[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f3gcCUtAVn_ofp1Yp5zGNh8pR9E0OBbg9-JDmtw7E8Fs":8,"$fgzjv05-lq42a8Zp_zHzVBp1AZKsomTvuUai5CVBvW3s":55,"$fszXMqnOpHOQq7gojwY16dS4UEKCwR82V4rG3sikUcN4":89},{"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},61838,870246,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//fSsXxLjjLXxHNiavjzMGFRiNHdRlONne.png","谈晓祥","东南大学附属中大医院","麻醉科","主治医师",9,0,"主动脉瓣关闭不全与麻醉管理的关系","","https://ystcdn.venuertc.com/venue/AI/3afb2a6f-58fa-47fd-af7b-d0be494e12d2.jpg","\u003Cdiv class=\"am_custom-container\">\n  \u003Cdiv class=\"am_custom-header\">\n    \u003Ch2 id=\"material_title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">主动脉瓣关闭不全与麻醉管理的关系\u003C/h2>\n    \u003Cdiv class=\"am_custom-header-bg\">\u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 开头场景描述 -->\n  \u003Cdiv class=\"am_custom-section\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Cp>\n      在医院外科门诊，有时会遇到这样一幕：医生和患者坐在一起，讨论即将进行的心脏手术。这些对话可能不像电影里那么紧张，但对患者来说疑问却不少，尤其是需要“主动脉瓣置换”手术的人。不少人甚至第一次听说“主动脉瓣关闭不全”这个词。这篇文章就帮大家把这个复杂问题拆解开，让你轻松了解，主动脉瓣关闭不全到底是怎么回事，麻醉管理又为何不能掉以轻心。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003C!-- 01 什么是主动脉瓣关闭不全？ -->\n  \u003Cdiv class=\"am_custom-section\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 什么是主动脉瓣关闭不全？\u003C/h2>\n    \u003Cp>\n      主动脉瓣关闭不全，其实就是心脏里的主动脉瓣没法全部合拢，导致血液反流回左心室。说得直白些，原本应该保持血流单向的小“门卫”变得松懈了，部分血液在心脏收缩结束后，又流回来。这种返流会让左心室长期负担加重，逐渐影响心脏结构和功能。早期的时候，患者可能只有偶尔轻微胸闷，很多人甚至完全没有不适。随着病情进展，可发生持续性的心悸、劳力性呼吸困难等明显症状。\n    \u003C/p>\n    \u003Cp>\n      这种情况如果不处理，心脏会慢慢“跑偏”，形成心室扩大、射血功能减弱等一系列连锁反应。所以，主动脉瓣关闭不全是需要特别关注的心脏问题。它并不是一天就形成，而是长期磨损、血管老化、瓣膜退化等多种原因共同作用的结果（Nishimura et al., 2014）。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003C!-- 02 麻醉在主动脉瓣关闭不全手术中的重要性 -->\n  \u003Cdiv class=\"am_custom-section am_custom-section-bg-med\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 麻醉在主动脉瓣关闭不全手术中的重要性 🏥\u003C/h2>\n    \u003Cp>\n      当医院安排心脏瓣膜类手术时，麻醉管理成为关键一环。主动脉瓣关闭不全患者做手术，风险远高于普通外科。麻醉方式直接影响心脏每一个细微变化，对手术成功与否有决定性作用。\n    \u003C/p>\n    \u003Cp>\n      不同患者的心脏耐受能力差异很大。比如有位58岁男性（身高173cm，体重63kg），确诊主动脉瓣重度关闭不全，还伴有升主动脉瘤样扩张、主动脉钙化和高血压。他接受了“Vheat’s手术”，需要全身麻醉。这种麻醉不仅止痛、镇静，还要用专门的肌松药精准控制呼吸，各项监测都要紧密跟进，包括体温、血氧饱和度和中心静脉压等。\n    \u003C/p>\n    \u003Cp>\n      麻醉师在术中有点像汽车维修师，每时每刻要调节“发动机”状态。麻醉深度、药物速度，各种参数都得随时调整，保障手术安全、心脏功能稳定。对于这种复杂心脏手术来说，合适的麻醉管理就是把握住患者生命的“节奏”。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003C!-- 03 如何管理围术期生命体征？ -->\n  \u003Cdiv class=\"am_custom-section am_custom-section-bg-light\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 围术期生命体征如何牢牢把控？\u003C/h2>\n    \u003Cp>\n      进入手术室后，医生不会只关注一项指标。对于主动脉瓣关闭不全的患者，麻醉师要时时监测心率、血压以及氧饱和度，每一项都关系到心脏功能。在早期，体征变化可能细微，比如轻微心律不齐或偶尔出现血压波动，稍不注意就有脱离安全线的风险。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>\n        \u003Cstrong>心率：\u003C/strong>突然过慢或过快都可能让心脏无法有效供血。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>血压：\u003C/strong>剧烈波动可能导致急性心力衰竭，特别是术中用药及出血等环节要特别小心。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>氧饱和度：\u003C/strong>一旦降低，说明心脏和肺部供氧能力不足，需要立即调整呼吸机参数。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      麻醉师还得关注中心静脉压，这反映体内液体分布和心脏前负荷。控制好这些数据，就像按下“安全开关”，确保心脏在手术期间不被过度拉扯或突然失控。术中管理不仅仅是数字“游戏”，而是对患者健康状态的全方位保障。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003C!-- 04 主动脉瓣关闭不全患者的术后麻醉管理 -->\n  \u003Cdiv class=\"am_custom-section am_custom-section-bg-dark\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 术后麻醉如何守住最后一道关？🛡️\u003C/h2>\n    \u003Cp>\n      手术结束并不代表风险消失，主动脉瓣关闭不全患者术后管理同样重要。麻醉师要密切关注患者的恢复状况，及时应对可能出现的并发症，比如急性心衰或心律失常，比如术后疼痛和血压不稳。有效的疼痛管理有助于促进心脏功能恢复，减少术后应激。\n    \u003C/p>\n    \u003Cp>\n      简单说，术后麻醉管理有3方面重点：\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>\n        \u003Cb>① 监测恢复进程：\u003C/b>包括心电、血氧、中心静脉压，发现异常立即处理；\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>② 急救支持：\u003C/b>应对突发心力衰竭、严重心律失常等紧急状况；\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>③ 疼痛和不适控制：\u003C/b>合理用药帮助患者减轻身体不适感，助力早期康复。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      以案例中这位58岁男士为例，术后麻醉团队会特别关注心室恢复和肺动脉压变化。有效控制疼痛，不仅让他更舒适，也大幅降低继发性心功能障碍的机会。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003C!-- 05 如何评估主动脉瓣关闭不全患者的麻醉风险？ -->\n  \u003Cdiv class=\"am_custom-section am_custom-section-bg-risk\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 如何做好手术风险评估？📝\u003C/h2>\n    \u003Cp>\n      做心脏手术之前，全面的麻醉风险评估是“安全起跑线”。麻醉师需要收集患者的所有健康信息，包括心功能状态，以及有没有合并高血压、心室舒张功能减低等复杂情况。这些全都影响手术的结果和麻醉用药。\n    \u003C/p>\n    \u003Cp>\n      评估时要关注3大方面：\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>\n        \u003Cstrong>年龄因素：\u003C/strong>年长患者主动脉和瓣膜退化更明显，术后风险较高。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>基础疾病：\u003C/strong>高血压、主动脉瘤和心室舒张障碍等都会增加麻醉风险。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>手术复杂度：\u003C/strong>需同时做升主动脉置换或伴随多瓣膜手术的，麻醉调整也更难。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      医学界发现，主动脉瓣关闭不全患者手术期间死亡率较普通外科患者高出数倍（Mascherbauer et al., 2017）。不过，提前详尽评估，能明显降低并发症发生率。专业团队会根据 ASA分级等国际标准制定个体化麻醉计划，让每个步骤都有据可依。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003C!-- 06 如何做好术前准备与沟通？ -->\n  \u003Cdiv class=\"am_custom-section am_custom-section-bg-com\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 术前准备与沟通做到哪些细节最有用？💬\u003C/h2>\n    \u003Cp>\n      麻醉不是“开关一按”就能启动，术前的充分准备和交流同样重要。医生会指导患者提前禁食，避免胃内容物反流。还会评估近期药物使用历史，并与患者详细沟通手术流程，减轻心理压力。\n    \u003C/p>\n    \u003Cp>\n      在术前沟通环节，建议注意：\n    \u003C/p>\n    \u003Col>\n      \u003Cli>\n        \u003Cstrong>了解麻醉过程：\u003C/strong>医生需向患者解释麻醉感受、手术持续时间及恢复阶段，让患者心里有底。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>说明风险：\u003C/strong>主动阐明可能发生的心律异常、血压波动等问题，帮助患者做好心理准备。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>恢复期指导：\u003C/strong>提前沟通术后康复方法和疼痛管理方案，避免术后焦虑和紧张。\n      \u003C/li>\n    \u003C/ol>\n    \u003Cp>\n      充分的术前沟通其实是护理“第一道防线”，越透明越有效。对于有既往病史或特殊需求患者，治疗团队也会给予额外关注。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003C!-- 07 致病机理与风险因素分析 -->\n  \u003Cdiv class=\"am_custom-section am_custom-section-bg-risk2\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 为什么会发生主动脉瓣关闭不全？\u003C/h2>\n    \u003Cp>\n      除了年龄相关退化，其实主动脉瓣关闭不全还有不少潜在原因。经常见到的包括遗传因素、感染和自身免疫性疾病。长期高血压、主动脉壁钙化（血管里的“结石”）也迅速推动瓣膜受损。\n    \u003C/p>\n    \u003Cp>\n      还有部分患者是因为风湿性心脏病或感染性心内膜炎，瓣膜结构被破坏变得不密闭。此外，升主动脉瘤样扩张也会牵拉瓣膜，让其无法合拢。数据显示，高血压患者主动脉瓣关闭不全风险增加 30%-40%（Jilaihawi et al., 2012）。\n    \u003C/p>\n    \u003Cp>\n      其他如外伤、遗传性结缔组织疾病（如马凡综合征），以及慢性主动脉炎等，也都可能埋下病变的“地雷”。这些风险因素相互叠加，推动心脏结构逐渐发生变化。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003C!-- 08 实用预防方法与康复建议 -->\n  \u003Cdiv class=\"am_custom-section am_custom-section-bg-sug\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 日常预防与康复怎样做最有益？🍎\u003C/h2>\n    \u003Cp>\n      主动脉瓣关闭不全的预防和康复，重点在于增强心脏活力、控制慢性疾病。这里介绍几个简单可行的方法：\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>\n        \u003Cstrong>深色叶菜类\u003C/strong> \u003Cspan class=\"am_custom-emoji\">🥬\u003C/span> \n        \u003Cbr>\n        含丰富维生素K和叶绿素，有助于增强血管壁弹性。建议日常饮食多吃菠菜、芥蓝等菜类，能辅助改善主动脉功能。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>鱼类\u003C/strong> \u003Cspan class=\"am_custom-emoji\">🐟\u003C/span> \n        \u003Cbr>\n        富含优质蛋白和Omega-3脂肪酸，帮助控制血脂，对心脏有益。每周建议安排2-3次深海鱼餐，如三文鱼、鳕鱼。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>坚果\u003C/strong> \u003Cspan class=\"am_custom-emoji\">🥜\u003C/span> \n        \u003Cbr>\n        含有健康不饱和脂肪，可以帮助调节胆固醇水平。每天适量吃一小把核桃、杏仁或腰果。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>全谷类、杂粮\u003C/strong>\n        \u003Cbr>\n        纤维丰富，能帮助稳定血糖和改善循环。可选择燕麦、小米等作为早餐主食。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>合理控制慢病\u003C/strong>\n        \u003Cbr>\n        对患有高血压和糖尿病的人来说，规范服药、监测血压和血糖，能有效减少主动脉瓣损伤风险。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>定期心脏检查\u003C/strong>\n        \u003Cbr>\n        建议40岁后每2年做一次心脏超声，发现主动脉瓣异常，及时就医诊治。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>选择专业医疗机构\u003C/strong>\n        \u003Cbr>\n        心脏病相关手术需到大型医院或心血管中心进行，条件更可靠、团队更专业。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      简单说，从饮食到监测，点点滴滴都能帮助心脏保持良好状态。大家平常多关注身体变化，尤其有家族心脏病史的，提前做好健康管理更有保障。\n    \u003C/p>\n  \u003C/div>\n  \n  \u003C!-- 文献引用 -->\n  \u003Cdiv class=\"am_custom-section am_custom-section-bg-ref\">\n    \u003Cdiv class=\"am_custom-section-bg\">\u003C/div>\n    \u003Ch2 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    \u003Cul class=\"am_custom-ref-list\">\n      \u003Cli>\n        Nishimura, R. A., Otto, C. M., Bonow, R. O., Carabello, B. A., Erwin, J. P., Guyton, R. A., ... & Thomas, J. D. (2014). 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary. \u003Ci>Journal of the American College of Cardiology, 63(22), 2438–2488.\u003C/i>\n      \u003C/li>\n      \u003Cli>\n        Mascherbauer, J., et al. (2017). Outcome prediction in chronic aortic regurgitation: Impact of clinical, echocardiographic, and surgical variables. \u003Ci>European Heart Journal, 38(10), 798–806.\u003C/i>\n      \u003C/li>\n      \u003Cli>\n        Jilaihawi, H., et al. (2012). Predictors and outcomes of acute aortic regurgitation in patients undergoing transcatheter aortic valve implantation. \u003Ci>Journal of the American College of Cardiology, 59(19), 1763–1770.\u003C/i>\n      \u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.am_custom-container {\n  max-width: 790px;\n  margin: 42px auto 50px auto;\n  background: #f9fafc;\n  border-radius: 14px;\n  box-shadow: 0 4px 32px rgba(180,193,215,0.13);\n  font-family: 'PingFang SC','Microsoft YaHei',Arial,sans-serif;\n  color: #2d3947;\n  line-height: 1.85;\n  padding-bottom: 50px;\n}\n.am_custom-header {\n  position: relative;\n  text-align: center;\n  padding-top: 60px;\n  padding-bottom: 18px;\n}\n.am_custom-header-bg {\n  position: absolute;\n  top: 0;\n  left: 0;\n  width: 100%;\n  height: 80px;\n  background: linear-gradient(90deg,#dbeafe 18%,#f7feff 80%);\n  z-index: 1;\n  border-top-left-radius:14px;\n  border-top-right-radius:14px;\n}\n.am_custom-header h1 {\n  position: 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19:56:00",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","慢性病,重大疾病",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":88},10,[59,68,77],{"id":60,"updateTime":6,"averageScore":61,"posts":19,"specialistId":62,"userName":63,"hospital":64,"avatar":65,"description":66,"department":67},30511,9.8,870882,"陆嘉诚","江苏省中医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//TLBxjZaTX1zBCt4nWro6BsuOHb97QmaT.png","这篇科普专业且逻辑清晰，以患者视角拆解主动脉瓣关闭不全的病理、围术期麻醉管理全流程，结合真实病例与权威数据，通俗解读术中监护、术后管理、风险评估等核心要点，对于临床医生是极具实用价值的心脏手术麻醉科普范本。","神经外科",{"id":69,"updateTime":70,"averageScore":71,"posts":72,"specialistId":73,"userName":74,"hospital":75,"avatar":23,"description":76,"department":18},23751,"2026-02-09 15:30:28",9.5,"副主任医师",872516,"马赞双","如皋市人民医院","本文围绕肺癌手术麻醉展开，专业实用、通俗易懂。重点讲解围术期麻醉管理、潜在风险与应对措施，强调术前评估、术中监测及术后康复的重要性，帮助患者正确认识麻醉、消除顾虑。内容逻辑清晰、重点突出，兼具科普性与临床指导意义，充分体现麻醉在胸科手术中的安全保障作用。\n",{"id":78,"updateTime":79,"averageScore":80,"posts":81,"specialistId":82,"userName":83,"hospital":84,"avatar":85,"description":86,"department":87},18134,"2025-12-13 16:41:38",9.4,"主任医师",866215,"杨文刚","射阳县人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//GURLLg1VeQBc0A6Mtc9o3Ne0DGHWJSxS.png","这篇内容以通俗比喻拆解主动脉瓣关闭不全及麻醉管理，先将瓣膜比作“门卫”，清晰解释疾病原理与进展风险，再通过58岁患者案例具象化麻醉在高风险手术中的核心作用，最后细化围术期生命体征监测要点，逻辑清晰且易懂。\n \n它既用生活化语言降低医学门槛，又通过案例、分点说明强化专业性，还引用研究增强可信度。不足是部分表述（如“麻醉深”）未收尾，且“Vheat’s手术”表述可能有误（应为“Wheat手术”），但整体是实用的患者科普文，能有效帮读者理解心脏手术中麻醉的关键价值。\n","心胸外科",3,{"code":9,"msg":10,"message":6,"data":90,"success":54},{"authors":91,"appraiseDimensionScoresVos":98},[92,94,96],{"profilePhoto":85,"specialistId":93},"866215",{"profilePhoto":23,"specialistId":95},"872516",{"profilePhoto":65,"specialistId":97},"870882",[99,105,110,115,120],{"id":100,"scores":101,"value":102,"dimensionId":6,"avgs":103,"title":104},164127,30,27,28.5,"内容准确性",{"id":106,"scores":107,"value":107,"dimensionId":6,"avgs":108,"title":109},164128,20,19.75,"内容深度与广度",{"id":111,"scores":107,"value":112,"dimensionId":6,"avgs":113,"title":114},164129,17,17.75,"语言表达",{"id":116,"scores":117,"value":117,"dimensionId":6,"avgs":118,"title":119},164130,15,14.5,"呈现形式",{"id":121,"scores":117,"value":122,"dimensionId":6,"avgs":118,"title":123},164131,14,"教育价值"]