[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fOq-88O5qPBkbCETIFHI6vuIjfl9_kcwwBu8a_H9NIUY":8,"$fF8HjUUdkjGOh-3OQ5O5AC9diXFatQoS2o8-0FseNblc":55,"$fD5z1AhVPm-q5JZfXE8Bv2Sdwl5UdL7bWg5cA4BvYJ5c":59},{"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":54},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":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":22,"seoKeywords":29,"seoDescription":30,"shelvesTime":31,"version":32,"menus":33,"menuId":35,"type":42,"quality":53,"commentCount":21,"isComment":42},58789,867444,[],"https://ystcdn.venuertc.com/medical/ystApp/1nYSFTBe7EEeXfics4mAqBBpLeJ6MPMd.png","王江芬","山西省人民医院","肿瘤科","主治医师",114,0,"左乳浸润性导管癌IA期常用药物使用全指导","","https://ystcdn.venuertc.com/venue/AI/16e16d95-0676-49bb-a673-5f79b2f125e2.jpg","\u003Cdiv class=\"breastca_guide-container\">\n  \u003Ch1 id=\"material_title\" class=\"breastca_guide-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">左乳浸润性导管癌IA期常用药物使用全指导\u003C/h1>\n  \u003Cdiv class=\"breastca_guide-intro\">\n    \u003Cp>\n      如果你听说过乳腺治疗相关药物，却对它们的安全用法有些疑惑，那么下面的内容可能正适合你。乳腺相关药物，包括化疗药、内分泌药和对症辅助药，在实际用药时细节非常重要。今天我们选出7个关于这些药物的核心用药细节，细说用法、剂型、相互作用、不良反应、储存等问题。掌握这些关键点，有助于避免用药风险，让治疗方案更加科学、安心。\n    \u003C/p>\n  \u003C/div>\n\n  \u003C!-- 01 剂型选择与正确服用方式 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 化疗药的剂型选择与服用方式 🧴\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Cp>\n        乳腺辅助化疗中，蒽环类与紫杉醇等药物最常见。这类药物多采用\u003Cstrong>静脉点滴\u003C/strong>给药，没有口服剂型。静脉用药时，要按照方案准确控制速度与剂量，不可自行加快或减慢。\u003Cbr>\n        \u003Cstrong>正确做法：\u003C/strong>化疗当天，身体状况良好时按预约时间接受静脉输注即可。\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>静脉注射须专科护士操作。\u003C/li>\n        \u003Cli>期间多饮水有助于药物代谢。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"breastca_guide-notice\">💡小提示：\u003C/span>皮下注射的生物制剂一般需避光，不可推注过快，注射部位注意消毒。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 02 剂量计算与调整细节 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 肿瘤药物的剂量计算与调整 ⚖️\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Cp>\n        大部分肿瘤药物（如紫杉醇、阿霉素）按体表面积（BSA）算剂量，通常以mg/m\u003Csup>2\u003C/sup>计。\u003Cbr>\n        \u003Cstrong>正确做法：\u003C/strong>每次用药前需专业医护按照体重和身高现值重新计算剂量，避免因体重波动导致剂量不合理。\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>不可自行增减剂量。\u003C/li>\n        \u003Cli>如近期有明显减重，应主动告知医护。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"breastca_guide-warning\">🚫特别提醒：\u003C/span>不同药物不可互换剂量，需严格区分！\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 03 服药时间与进食关系 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 内分泌药和对症药的服药时间 ⏰\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Cp>\n        内分泌药物例如他莫昔芬、芳香化酶抑制剂（如来曲唑、阿那曲唑），大多每日一片，建议于固定时间整片吞服，可随餐或餐后服用减少胃肠反应。\u003Cbr>\n        对症药（如止吐药昂丹司琼）须根据说明书或医嘱，按化疗前一定时间提前口服。\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>不可自行调整服药时间。\u003C/li>\n        \u003Cli>漏服后请勿“一次补齐”，需按最新剂量调整。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"breastca_guide-notice\">🔎正确做法：\u003C/span>设定每日用药提醒，并与医师核对具体用药方案。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 04 药品相互作用及组合用药注意 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 药物相互作用与组合用药 🔄\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Cp>\n        多数乳腺辅助用药都有相互作用风险。例如，紫杉醇与阿霉素合用时要控制间隔和顺序；来曲唑这些药物服用时不可同时大量服用含钙、镁或抗酸药，避免干扰吸收。\u003Cbr>\n        某些抗生素（如红霉素类）若与化疗药合用，可能加重肝毒性。\u003Cbr>\n        \u003Cstrong>正确做法：\u003C/strong>每增减一种药物，都应主动告知医生或药师，避免盲目叠加。\n      \u003C/p>\n      \u003Cp>\n        \u003Cspan class=\"breastca_guide-warning\">⚠️需要注意：\u003C/span>口服避孕药、激素类药物与某些乳腺治疗药有明确冲突，禁止自行服用。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 05 专家强调的不良反应识别和应对 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 常见不良反应及处理方法 🩺\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Cp>\n        肿瘤相关治疗药常见不良反应包括恶心、呕吐、便秘、脱发、皮肤过敏等，极少数可能引发严重骨髓抑制。例如：\u003Cbr>\n        \u003Cstrong>用药案例：\u003C/strong>有位患者使用紫杉醇后出现手脚麻木，经及时告知医师后调整了用药间隔，神经反应大大减轻。\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>如果出现黏膜溃烂、发热等明显异常须立即告知医生。\u003C/li>\n        \u003Cli>轻微反应如口干可以多饮水。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"breastca_guide-notice\">📝正确做法：\u003C/span>定期监测血常规、肝肾功能，按医嘱用保护胃肠和止吐药可降低不适感。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 06 特殊人群及伴随基础病用药调整 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 不同人群（高龄、慢病、过敏）下的安全用药 👵\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Cp>\n        老年人、新陈代谢减慢、伴随高血压、糖尿病、甲减及哮喘等基础病时，某些药物可能需调整剂量或间隔。\u003Cbr>\n        \u003Cstrong>正确做法：\u003C/strong>用药前主动说明合并用药，按医生建议检测血压、血糖，并监测心功能。\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>如既往有药物过敏史，应提前报备，不可尝试性用药。\u003C/li>\n        \u003Cli>肝、肾功能不全者更需逐步加量、慢慢调整。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"breastca_guide-warning\">🚨提醒：\u003C/span>平时使用降压药、降糖药与抗肿瘤药同时服用都应有专业管理。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 07 储存条件与有效期管理 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 储存条件和过期药处理 📦\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Cp>\n        多数化疗药和内分泌药应避光、阴凉处保存，最佳温度2-8°C，部分片剂可在25°C室温保存。开封的生物制剂如未用完应密封冷藏。\u003Cbr>\n        \u003Cstrong>正确做法：\u003C/strong>启封药物需在说明书限定时间内用完，超过有效期坚决丢弃，不可尝试服用。\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>外包装破损或发现变色、异味都不可继续使用。\u003C/li>\n        \u003Cli>药液、注射剂须严格密封，家庭自行处理需送正规药品回收点。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"breastca_guide-notice\">🌡️延伸说明：\u003C/span>药品切勿随意冷冻，部分生物制剂“冻融变质”后失效。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 08 漏服与过量处理 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 漏服和过量服用应对 🚑\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Cp>\n        内分泌药等口服药漏服时，不可在下次补“2倍剂量”；若快到下次服药时间，跳过即可。静脉用药不宜漏打，漏用需与医生沟通评估是否补用。\u003Cbr>\n        \u003Cstrong>正确做法：\u003C/strong>随时记录每日已服药物，发现错漏后第一时间报告医护，不可自作主张调整。\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>疑似过量时，务必带上剩余药品说明书就医。\u003C/li>\n        \u003Cli>\n          严重过量可引发肝功能损伤、骨髓抑制等，一定要尽快处理。\n        \u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 09 用药陪护小贴士 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">09 日常用药陪护与自我管理📝\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Cp>\n        长期用药期间，身边人陪同有助于发现细微反应。如配合护胃、止吐等药物，详细记录不适感。\u003Cbr>\n        \u003Cstrong>正确做法：\u003C/strong>定期复查并携带完整用药清单，告知医师所有调整。保持简单、规律生活习惯，避免熬夜和过度劳累。\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>按计划复查，切勿因无症状而漏检漏药。\u003C/li>\n        \u003Cli>疑似重大反应可申请转诊专科，防止小问题演变成大风险。\u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 10 总结：安全用药的总要点 -->\n  \u003Csection class=\"breastca_guide-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">10 总结：安全用药的7个关键\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Col>\n        \u003Cli>所有药物严格按医生与药师方案执行。\u003C/li>\n        \u003Cli>每次用药留存清单，提示不良反应和特别注意事项。\u003C/li>\n        \u003Cli>与食物、备药的配合需分清楚。\u003C/li>\n        \u003Cli>尽量避免非药师指导情况下组合用药。\u003C/li>\n        \u003Cli>发现不适第一时间求助医护，不可等待。\u003C/li>\n        \u003Cli>药物存放、使用和丢弃都要按照说明正确进行。\u003C/li>\n        \u003Cli>用药期间的生活作息应保持规律，不过度劳累。\u003C/li>\n      \u003C/ol>\n      \u003Cp>\n        总的来说，安全、规范地使用乳腺相关药物，是成功应对治疗过程的关键。只要关注细节、主动沟通、按时检查，绝大多数药物风险都能有效规避。如有其他疑问，务必随时咨询专业医护团队。\n      \u003C/p>\n      \u003Cp class=\"breastca_guide-thankyou\">🙏 感谢阅读，祝用药安全顺利！\u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 参考文献部分 -->\n  \u003Csection class=\"breastca_guide-section breastca_guide-ref-section\">\n    \u003Cdiv class=\"breastca_guide-section-bg\">\n      \u003Ch2 class=\"breastca_guide-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">参考文献\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"breastca_guide-section-content\">\n      \u003Col class=\"breastca_guide-ref-list\">\n        \u003Cli>\n          Jones, S. E., &amp; Holmes, F. A. (2005). Docetaxel and paclitaxel: a review of clinical experience. Cancer Investigation, 23(8), 604-613. \u003Cspan class=\"breastca_guide-ref-source\">(APA)\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          Howell, A., Cuzick, J., Baum, M., Buzdar, A., Dowsett, M., Forbes, J. F., ... &amp; Forbes, J. (2005). Results of the ATAC (Arimidex, Tamoxifen, Alone or in Combination) trial after completion of 5 years' adjuvant treatment for breast cancer. The Lancet, 365(9453), 60-62. \u003Cspan class=\"breastca_guide-ref-source\">(APA)\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          Turner, N. C., &amp; Neven, P. (2021). Critical appraisal of safety and efficacy of adjuvant endocrine therapies for hormone receptor–positive early breast cancer. The Oncologist, 26(7), 592-602. \u003Cspan class=\"breastca_guide-ref-source\">(APA)\u003C/span>\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp class=\"breastca_guide-ref-tip\">\n        上述文献均可在PubMed、Google Scholar等国际专业数据库查询。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\u003C/div>\n\u003Cstyle>\n.breastca_guide-container {\n  font-family: 'Segoe UI', 'Helvetica Neue', Arial, sans-serif;\n  background-color: #f9f9fb;\n  max-width: 880px;\n  margin: 30px auto 0 auto;\n  border-radius: 18px;\n  box-shadow: 0 2px 14px rgba(53,93,109,0.10);\n  padding: 0 0 30px 0;\n}\n.breastca_guide-title {\n  font-size: 2.3em;\n  text-align: center;\n  font-weight: bold;\n  margin-top: 36px;\n  margin-bottom: 22px;\n  color: #28446b;\n  padding-bottom: 6px;\n  border-bottom: 2px solid #b9bbcf;\n}\n.breastca_guide-intro {\n  padding: 30px 50px 18px 50px;\n  font-size: 1.19em;\n  background: linear-gradient(90deg, #e8eaf6 0%, #e3efef 100%);\n  border-radius: 16px;\n  margin-bottom: 14px;\n}\n.breastca_guide-section {\n  margin-top: 38px;\n  border-radius: 16px;\n  overflow: hidden;\n  box-shadow: 0 2px 10px rgba(53,93,109,0.04);\n}\n.breastca_guide-section-bg {\n  background: linear-gradient(90deg,#dbeafe 0,#e8f9fc 100%);\n  padding: 19px 36px 12px 36px;\n}\n.breastca_guide-section-title {\n  margin: 0;\n  font-size: 1.37em;\n  letter-spacing: .03em;\n  font-weight: 600;\n  color: #215276;\n}\n.breastca_guide-section-content {\n  padding: 19px 42px 20px 42px;\n  font-size: 1.08em;\n  background-color: #ffffff;\n}\n.breastca_guide-section-content ul {\n  margin: 10px 0 12px 24px;\n  padding-left: 12px;\n  line-height: 1.68;\n}\n.breastca_guide-section-content li {\n  margin-bottom: 6px;\n}\n.breastca_guide-notice {\n  color: #2679b5;\n  font-weight: 600;\n}\n.breastca_guide-warning {\n  color: #b3534b;\n  font-weight: 600;\n}\n.breastca_guide-thankyou {\n  font-size: 1.18em;\n  color: #549a5f;\n  margin-top: 20px;\n  font-weight: 600;\n}\n.breastca_guide-ref-section {\n  margin-top: 44px;\n}\n.breastca_guide-ref-list {\n  margin-left: 22px;\n  font-size: 1em;\n}\n.breastca_guide-ref-source {\n  color: #b1b1b1;\n  font-size: 0.97em;\n}\n.breastca_guide-ref-tip {\n  color: #616781;\n  margin-top: 10px;\n}\n@media (max-width: 900px) {\n  .breastca_guide-container {\n    max-width: 98%;\n    padding: 0 4% 20px 4%;\n  }\n  .breastca_guide-section-content, .breastca_guide-section-bg,\n  .breastca_guide-intro {\n    padding-left: 5vw !important;\n    padding-right: 5vw !important;\n  }\n}\n@media (max-width: 630px) {\n  .breastca_guide-title {\n    font-size: 1.25em;\n    padding-bottom: 2px;\n  }\n  .breastca_guide-intro,\n  .breastca_guide-section-content, .breastca_guide-section-bg {\n    padding: 12px 8px 16px 8px !important;\n    font-size: 0.99em !important;\n  }\n}\n\u003C/style>\n","\u003Cdiv class=\"breastca_guide-container\">\n  \u003Ch1 id=\"material_title\" class=\"breastca_guide-title\" style=",529,"2025-08-13 16:43:37","左乳浸润性导管癌, 化疗药, 内分泌药, 用药指导, 不良反应, 安全用药, 应对措施","了解左乳浸润性导管癌IA期的药物使用细节，掌握化疗药、内分泌药的应用技巧和安全注意事项，确保治疗更加科学有效。","2025-08-21 13:04:00",2,[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":32,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":42,"status":21,"createDept":6,"remark":23,"createTime":43,"children":44,"columnImage":45,"columnLogo":46,"uncheckedLogo":6,"checkedLogo":6,"isHot":42,"isHome":21,"forceLogin":21,"color":47,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":37,"componentInfo":38},"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","癌症肿瘤",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":60,"success":54},{"authors":61,"appraiseDimensionScoresVos":62},[],[]]