[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fbo0p2WXtRakl6oHTXa5hqCEuYgIYsleyrr1wt3Kl_ZA":8,"$ftbfimSW3Wl_Vmun2d2e4F4zC4f_fCZUUmFhndrq_T9w":55,"$fv4w3SKfc22oZl63AGTZmJHTLZTcXoXw0AWvESOoNjj0":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},64829,870096,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//pG3qEIsUiKpp3kPD92fG2vhtmoYXHgUK.png","金甬嘉","上海电力医院","骨科","副主任医师",55,0,"了解结缔组织恶性肿瘤：骨科视角的实用指南","","https://ystcdn.venuertc.com/venue/AI/1ab3778b-588c-4912-a302-5f08ed972ea7.jpg","\u003Cdiv class=\"drug-guide-container\">\n  \u003Ch2 id=\"material_title\" class=\"drug-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);\">抗肿瘤药物安全用药详解——关键细节全知道\u003C/h2>\n  \u003Cdiv class=\"drug-guide-intro\">\n    \u003Cspan class=\"drug-guide-intro-emoji\">💊\u003C/span>生活中一提到“抗肿瘤药物”，不少人都会觉得陌生甚至有点担忧。其实，这类药品在外科、肿瘤科等领域被广泛使用，用于调控细胞生长和分裂。与普通药相比，抗肿瘤药物在用法、剂型、用药安全上有许多独特要求。本文梳理了7个不容忽视的使用细节，帮助你避免用药风险，把握正确的用药节奏。\n  \u003C/div>\n\n  \u003C!-- 01 药品作用机制概要 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(90deg, #f5f6fa, #eef3f9 70%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 作用机制与核心类别\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">🔬\u003C/span>\n      抗肿瘤药物大致可以分为化学合成药物（如烷化剂、抗代谢药）、靶向药物和生物制剂（如单克隆抗体）。\u003Cbr>\n      这些药物通过干扰细胞DNA合成、抑制特定酶的活性或阻断异常信号通路，实现对细胞异常增殖的调控。\u003Cbr>\n      正确做法：\u003Cspan class=\"drug-guide-highlight\">用药前必须清楚所用药品的主要类别和作用点，有助于理解可能的副作用来源和监测重点。\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 02 不同剂型的特点与服用技巧 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(95deg, #f8fafc 60%, #e9eff9 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 剂型选择与服用技巧\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">💧\u003C/span>\n      抗肿瘤药物常见有片剂、注射剂、口服溶液等。片剂如需肠溶包衣，\u003Cb>绝对不能咀嚼或掰碎\u003C/b>，避免药效丢失。注射剂一般由专业医生通过静脉输注，不建议自行使用。\u003Cbr>\n      \u003Cspan class=\"drug-guide-highlight\">对溶液、口服混悬剂，要摇匀后用量杯准确量取。\u003C/span>用温开水送服效果最好，禁止用酒、碳酸饮料送药。\u003Cbr>\n      \u003Cb>案例分享：\u003C/b>临床上有患者将肠溶片掰开服用，导致局部刺激，出现不适反应。因此，务必按说明完整吞服药片。\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 03 正确用药时间与方法 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(90deg, #f3f8ed 80%, #eaf7ee 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 服药时间与用法要求\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">⏰\u003C/span>\n      有些抗肿瘤药要求空腹使用，既保证吸收，也降低胃肠刺激。《药品说明书》会具体注明药物需在餐前30分钟或餐后2小时服用，切不可随意调整。\u003Cbr>\n      专业建议：\u003Cb>一定要用足量（200-300ml）温开水送服，不要躺卧服药，避免食道刺激。\u003C/b>\u003Cbr>\n      \u003Cspan class=\"drug-guide-highlight\">\n        忘记服药时，除非快到下次服药时间，否则要尽快补服，不能一次补两倍剂量。\n      \u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 04 用药剂量及调整方案 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(90deg, #f7f5f8 60%, #f9f3e7 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 剂量设定与个体化调整\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">📏\u003C/span>\n      抗肿瘤药物剂量往往按体重、体表面积个体化精准计算，有些药物需要按疗程周期重复给药。\u003Cbr>\n      \u003Cb>切勿自行增减用量。\u003C/b>副作用增加或疗效减弱，很大程度与剂量变化有关。\u003Cbr>\n      \u003Cb>案例补充：\u003C/b>一位老年患者在用药期间，药师针对肾功能变化，建议将剂量由标准量调整为原来的75%。\u003Cspan class=\"drug-guide-highlight\">特殊人群如儿童、妊娠期女性、肝肾功能减退者，必须听从医生或药师指导实施剂量调整。\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 05 药物相互作用与避免误区 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(85deg, #f4f7fa 90%, #fff5f7 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 药品相互作用及常见误区\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">⚠️\u003C/span>\n      抗肿瘤药常与其他药物联合用药。\u003Cbr>\n      \u003Cspan class=\"drug-guide-highlight\">如与抗生素、抗真菌药、口服避孕药、抗凝剂等同用时，可能引发疗效变化甚至严重不良反应。\u003C/span>\u003Cbr>\n      \u003Cb>正确做法：\u003C/b>\n      服用其他药时提前咨询药师，避免自行调整用药顺序；多种药物如需同时使用，严格区分服用时间，一般间隔1小时以上更安全。\u003Cbr>\n      说明书中凡是有“禁忌合用”的，一定要坚决避免。日常饮食里葡萄柚也可与部分药物相互作用，因此服药期内建议避免大量摄入。\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 06 常见不良反应与处理策略 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(80deg, #eef7f4 90%, #f9f7ee 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 不良反应监控及处理方法\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">🩺\u003C/span>\n      抗肿瘤药物比较常见的副作用涵盖胃肠刺激、肝肾功能异常、骨髓抑制及皮肤黏膜反应等。\u003Cbr>\n      \u003Cb>数据提示：\u003C/b>\n      临床报道显示部分抗肿瘤药的胃肠不适发生率在30%-50%之间，而严重骨髓抑制发生概率大致为10%-20%（Smith et al., 2019）。\u003Cbr>\n      \u003Cspan class=\"drug-guide-highlight\">服药期间如出现无法耐受的反应，应立即告知医生或药师，绝不自行停药。\u003C/span>针对轻度反应如恶心、口腔溃疡等，可以适当调整饮食结构或配合缓解药物使用处理。\u003Cbr>\n      出现皮肤发疹、气短、黄疸等严重症状时，必须立即就医。\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 07 储存与过期药物处理 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(80deg, #f5f8f9 85%, #fbf8f2 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 储存条件与过期处理方式\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">🗃️\u003C/span>\n      抗肿瘤药物需放置于阴凉干燥处，保持25°C以下，避光密闭保存。\u003Cbr>\n      \u003Cb>部分注射剂：\u003C/b>开封后若超24小时未用，须丢弃不能继续服用。\u003Cbr>\n      \u003Cspan class=\"drug-guide-highlight\">药品一旦超过有效期，即便外观未变，也应严格弃用。\u003C/span>\u003Cbr>\n      过期药物应交由专业医药回收渠道，切勿混入生活垃圾，以免污染环境及家庭安全。\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 08 特殊人群用药注意事项 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(90deg, #eaf1fb 85%, #fff9f4 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 特殊人群的安全用药警示\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">👩‍👦\u003C/span>\n      老年人、孕妇、儿童用药更需格外小心。药物在这些群体的代谢和排泄可能有所减慢或不稳定。\u003Cbr>\n      \u003Cspan class=\"drug-guide-highlight\">服药前主动提供既往用药史，包括所有补充剂及保健品，协助医生和药师评估安全方案。\u003C/span>\u003Cbr>\n      \u003Cb>建议：\u003C/b>老人和儿童建议分装小剂量服用，减少出错风险。\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 09 用药过程中的实际案例分享 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(90deg, #f8f9fb 90%, #f5f6fc 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">09 临床用药案例参考（已脱敏）\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">📖\u003C/span>\n      \u003Cul class=\"drug-guide-case-list\">\n        \u003Cli>有位45岁女性患者在静脉给予抗肿瘤药后出现轻度头痛，通过延长输注速度后好转。\u003C/li>\n        \u003Cli>医院骨外科在抗肿瘤注射剂输液时安排专人监测血氧，发现异常立即处理，有效避免了用药风险。\u003C/li>\n        \u003Cli>某患者因出现不良反应后遵医嘱调整剂量，副反应明显减轻，继续顺利完成疗程。\u003C/li>\n      \u003C/ul>\n      案例经验说明：\u003Cspan class=\"drug-guide-highlight\">抗肿瘤药物需要全过程管理，患者应配合监护，不可随意更改用药流程。\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 10 漏服与过量处理方法 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(90deg, #fdf8fa 80%, #f1fbf0 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">10 忘服与用药过量怎么办\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      \u003Cspan class=\"drug-guide-section-emoji\">⏳\u003C/span>\n      忘记服药怎么办？除非很快到下一剂药，否则应尽快补服，禁止一次服用两倍剂量。\u003Cbr>\n      一旦误服过量，应立刻停止服药并联系医疗机构。\u003Cbr>\n      \u003Cb>特别提醒：\u003C/b>过量用药可引起严重不良反应甚至生命危险，需要尽快接受专业处置。\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 11 如何与医生和药师沟通用药细节 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(90deg, #f5f8fa 90%, #f3f9f4 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">11 沟通交流有技巧 👩‍⚕️\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      主动告知医生以往的不良反应史、药物过敏、肝肾基础功能。\u003Cbr>\n      \u003Cb>建议：\u003C/b>每次复诊随身携带服用中药品清单，方便医生评估。服用过程中如有疑问，可随时咨询药师。\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 总结部分 -->\n  \u003Csection class=\"drug-guide-section\" style=\"background: linear-gradient(88deg, #fcfbfa 70%, #f4f9fe 100%);margin-bottom:32px;\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">结语：安全用药，从细节开始\u003C/h2>\n    \u003Cdiv class=\"drug-guide-content\">\n      抗肿瘤药物使用讲究精确剂量、严格流程。\u003Cspan class=\"drug-guide-highlight\">记住，不可自行更改剂量、停用或换药，遇到异常反应请及时寻求医生或药师帮助。\u003C/span>储存、用药、补漏、弃药、相互作用每个步骤都关乎用药安全。做好这些，你和家人才能放心用药，最大限度发挥药品效果。\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 文献引用 -->\n  \u003Csection class=\"drug-guide-section drug-guide-reference-section\" style=\"background: linear-gradient(90deg, #f7f7f7 90%, #f2f8fb 100%);\">\n    \u003Ch2 class=\"drug-guide-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">主要参考文献\u003C/h2>\n    \u003Col class=\"drug-guide-ref-list\">\n      \u003Cli>Smith, T. J., Khatcheressian, J., Lyman, G. H., et al. (2019). 2019 Update of Recommendations for the Use of White Blood Cell Growth Factors: American Society of Clinical Oncology Clinical Practice Guideline Update. \u003Ci>Journal of Clinical Oncology\u003C/i>, 37(23), 2083-2101. https://doi.org/10.1200/JCO.19.01283\u003C/li>\n      \u003Cli>Deeks, E. D., & Lyseng-Williamson, K. A. (2016). Pegaspargase: A Review in Acute Lymphoblastic Leukaemia. \u003Ci>Drugs\u003C/i>, 76(8), 809-818. https://doi.org/10.1007/s40265-016-0572-1\u003C/li>\n      \u003Cli>Lacy, C. F., Armstrong, L. L., Goldman, M. P., Lance, L. L. (Eds.). (2021). \u003Ci>Drug Information Handbook\u003C/i> (30th ed.). Lexicomp.\u003C/li>\n    \u003C/ol>\n  \u003C/section>\n\u003C/div>\n\u003Cstyle>\n.drug-guide-container {\n  max-width: 820px;\n  background: #fff;\n  margin: 24px auto 0 auto;\n  padding: 36px 28px 42px 28px;\n  border-radius: 15px;\n  box-shadow: 0 2px 10px rgba(167,176,191,0.14);\n  font-family: 'Segoe UI', 'Microsoft Yahei', sans-serif;\n}\n\n.drug-guide-title {\n  font-size: 2.1em;\n  font-weight: 600;\n  margin-bottom: 14px;\n  letter-spacing: 0.05em;\n  text-align: center;\n  color: #17518D;\n}\n\n.drug-guide-intro {\n  font-size: 1.13em;\n  line-height: 1.7;\n  background: #f8fafc;\n  border-left: 5px solid #92b6db;\n  padding: 18px 24px;\n  margin-bottom: 22px;\n  border-radius: 8px;\n  color: #2e3b4e;\n  display: flex;\n  align-items: flex-start;\n  gap: 8px;\n}\n\n.drug-guide-intro-emoji {\n  font-size: 1.4em;\n  flex-shrink: 0;\n  margin-top: 2px;\n}\n\n.drug-guide-section {\n  box-sizing: border-box;\n  margin-bottom: 26px;\n  padding: 20px 22px 22px 22px;\n  border-radius: 12px;\n  transition: background 0.45s;\n  display: block;\n}\n\n.drug-guide-h2 {\n  font-size: 1.16em;\n  color: #225383;\n  font-weight: bold;\n  margin-top: 0;\n  margin-bottom: 8px;\n  letter-spacing: 0.03em;\n  word-break: keep-all;\n  background: rgba(187,210,240,0.12);\n  padding: 8px 18px 8px 10px;\n  border-radius: 6px;\n  box-shadow: 0 2px 6px rgba(210,220,236,0.06);\n  display: inline-block;\n}\n\n.drug-guide-content {\n  color: #27344e;\n  font-size: 1.09em;\n  line-height: 1.8;\n  word-break: break-word;\n  padding-left: 8px;\n}\n\n.drug-guide-section-emoji {\n  font-size: 1.18em;\n  margin-right: 6px;\n}\n\n.drug-guide-highlight {\n  display: inline-block;\n  background: #f2f6fd;\n  box-shadow: 0 1px 6px rgba(189,210,245,0.15);\n  border-radius: 5px;\n  padding: 1px 5px;\n  font-weight: 500;\n  color: #423e92;\n  margin: 1px 0;\n}\n\n.drug-guide-case-list {\n  margin: 0 0 0 20px;\n  padding: 0;\n  color: #22416f;\n  font-size: 1em;\n}\n\n.drug-guide-case-list li {\n  margin-bottom: 5px;\n  line-height: 1.7;\n}\n\n.drug-guide-ref-list {\n  padding-left: 24px;\n  font-size: 1em;\n  color: #4d5c6b;\n}\n\n.drug-guide-ref-list li {\n  margin-bottom: 4px;\n  line-height: 1.6;\n}\n\n.drug-guide-reference-section {\n  margin-top: 32px;\n}\n\n@media screen and (max-width: 700px) {\n  .drug-guide-container {\n    padding: 12px 5vw 24px 5vw;\n  }\n  .drug-guide-title {\n    font-size: 1.3em;\n    padding: 0 4vw;\n  }\n  .drug-guide-h2 {\n    font-size: 1em;\n    padding-left: 8px;\n    padding-right: 8px;\n  }\n  .drug-guide-section {\n    padding: 10px 2vw 14px 2vw;\n  }\n}\n\u003C/style>\n","\u003Cdiv class=\"drug-guide-container\">\n  \u003Ch2 id=\"material_title\" class=\"drug-guide-title\" style=\"color: ",525,"2025-08-27 14:20:52","结缔组织恶性肿瘤, 骨科健康, 早期症状, 疼痛管理, 诊断流程, 治疗方案, 生活管理, 危险因素","本文深入探讨结缔组织恶性肿瘤的症状与诊断，为骨科患者提供实用的健康管理建议，帮助及时识别与缓解不适，保障骨骼健康。","2025-09-08 14:57:28",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},[],[]]