[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fYxJFEE46glfTDuhkABksvfveh3GDSShgBSmWpRveqTQ":8,"$fKwPgVs3dmFJbVYGerFmCkPFbgRvYRUeDuBWKCtZXIiY":56,"$ftIyYVhUbabz6YHjiWZ9jzyfLe_TcGvpItOSfn3a3XaY":88},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":55},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":28,"isThumbsUp":7,"isCollection":7,"collections":28,"createTime":29,"seoTitle":22,"seoKeywords":30,"seoDescription":31,"shelvesTime":32,"version":33,"menus":34,"menuId":36,"type":43,"quality":54,"commentCount":28,"isComment":43},55850,864617,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//fto9eaz2rNikFaEtXeiXTWxYYPo8p6nu.png","闫玉伦","苏州市中医医院","麻醉科","主治医师",27,12,"右髌骨骨折：麻醉科医生带你看懂手术背后的守护","","https://ystcdn.venuertc.com/venue/AI/b6526fe1-79dc-4f14-80ba-70963f5bb251.jpg","\u003Cdiv id=\"material_title\" class=\"custom_rightPatella_title\">\n  右髌骨骨折：麻醉科医生带你看懂手术背后的守护\n\u003C/div>\n\n\u003Cdiv class=\"custom_rightPatella_intro\" style=\"padding:24px 0 10px 0;\">\n  在医院骨科门诊，经常能听到关于摔倒受伤的讨论，尤其是膝盖受撞击后迈不开步子的焦虑。不少人以为髌骨骨折只是个“小问题”，但一旦进入手术间，麻醉安全就是一道不容忽视的屏障。今天，我们就用通俗的方式，一步步讲清楚髌骨骨折背后的医学故事——尤其是麻醉科医生的视角。无论你是患者家属、还是关注健康的朋友，相信都会有收获。\u003Cspan style=\"font-size:18px;\">🦵‍\u003C/span>\n\u003C/div>\n\n\u003C!-- 01 概念和重视重要性 -->\n\u003Csection class=\"custom_rightPatella_section\" style=\"background:rgba(240,246,255,0.56); margin:32px 0 16px 0; border-radius:10px; padding:18px;\">\n  \u003Ch2 class=\"custom_rightPatella_subtitle\" id=\"section01\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    01 什么是右髌骨骨折？为什么说麻醉管理至关重要？\n  \u003C/h2>\n  \u003Cp>\n    简单来说，右髌骨骨折就是我们平时说的“膝盖骨头断了”，多数情况下由于直接撞击、意外跌倒或剧烈扭伤引起。髌骨本身就像膝盖的“挡泥板”，负责保护膝关节并帮助腿伸直。一旦这块小骨头断了，不只会带来剧烈的疼痛，还会严重影响正常走路、上下楼梯等日常活动。\n  \u003C/p>\n  \u003Cp>\n    说到手术，大多数人首先想到的是骨科医生如何把骨头“接好”。但其实，麻醉医生也是不可或缺的守护者。手术时，麻醉不仅减轻痛苦，更负责患者的生命体征监护，预防和处理各种意外，比如突然的血压、心率波动。对有慢性病的中老年人来说，麻醉管理显得尤为关键——安全稳妥的麻醉才能保证顺利“修理”，减少并发症。\n  \u003C/p>\n  \u003Cdiv class=\"custom_rightPatella_emoji\">🩺🛡️\u003C/div>\n\u003C/section>\n\n\u003C!-- 02 症状与麻醉科角色案例 -->\n\u003Csection class=\"custom_rightPatella_section\" style=\"background:rgba(253,244,234,0.50); margin:32px 0 16px 0; border-radius:10px; padding:18px;\">\n  \u003Ch2 class=\"custom_rightPatella_subtitle\" id=\"section02\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    02 骨折后警报：哪些信号说明问题严重？麻醉科医生做了什么？\n  \u003C/h2>\n  \u003Cul style=\"margin-left:16px; line-height:1.8;\">\n    \u003Cli>\n      \u003Cstrong>1. 剧烈疼痛与肿胀\u003C/strong>：膝盖突然不能活动，有时只要轻轻一碰就钻心难忍。患者会发现自己连床都下不了，这远不只是普通的扭伤。\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>2. 走路困难，无法负重\u003C/strong>：踏地时膝盖根本承受不起身体重量，甚至有塌陷感。这时候，“忍一忍再走”往往只会让情况更糟。\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>3. 活动受限，伸直和弯曲都成了难题\u003C/strong>：伸腿比弯腿痛，屈膝试试就打颤——主动伸展完全受阻。\n    \u003C/li>\n  \u003C/ul>\n  \u003Cdiv style=\"margin:8px 0 0 10px;\">\n    \u003Cstrong>案例分析：\u003C/strong>比如有位63岁女性，摔伤后右膝持续肿胀、剧痛，已合并高血压和慢性肺病。住院后，她做了切开复位钢丝张力带固定术，采用蛛网膜下腔阻滞麻醉，全程生命体征监控，麻醉医生的协同保障，让她顺利转回病房、恢复清醒。这说明：遇到类似复杂患者，麻醉团队不仅负责“打麻药”，更是整场手术的“守门员”，即使基础疾病多，也能稳妥推进手术流程。\n  \u003C/div>\n  \u003Cdiv class=\"custom_rightPatella_emoji\">💡👩‍⚕️\u003C/div>\n\u003C/section>\n\n\u003C!-- 03 致病机理与麻醉风险评估 -->\n\u003Csection class=\"custom_rightPatella_section\" style=\"background:rgba(220,252,245,0.57); margin:32px 0 16px 0; border-radius:10px; padding:18px;\">\n  \u003Ch2 class=\"custom_rightPatella_subtitle\" id=\"section03\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    03 为什么会发生髌骨骨折？手术麻醉有多大风险？\n  \u003C/h2>\n  \u003Cp>\n    髌骨骨折大多和以下几个因素有关：\n    \u003C/p>\u003Cul style=\"margin-left:15px;\">\n      \u003Cli>直接撞击：如意外跌倒，膝盖撞上地面或障碍物，这种“点对点”的冲击最容易造成骨裂或断裂。\u003C/li>\n      \u003Cli>高龄与骨质疏松：年龄越大，骨头越脆，尤其是女性更年期后易受微小外力影响；研究显示，髌骨骨折在60岁以上人群发病率显著升高\u003Csup>[1]\u003C/sup>。\u003C/li>\n      \u003Cli>慢性疾病：如高血压、慢阻肺，包括这里提到的病例，体内状态波动大，麻醉反应更为复杂。\u003C/li>\n    \u003C/ul>\n    麻醉方面，医生会根据患者年龄、基础病情、骨折类型等综合评估风险。比如高血压患者，需严密控制术中心跳和血压；慢阻肺患者，则需关注呼吸功能异常。总的来看，只要术前充分评估，多学科协作，麻醉的安全性是非常有保障的。\n  \u003Cp>\u003C/p>\n  \u003Cdiv class=\"custom_rightPatella_emoji\">📊🚦\u003C/div>\n\u003C/section>\n\n\u003C!-- 04 检查流程和麻醉前准备 -->\n\u003Csection class=\"custom_rightPatella_section\" style=\"background:rgba(248,253,228,0.50); margin:32px 0 16px 0; border-radius:10px; padding:18px;\">\n  \u003Ch2 class=\"custom_rightPatella_subtitle\" id=\"section04\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    04 骨折后如何规范检查？麻醉科前期要做哪些准备？\n  \u003C/h2>\n  \u003Cdiv>\n    \u003Cp>\n      出现严重膝盖疼痛和活动受阻时，尽快就医非常重要。临床上，医生会采取以下步骤：\n      \u003C/p>\u003Col style=\"margin-left:28px;\">\n        \u003Cli>\n          \u003Cstrong>X光片检查\u003C/strong>：判别骨折位置、类型，以及骨折块是否有明显移位。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>CT扫描\u003C/strong>：疑难或严重骨折会进一步做CT，查清骨折纹理及关节损伤情况。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>全身评估\u003C/strong>：尤其年纪大、有慢病（如高血压、肺病、糖尿病）等，麻醉医生会做血压、心肺功能等详细检查，制定个性化麻醉计划。\n        \u003C/li>\n      \u003C/ol>\n      麻醉科还会和骨科沟通最佳手术时机。例如像案例中这位63岁患者，在完善检查并禁食后，便快速进入麻醉评估流程。\n    \u003Cp>\u003C/p>\n    \u003Cdiv class=\"custom_rightPatella_emoji\">🔬🔎\u003C/div>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 05 治疗方案和麻醉管理成效 -->\n\u003Csection class=\"custom_rightPatella_section\" style=\"background:rgba(255,239,247,0.52); margin:32px 0 16px 0; border-radius:10px; padding:18px;\">\n  \u003Ch2 class=\"custom_rightPatella_subtitle\" id=\"section05\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    05 有哪些治疗方法？手术中的麻醉管理到底起到什么作用？\n  \u003C/h2>\n  \u003Cdiv>\n    \u003Cp>\n      髌骨骨折治疗方法，大致分两类：\n      \u003C/p>\u003Cul style=\"margin-left:15px;\">\n        \u003Cli>\n          \u003Cb>保守治疗\u003C/b>：多见于无明显移位或小裂纹，通过石膏或支具固定、静养恢复。期间需要酌情用药缓解疼痛，但恢复较慢，术后康复训练要注意循序渐进。\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>手术治疗\u003C/b>：如病例中的钢丝张力带内固定术，医生会将骨折块“精准拼合”，再用钢丝、螺钉等材料固定。这类方案恢复力学结构快，病人能尽早活动。\u003C/li>\n      \u003C/ul>\n      手术期间麻醉管理非常重要。麻醉医生一般采用腰麻、硬膜外麻醉等方式，这样可有效控制下半身疼痛，同时便于术中调控患者的心肺功能。像案例患者术后意识清醒、状态平稳，就是规范麻醉与监护的结果。\n    \u003Cp>\u003C/p>\n    \u003Cdiv class=\"custom_rightPatella_emoji\">\u003Cbr>\u003C/div>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 06 术后疼痛处理与康复 -->\n\u003Csection class=\"custom_rightPatella_section\" style=\"background:rgba(235,246,255,0.56); margin:32px 0 24px 0; border-radius:10px; padding:18px;\">\n  \u003Ch2 class=\"custom_rightPatella_subtitle\" id=\"section06\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    06 术后怎么科学镇痛与恢复？日常护理有哪些建议？\n  \u003C/h2>\n  \u003Cp>\n    手术虽然解决了骨折，但恢复期同样关键。麻醉科会为患者制定多模式镇痛方案——比如一次性腰麻配合口服或外用镇痛药，减少早期肿胀和疼痛，让患者安心睡一觉。\u003Cbr>术后早期护理中，\u003Cb>尽量抬高患肢、定时冰敷、扶助运动\u003C/b>很有帮助。第二天开始，在康复师指导下逐步做简单的伸直、屈膝练习。每次锻炼结束后再次冷敷，可以缓解不适。\u003Cbr>医生推荐，术后1周内可尝试在支具保护下少量负重活动，同时进行踝泵运动、股四头肌力量训练。这可以促进血液回流，减少血栓风险，也为后期膝关节功能恢复打基础。\n  \u003C/p>\n  \u003Cp>\n    \u003Cb>饮食建议\u003C/b>方面，以均衡为主。比如：\n    \u003C/p>\u003Cul style=\"margin-left:18px;\">\n      \u003Cli>鸡蛋\u003Cspan class=\"custom_rightPatella_egg\">🥚\u003C/span>：含丰富蛋白质，有助于骨骼修复，每天可食2个。\u003C/li>\n      \u003Cli>牛肉：高蛋白，增强肌肉力量，每周2-3次为宜。\u003C/li>\n      \u003Cli>绿叶蔬菜：补充微量元素和维生素，有利伤口愈合，可以每天一餐。\u003C/li>\n      \u003Cli>豆类：促进胶原合成，利于组织弹性，每周坚持多次。\u003C/li>\n    \u003C/ul>\n    日常护理时，遵医嘱逐渐加大运动强度。不懂的小动作，建议提前问康复师，不要盲目尝试。只要静下心来照顾好自己，大多数患者都能恢复到理想的水平。\n  \u003Cp>\u003C/p>\n  \u003Cdiv class=\"custom_rightPatella_emoji\">🚶‍♂️🌱\u003C/div>\n\u003C/section>\n\n\u003C!-- 07 结语和行动建议 -->\n\u003Csection class=\"custom_rightPatella_section\" style=\"background:rgba(252,244,232,0.43); margin:32px 0 20px 0; border-radius:10px; padding:18px;\">\n  \u003Ch2 class=\"custom_rightPatella_subtitle\" id=\"section07\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    总结与行动建议\n  \u003C/h2>\n  \u003Cp>\n    髌骨骨折虽常见，但能否安全顺利完成手术、恢复关节灵活，离不开麻醉科的保驾护航。\u003Cbr>只要遵循专科医生指引，重视每一步恢复，对自己有耐心，绝大多数人都能重返健康生活。真正有疑问时，建议随时向专业医疗团队咨询，这样才能让膝盖这位“忠实搭档”高效服役很多年。  \n  \u003C/p>\n\u003C/section>\n\n\u003C!-- 引用文献 -->\n\u003Csection class=\"custom_rightPatella_section\" style=\"background:rgba(245,248,255,0.56); margin:28px 0 16px 0; border-radius:10px; padding:12px 18px;\">\n  \u003Ch3 class=\"custom_rightPatella_subtitle\" style=\"font-size: 18px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">参考资料文献\u003C/h3>\n  \u003Col class=\"custom_rightPatella_ref\" style=\"font-size:15px;\">\n    \u003Cli>\n      Johnson, E. E., & Zorn, K. E. (2021). Patellar Fractures in the Elderly: Epidemiology and Treatment Strategies. \u003Ci>Journal of Orthopaedic Trauma\u003C/i>, 35(8), 435-442. https://doi.org/10.1097/BOT.0000000000002061\n    \u003C/li>\n    \u003Cli>\n      Hohloch, L., et al. (2018). The influence of advanced age and comorbidities on perioperative outcomes in patients with patellar fractures. \u003Ci>BMC Musculoskeletal Disorders\u003C/i>, 19(1), 462. https://doi.org/10.1186/s12891-018-2348-4\n    \u003C/li>\n    \u003Cli>\n      Kazemi, N., et al. (2019). Anesthesia considerations in elderly patients with fracture: A review. \u003Ci>Anaesth Pain & Intensive Care\u003C/i>, 23(1), 45-50. https://www.apicareonline.com\n    \u003C/li>\n    \u003Cli>\n      Xu, J., et al. (2020). Early Rehabilitation after Patellar Fracture: A Systematic Review. \u003Ci>Medicine (Baltimore)\u003C/i>, 99(21), e20411. https://doi.org/10.1097/MD.0000000000020411\n    \u003C/li>\n  \u003C/ol>\n\u003C/section>\n\n\u003Cstyle>\n/* 独立样式命名，避免冲突 */\n.custom_rightPatella_title {\n  font-size:32px;\n  font-weight:700;\n  color:#214587;\n  text-align:center;\n  letter-spacing:1px;\n  margin:36px auto 16px;\n  padding:14px 0;\n  border-radius:14px;\n  background:linear-gradient(90deg,#e6f0ff 0%,#f3f8fe 100%);\n  box-shadow:0 3px 10px rgba(60,104,180,0.06);\n}\n\n.custom_rightPatella_intro {\n  color:#202634;\n  font-size:17px;\n  line-height:1.88;\n  background:rgba(241,245,255,0.30);\n  text-align:left;\n  border-radius:10px;\n  margin:0 0 18px 0;\n  padding-left:16px;\n}\n\n.custom_rightPatella_section {\n  font-size:18px;\n  color:#2c415a;\n  line-height:1.85;\n  box-shadow:0 2px 10px rgba(151,153,170,0.07);\n  border:1px solid #e3eaf9;\n}\n\n.custom_rightPatella_subtitle {\n  font-size:22px;\n  color:#16519a;\n  margin-bottom:14px;\n  line-height:1.3;\n  font-weight:bold;\n  padding-left:2px;\n}\n\n.custom_rightPatella_section ul,\n.custom_rightPatella_section ol {\n  margin-top:8px;\n  margin-bottom:8px;\n}\n\n.custom_rightPatella_section li {\n  margin-bottom:8px;\n  font-size:17px;\n}\n\n.custom_rightPatella_emoji {\n  font-size:25px;\n  margin-top:12px;\n  margin-bottom:4px;\n  user-select:none;\n}\n\n.custom_rightPatella_section strong {\n  color:#17539d;\n}\n\n.custom_rightPatella_egg {\n  margin-left:6px;\n  font-size:18px;\n}\n\n.custom_rightPatella_ref {\n  color:#245494;\n  line-height:1.65;\n  padding-left:20px;\n}\n\n@media (max-width:700px){\n  .custom_rightPatella_title{font-size:23px;}\n  .custom_rightPatella_section{font-size:16px;}\n  .custom_rightPatella_subtitle{font-size:17px;}\n  .custom_rightPatella_ref{font-size:13px;}\n}\n\u003C/style>\n\n","\u003Cdiv id=\"material_title\" class=\"custom_rightPatella_title\">\n  右髌骨骨折：麻醉科医生带你看懂手术背后的守护\n\u003C/div>\n\n\u003Cdiv cl",590,0,"2025-08-05 16:40:44","右髌骨骨折, 麻醉管理, 膝盖疼痛, 手术安全, 康复训练, 高血压, 骨质疏松, 老年患者, 骨折治疗, 治疗方法","了解右髌骨骨折手术的重要性，麻醉管理如何保护患者安全。无论是患者还是家属，阅读后能掌握关键信息，确保顺利恢复。","2025-08-05 20:24:00",2,[35],{"menuId":36,"menuName":37,"parentId":28,"orderNum":33,"path":38,"component":39,"isFrame":40,"isCache":41,"menuType":42,"visible":43,"status":28,"createDept":6,"remark":23,"createTime":44,"children":45,"columnImage":46,"columnLogo":47,"uncheckedLogo":6,"checkedLogo":6,"isHot":43,"isHome":28,"forceLogin":28,"color":48,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":38,"componentInfo":39},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","运动损伤",true,{"code":9,"msg":10,"message":6,"data":57,"success":55},{"pageNo":43,"pageSize":58,"result":59,"totalSize":87},10,[60,70,80],{"id":61,"updateTime":62,"averageScore":63,"posts":64,"specialistId":65,"userName":66,"hospital":67,"avatar":68,"description":69,"department":18},18835,"2025-12-25 15:32:09",9.4,"副主任医师",864605,"滕颖","徐州市铜山区中医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//uyIWILUPzdl1wa9mYFierYsPpe98b2oE.png","该内容架构科学、场景化特征鲜明，成功将麻醉管理融入髌骨骨折手术的全流程，既解答了“麻醉如何守护手术安全”的核心疑问，又覆盖了诊疗与护理的关键要点，逻辑连贯、重点突出。不足在于：①“麻醉管理的重要性”重复提及，可整合为统一模块，避免冗余；② 治疗方法与麻醉的关联可进一步强化（如不同治疗方式对麻醉选择的具体影响）；但现有框架已完整覆盖核心需求，是兼具专业性与实用性的优质内容。",{"id":71,"updateTime":72,"averageScore":73,"posts":64,"specialistId":74,"userName":75,"hospital":76,"avatar":77,"description":78,"department":79},17160,"2025-11-20 10:49:27",8.5,863644,"滕步伟","连云港市第一人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//QOKK6cDSF1AuCXJo4SDVO0ZPO64BHqiC.png","这篇科普文以“右髌骨骨折”为切入点，既用“膝盖骨头断了”等通俗表述讲清疾病危害，又精准纠正了大众“麻醉仅止痛”的认知偏差——通过63岁患者的案例，具象展现麻醉科在生命体征监护、复杂病例保障中的“守门员”作用。内容逻辑清晰，兼顾专业深度与科普温度，既缓解患者及家属对手术的焦虑，也让麻醉科的隐形价值被看见，是一篇实用且有认知增量的健康科普。","肝胆胰腺外科",{"id":81,"updateTime":82,"averageScore":83,"posts":64,"specialistId":6,"userName":84,"hospital":85,"avatar":23,"description":86,"department":18},16964,"2025-11-14 18:04:54",9.5,"张晓平","南京市溧水区中医医院","这份课件较好地涵盖了髌骨骨折内固定术的多种麻醉方式，内容具有临床参考价值。课件指出，麻醉选择需结合患者具体情况与手术类型，例如对高龄或合并症多者，可考虑对血流动力学影响较小的神经阻滞麻醉；对于短小手术，静脉麻醉可能更具舒适度优势。课件也提及了膝关节腔内麻醉等操作简便的方案。若课件能进一步通过案例对比不同麻醉方案的围术期管理细节，将更有助于理解其适用情境与优劣。",3,{"code":9,"msg":10,"message":6,"data":89,"success":55},{"authors":90,"appraiseDimensionScoresVos":96},[91,92,94],{"profilePhoto":23,"specialistId":6},{"profilePhoto":77,"specialistId":93},"863644",{"profilePhoto":68,"specialistId":95},"864605",[97,103,109,114,119],{"id":98,"scores":99,"value":100,"dimensionId":6,"avgs":101,"title":102},152072,30,29,28,"内容准确性",{"id":104,"scores":105,"value":106,"dimensionId":6,"avgs":107,"title":108},152073,20,18,17.8,"内容深度与广度",{"id":110,"scores":105,"value":111,"dimensionId":6,"avgs":112,"title":113},152074,19,18.8,"语言表达",{"id":115,"scores":116,"value":116,"dimensionId":6,"avgs":117,"title":118},152075,15,13.8,"呈现形式",{"id":120,"scores":116,"value":121,"dimensionId":6,"avgs":122,"title":123},152076,14,14.2,"教育价值"]