIJIANGDINGSHIJIANZUOWEIDIYICENGSHURUSHIJIAN,“HUOMEN”DESHIJIANYONGLUOJIJIABIAOSHI,“YUMEN”SHIJIANYONGLUOJICHENGBIAOSHI。ZAIYONGDIERCENGSHURUSHIJIANDAITIDIYICENG,DISANCENGSHURUSHIJIANDAITIDIERCENG,ZHIDAOSUOYOUSHIJIANJUNWEIJIBENSHIJIANWEIZHI[12]。ZUIZHONGDEDAODEMEIYIXINGZHONGDEJIBENSHIJIANZUHEJIUSHIGUZHANGSHUDEZUIXIAOGEJI。YOUYUGAIGUZHANGSHUJUNWEIHUOMEN,SUOYINEIKUIJINGGUZHANGDEQUANBUZUIXIAOGEJIWEI:{X1}、{X2}、{X3}、{X4}、{X5}、{X6}、{X7}、{X8}、{X9}、{X10}、{X11}。JIRENYIYIGEZUIXIAOGEJISHIJIANDEFASHENG,DOUYOUKENENGHUIDAOZHINEIKUIJINGGUZHANG。

                          表2 内窥镜故障树事件
                        表2 内窥镜故障树事件

                          图1 内窥镜故障树模型
                        图1 内窥镜故障树模型

                          2.4、 定量分析

                        棋牌大全下载安装   TONGGUODUIGUZHANGSHUJINXINGDINGLIANGFENXI,JISUANDAOZHINEIKUIJINGGUZHANGDEGEJIBENSHIJIANDEFASHENGGAILV,BINGGENJUCIJISUANCHUDINGSHIJIANFASHENGDEGAILV。LINGWAI,GENJUGEJIBENSHIJIANFASHENGGAILVBIANHUAYINQIDINGSHIJIANFASHENGGAILVBIANHUADECHENGDUDUIGUZHANGSHUKAIZHANJINYIBUGAILVZHONGYAODUFENXI,YISHISUOCAIQUDEJIANGDINEIKUIJINGGUZHANGLVDEXIANGGUANCUOSHISHISHIGENGJIAYOUXIAO。

                          DUINEIKUIJINGGUZHANGDE135LISHIJIANJINXINGHUIZONGBINGFENXIHOU,GENJUGUZHANGYUANYINMIAOSHU,ZAIJIEHELINCHUANGSHIJIQINGKUANG,DUIDAOZHIGUZHANGDEJIBENSHIJIANJINXINGGUILEI,DEDAOGEJIBENSHIJIANZAIGUZHANGQINGKUANGXIADEFASHENGLISHU,RUBIAO2ZHONGGUZHANGZUZHONGSHIJIANFASHENGCISHU。

                        棋牌大全下载安装   ZAI135LISHIJIANFASHENGQIJIANDENEIKUIJINGSHIYONGZONGCISHUWEIN,JIASHEFASHENGGUZHANGDE135LIJINGZIWEIGUZHANGZUNb,NbiWEIGUZHANGZUZHONGJIBENSHIJIANXiDEFASHENGCISHU。DUI2017NIAN1YUEZHI12YUEQIJIANWOYUANNEIKUIJINGSHIYONGQINGKUANGJINXINGSHOUSHUGENTAIDIAOCHA,JIASHEZONGGONGDIAOCHADENEIJINGSHIYONGCISHUNaLIWEIDUIZHAOZU,NaiZEWEIDUIZHAOZUZHONGJIBENSHIJIANXiFASHENGDECISHU。GENJUGUZHANGZUYUDUIZHAOZUDESHUJUSOUJIJIEGUO,JISUANJIBENSHIJIANXiZONGFASHENGGAILVP(Xi=1)DEJISUANGONGSHIRUXIA[13]:

                        棋牌大全下载安装   TONGGUOGONGSHI(1)JISUANDEDAOGAIQIJIANJIBENSHIJIANXiDEFASHENGGAILV(BIAO3)。

                          表3 2017年内窥镜故障基本事件数据
                        表3 2017年内窥镜故障基本事件数据

                          ZAIGUZHANGSHUTUXINGZHONGZHICUNZAIHUOMEN。YOULUOJIHUOMENJISUANFANGFA,TONGGUOJIBENSHIJIANDEFASHENGGAILV,YUCEDINGSHIJIANDEFASHENGGAILV:

                        棋牌大全下载安装   JIANG(2)(3)(4)SHIDAIRU(1)SHI,GONGSHIRUXIA:

                          P(T=1)DAIBIAODINGSHIJIANFASHENGGAILV,P(Xi=1)WEIDAIBIAOXiJIBENSHIJIANFASHENGGAILV,P(T=1|Xi=1)DAIBIAOXiJIBENSHIJIANFASHENGDEQINGKUANGXIADINGSHIJIANYEFASHENGDEGAILV。

                          YOUYUXUYAOZHIDAOGEJIBENSHIJIANFASHENGTONGSHIJINGZIGUZHANGFASHENGGAILV,NEIKUIJINGXIAOZUCONGWEIXIUYUANYINFENXIQIEFENZUJISUANHUODESHIYONG、QINGXIDENGGEGEJIBENSHIJIANDAOZHIDINGSHIJIANFASHENGDEGAILV(JIP(T=1|Xi=1),RUBIAO3SUOSHI。JISUANDECHUANIANDINGSHIJIANP(T=1)FASHENGDEGAILVWEI15.72%。

                          GAILVZHONGYAODUBIAOSHIMOUJIBENSHIJIANZENGJIA(HUOJIANGDI)YIDANWEISHIYINQIDEDINGSHIJIANGAILVZENGJIA(HUOJIANGDI)LIANGDEDAXIAO,FENXIGAILVZHONGYAODUKEYICAIQUZHENDUIXINGCUOSHIYOUXIAOJIANGDIDINGSHIJIANFASHENGDEGAILV。QIJISUANFANGFASHIDINGSHIJIANFASHENGGAILVHANSHUDUIJIBENSHIJIANQIUYICIPIANDAOSHU[13],GENJUJISUANYUANLI,DEDAOJIBENSHIJIANDEGAILVZHONGYAODURUBIAO4SUOSHI,GONGSHIRUXIA:

                          P(T=1)DAIBIAODINGSHIJIANFASHENGGAILV,P(Xi=1)DAIBIAODIiGEJIBENSHIJIANFASHENGGAILV。

                          表4 基本事件致故障率和重要度
                        表4 基本事件致故障率和重要度

                          GENJUJIBENSHIJIANGAILVHEZHONGYAODUFENXIJIEGUOKEYIDECHU:DUIDINGSHIJIANYINGXIANGZUIDADESHIX4,GAILVZHONGYAODUWEI0.68;X1、X2、X6、X9、X11SHIZHONGYAODUJIAOGAODEJIBENSHIJIAN;TONGSHIX1、X2、X6、X9、X11YESHIFASHENGGAILVJIAOGAODEJIBENSHIJIAN。YINCI,HOUXUZHEZHONGZHENDUIYISHANGWUXIANGJIBENSHIJIANJINXINGLEZHENGGAIFANGANDEZHIDINGYUSHISHI。

                          3、 制定措施

                          3.1、 我院内窥镜使用中存在的问题

                        棋牌大全下载安装   (1)BAOLISHIYONGNEIKUIJING:LIRU,YISHENGCAOZUOBUGUIFAN,DAOZHIRENWEISUNHUAIGUZHANGLVGAO。CAOZUOBUGUIFANSHEJIDEJIDIANYINSUYOU:SHEBEISHIYONGPEIXUNBUDAOWEI;YIHURENYUANDUINEIKUIJINGGUZHANGBUZHONGSHI;NEIKUIJINGFUJIANSHIYONGBUDANG,DAOZHICHARUBUQIANZIGUANDAOGUZHANGLVGAO。

                          (2)XIAODUCAOZUOBUDABIAO:GESHIYONGNEIKUIJINGDELINCHUANGKESHIXIAODUTUJINGHEXIAODUFANGFABUTONGYI,DAOZHIXIAODUYAOQIUWEIYANGEZHIXING。

                          (3)GUZHANGFAXIANBUJISHI:MEIYOUXINGCHENGWANSHANDEXUNCHAZHIDU。NEIKUIJINGDEGUZHANGZHUYAOYIKAOLINCHUANGRENYUANZAISHIYONGZHONGFAXIANHOUSHANGBAO,GUZHANGJIAOXIAOSHIYIBEIHUSHI,YINCIZENGJIALENEIKUIJINGDAXIUDEGAILV。

                          (4)BAOXIUSHEBEIDEGUODUSHIYONGJILANYONG:BINGRENDUINEIKUIJINGJIANCHAXUQIULIANGDA,QIELINCHUANGGUANLIRENYUANHESHIYONGRENYUANBUZHONGSHIZAIBAOSHEBEIDEWEIXIUQINGKUANG。

                          3.2、 我院内镜小组提出整改措施

                          (1)DUIYIHURENYUANJINXINGPEIXUNHESHIYONGGENTAI:DUISUOYOUSHIYONGNEIKUIJINGDEYIHURENYUANJINXINGDINGQIDESHIYONGPEIXUN。CIWAI,NEIJINGXIAOZUZHIDINGNEIKUIJINGSHOUSHUGENTAIBIAO,DUINEIKUIJINGSHIYONGQIAN、SHIYONGZHONG、SHIYONGHOUKENENGFASHENGDEMEIYIXIANGSHIJIANJINXINGJILU[14],YOUXIANGGUANGONGCHENGSHIHELINCHUANGSHIYONGRENYUANYIQIZHIXING,MEIYUEZHISHAOJINXINGYICI。JIKEYIFAXIANLINCHUANGSHIYONGXIGUANSHANGDEWENTI,JISHIJINXINGGOUTONG,ZAIJIEHESHIJIJINXINGZHENGGAI;YEKEYIDUILINCHUANGSHIYONGZHEJINXINGDUOCIXUANJIAO,RANGCAOZUOZHESHUZHISHIYONGGUOCHENGZHONGDEZHUYISHIXIANG。

                        棋牌大全下载安装   (2)QIANGHUAQINGXIRENYUANPEIXUN,YANGEZHIXINGPEIXUNSHANGGANGZHI:ZHIDINGXIANGXIDENEIKUIJINGQINGXI、XIAODULIUCHENG,BINGDUIQINGXIRENYUANJINXINGPEIXUN,BINGYAOQIUZUOHAOXIANCEHOUXI,JIDUINEIJINGJINXINGCELOUHOUZAIFANGRUQINGXIJIZHONGJINXINGQINGXI。

                        棋牌大全下载安装   (3)JIANLIXUNJIANZHIDU,JISHIFAXIANNEIKUIJINGGUZHANG:ANJIDUDUINEIKUIJINGJINXINGXUNJIAN,YOUNEIKUIJINGXIAOZUCHENGYUANZHIDINGNEIKUIJINGXUNCHADENGJIBIAO,CONGCELOU、DAOGUANGCHATOUBU、CHARUBU、CAOZUOBU、XIANDUANBU、TUXIANGGONGNENG、RICHANGSHIYONGGONGNENGDENGFANGMIANDUINEIKUIJINGJINXINGQUANMIANDEJIANCHA[15],BINGZUOHAOXIANGGUANDEJILU,DUIJINGZICUNZAIDEBUJIANLAOHUA、XIWEIGUZHANGJINXINGJISHISONGXIU。

                          (4)GENJUGEKESHIBAONEISHEBEIWEIXIUCHENGBENCHAYI,ZHIDINGXIANGYINGCUOSHI:DUILINCHUANGKESHILANYONG、GUODUSHIYONGBAONEINEIKUIJINGDEXIANXIANGJINXINGZHIYUE。LIRUKEYILIYONGBAOXIUFEIYONGANWEIXIUFEIYONGBILIJINXINGFENPEI,JISHANGYINIANDUWEIXIUFEIZHANBIGAODEKESHIJIANGZAIXIAYINIANDUBAOXIUFEIZHONGCHENGDANGENGGAODEBILI,ZHEIYANGDIAODONGLELINCHUANGKESHIDEJIJIXING,YEKESHIYIGONGRENYUANDEGONGZUOGENGRONGYIDEDAOLINCHUANGKESHIDEPEIHE。

                          4、 结果

                        棋牌大全下载安装   TONGGUOLEYIDUANSHIJIANDEZHENGGAI,BENKETIZUFENXILE2018NIANDUDEWEIXIUSHUJU,TONGGUOTONGYANGFANGFAFENXIGUZHANGZUZHONGJIBENSHIJIANFASHENGCISHU(Nbi1)DECISHU,TONGYANG,DUI2018NIANDUNEIKUIJINGSHIYONGQINGKUANGJINXINGGENTAIDIAOCHA,ZONGGONGDIAOCHACISHUTONGWEINaCITONGSHIJILUXIAGEJIBENSHIJIANDEFASHENGCISHU,DEDAO(Nai1)。CAIYONGGONGSHI1DUIGEJIBENSHIJIANJINXINGZAICIJISUAN。FENXIJIEGUO,JIANTU2。

                          图2 2017年与2018年基本事件发生概率比较
                        图2 2017年与2018年基本事件发生概率比较

                          GENJUGONGSHI2JISUANKEDE2018NIAN=9.05%,JIAO2017NIANGUZHANGLV(15.72%)JIANGDILE42.4%。SHUOMINGZAISHANGSHUCUOSHIDEZHIXINGXIA,NEIKUIJINGDEGUZHANGDEDAOLEYOUXIAODEKONGZHI,DUIJIANGDIWEIXIUFEIYONGYEQIDAOLEYIDINGDEXIAOGUO。

                          5、 讨论

                          SUIZHENEIKUIJINGZHILIAOJISHUDEBUDUANFAZHAN,NEIKUIJINGSHIYONGPINLVRIJIANZENGJIA,ZHEIYEDAOZHILENEIKUIJINGGUZHANGLVDEPANSHENG,WEITIGAOYIGONGBUMENDEGUANLIXIAOLV,TONGSHIJIEYUEYIYUANDEWEIXIUCHENGBEN,WOMENXUBUDUANGAIJINNEIKUIJINGSHIYONGGUANLILIUCHENGGUIFAN。NEIKUIJINGSHIYONGGUANLIGUOCHENGZAIBUTONGYIYUANYOUMINGXIANCHAYI,ZHEISHIMUQIANFENXINEIKUIJINGGUZHANGYUANYINDEZUIDAKUNNAN。BENKETIZUCAIYONGDEGUZHANGSHUFENXIFAJUBEILINGHUOXINGYUKEGUANXING,WEIBUTONGYIYUANZAIBUTONGTIAOJIANXIAFENXINEIKUIJINGGUZHANGDEZHUYAOYINSUTIGONGHESHIDEFANGFA。WOMENSHOUXIANCAIQUSHOUSHUGENTAIDEFANGFASHIDIFENXINEIKUIJINGSHIYONGDELIUCHENG,ZAIYULINCHUANGSHIJISHIYONGNEIKUIJINGDEYIHURENYUANYIQITAOLUN,JIYUWOYUANNEIKUIJINGSHIYONGSHIJIQINGKUANGFENXICHUDAOZHINEIKUIJINGGUZHANGDEYINSU。TONGSHI,WOMENFENXI2017NIANLIUCUNDEQUANBUWEIXIUSHUJU,CONGCHANGJIAWEIXIUBAOGAOJICHUDEGUZHANGMIAOSHU、KENENGDEGUZHANGYUANYIN、JIANYIYUFANGDUICESANDIANZHESHOU,CAIJIGUZHANGYINSU,ZAIZHENDUIGEGEGUZHANGYINSU,TICHUXIANGYINGDEYINGDUICUOSHI。BENWENDUINEIKUIJINGGUZHANGDEYINGXIANGYINSUFENXISHIJIYUWOYUANDESHIYONGQINGKUANGJINXINGDE,DANDUIYUBUTONGYIYUAN,YIDINGCUNZAIZHEBUTONGYINSU,ZHEIXIEKENENGDEYINSUXUYAOZAIYIHOUDEYANJIUZHONGJIXUWAJUE。RUOXUJINYIBUJIANGDIXINGYENEIKUIJINGDEGUZHANGLV,YOUBIYAOZHENDUIDIQUZHENGTIDENEIKUIJINGSHIYONGQINGKUANGZUOCHUQUANMIANDEFENXIHEBIJIAO。

                          SUIZHEYILIAOSHEBEIJISHUSHUIPINGHEFUWUSHUIPINGDEFAZHAN,YUANNEIYIXUEGONGCHENGSHIDEZHIZEYIYOUBEIDONGWEIXIUXIANGZHUDONGGUANLIZHUANBIAN,YILIAOSHEBEIDESHENGCHANCHANGJIAYEKAISHIYOUBEIDONGFUWUXIANGZHUDONGFUWUZHUANBIAN[16]。BENKETIZHONG,XIANGGUANYIXUEGONGCHENGRENYUANXUEXIBINGYINGYONGGELEITONGJI、FENXIHEGUANLIFANGFA,JIEHECHANGJIASHOUHOUFUWURENYUANHELINCHUANGSHIYONGRENYUANDEJIJIPEIHEHECANYU,ZUIZHONGQUDELELIANGHAODEGUANLICHENGGUO。

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