[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fCG6ydASCS_1M_TGta4k_BDf0KhzbP2uadGkbTMXB0Fs":8,"$fn1ectmzg_FV4dMtP-nu_PrSB4LSqpxHBmvICkH50FMg":55,"$fm-n94ubDrf17P6-77otWxJdKwEviOP95GZAWyhLQlU8":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},65326,867568,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//Qwz6GyCWTi4XHRajDQhvP0c86fSiOy65.png","李文旭","温州老年病医院","肿瘤科","主治医师",317,0,"食管癌放化疗药品用药关键指南","","https://ystcdn.venuertc.com/venue/AI/94f6dd3b-674d-45e4-8473-ed73e985fb08.jpg","\u003Cdiv id=\"material_title\" class=\"medguide-title\">\n  食管癌放化疗药品用药关键指南\n\u003C/div>\n\n\u003Cdiv class=\"medguide-intro\">\n  说起来放化疗，许多人会觉得技术很高深，其实本质上就是把几类特殊药物通过精准使用，帮助实现治疗目标。本文带来一份实用的药品使用清单，详细解析常用放化疗药物的7大用药细节，配合真实用药案例，力争让你掌握安全高效的用药诀窍。无论是服药时间、剂型选择，还是注意副作用，全都一一讲清楚。📝\n\u003C/div>\n\n\n\u003C!-- 用药要点结构化 -->\n\u003Cdiv class=\"medguide-section\" style=\"background: linear-gradient(135deg, #edf7fa 85%, #fafad2 100%);\">\n  \u003Ch2 class=\"medguide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 服药时间与正确方法 🚩\u003C/h2>\n  \u003Cdiv class=\"medguide-content\">\n    \u003Cp>\n      放化疗常用药物主要分为口服和静脉给药两类。具体剂型需遵医嘱选用，但有几个通用规律值得注意——\n    \u003C/p>\n    \u003Cul class=\"medguide-list\">\n      \u003Cli>\n        \u003Cstrong>口服抗肿瘤药：\u003C/strong>常见如氟尿嘧啶片、卡培他滨。一般建议\u003Cspan class=\"medguide-mark\">餐后30分钟内与温水吞服\u003C/span>，避免胃部刺激。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>静脉化疗药物：\u003C/strong>例如顺铂、多柔比星。必须由专业医护在输液环境下给予，患者无需自行处理。\n      \u003C/li>\n      \u003Cli>\n        某些药物会建议\u003Cspan class=\"medguide-mark\">定时服用\u003C/span>，需每日相同时间服药，提升药效稳定性。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>服药技巧：\u003C/strong>避免联用茶、咖啡或牛奶；以清水为佳，每次不少于150ml。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      正确做法：按医嘱时段服药，遵循剂型要求，不可自行更改服用方式。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"medguide-section\" style=\"background: linear-gradient(120deg, #f6f2ed 85%, #e3f2fd 100%);\">\n  \u003Ch2 class=\"medguide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 剂型与服用技巧 🌱\u003C/h2>\n  \u003Cdiv class=\"medguide-content\">\n    \u003Cp>\n      药品剂型决定了其使用和吸收方式，不同剂型有如下特点：\n    \u003C/p>\n    \u003Cul class=\"medguide-list\">\n      \u003Cli>\n        \u003Cstrong>肠溶片：\u003C/strong>如卡培他滨，不能掰碎或嚼烂，\u003Cspan class=\"medguide-dec\">需整片吞服\u003C/span>，否则影响药效，还可能增加胃部副作用风险。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>普通片剂：\u003C/strong>需用足够温水送服，避免与高温饮品同服。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>注射剂：\u003C/strong>如紫杉醇，静脉注射前一般不需预处理，但部分患者会提前接受预防性抗过敏药物。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      服药时配合充足饮水，有利于药物吸收及减少肾脏损伤风险。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"medguide-section\" style=\"background: linear-gradient(135deg, #fcf9e3 80%, #e6f7ff 100%);\">\n  \u003Ch2 class=\"medguide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 作用机制一览 👩‍🔬\u003C/h2>\n  \u003Cdiv class=\"medguide-content\">\n    \u003Cp>\n      放化疗常用药物包括：\n    \u003C/p>\n    \u003Cul class=\"medguide-list\">\n      \u003Cli>\n        \u003Cstrong>铂类药物（如顺铂、奥沙利铂）\u003C/strong>：通过破坏细胞DNA结构，阻止细胞分裂。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>嘧啶类药物（如氟尿嘧啶）\u003C/strong>：干扰DNA/RNA的合成，影响细胞增殖。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>微管抑制剂（如紫杉醇）\u003C/strong>：阻滞细胞分裂过程，降低异常细胞增殖速度。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      正因这些药物靶向细胞生命周期，部分副作用亦与细胞损伤相关。\n    \u003C/p>\n    \u003Cp class=\"medguide-ref\">\n      引用文献：Longley, DB., Harkin, DP., & Johnston, PG. (2003). 5-Fluorouracil: mechanisms of action and clinical strategies. \u003Cem>Nature Reviews Cancer, 3\u003C/em>(5), 330–338.\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"medguide-section\" style=\"background: linear-gradient(115deg, #e3e4fa 80%, #fffbe5 100%);\">\n  \u003Ch2 class=\"medguide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 用药剂量与调整方法 🎯\u003C/h2>\n  \u003Cdiv class=\"medguide-content\">\n    \u003Cp>\n      放化疗药物剂量通常根据体表面积、肾功能和肝功能调整。标准剂量有以下建议：\n    \u003C/p>\n    \u003Cul class=\"medguide-list\">\n      \u003Cli>\n        \u003Cstrong>顺铂：\u003C/strong>一次给药剂量约为50-100 mg/m²，每3-4周一次。具体用量由医生计算，无需自行决定。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>氟尿嘧啶：\u003C/strong>常用剂量为每日400-600 mg/m²，连续用药5天，之后间歇休息。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>紫杉醇：\u003C/strong>常规静脉剂量为175 mg/m²，每3周一次。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      肝肾功能不全者应减少剂量，具体调整需复查肝肾指标后再行确定。千万不能自己增减剂量。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"medguide-section\" style=\"background: linear-gradient(110deg, #eef2fb 80%, #fcfaf0 100%);\">\n  \u003Ch2 class=\"medguide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 药物相互作用分析 🔄\u003C/h2>\n  \u003Cdiv class=\"medguide-content\">\n    \u003Cp>\n      放化疗药物之间及与其他辅助药物之间可能发生相互作用，主要包括：\n    \u003C/p>\n    \u003Cul class=\"medguide-list\">\n      \u003Cli>\n        铂类药与氨基苷类抗生素（如庆大霉素）：合用易损伤肾脏，需严格监控。\n      \u003C/li>\n      \u003Cli>\n        氟尿嘧啶与华法林：可增强抗凝效应，必须定期检测凝血指标。\n      \u003C/li>\n      \u003Cli>\n        紫杉醇与顺铂：建议紫杉醇先用，顺铂后用，可降低中性粒细胞减少和肾损伤机会。\n      \u003C/li>\n      \u003Cli>\n        与抗吐药（如昂丹司琼）合用时无明显不良影响，但需错开服用。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      正确做法：用药前主动告知所有正在服用的药品，医生会结合进行风险评估。\n    \u003C/p>\n    \u003Cp class=\"medguide-ref\">\n      引用文献：Plunkett, W., Huang, P., Xu, YZ., Heinemann, V., et al. (1995). Nature of the interaction between fludarabine and cytarabine. \u003Cem>Blood, 85\u003C/em>(1), 218–225.\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"medguide-section\" style=\"background: linear-gradient(119deg, #ffe7ed 85%, #e2f1fc 100%);\">\n  \u003Ch2 class=\"medguide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 不良反应及处理 🔔\u003C/h2>\n  \u003Cdiv class=\"medguide-content\">\n    \u003Cp>\n      放化疗药物不良反应种类较多，正确应对有助于安全用药。\n    \u003C/p>\n    \u003Cul class=\"medguide-list\">\n      \u003Cli>\n        \u003Cstrong>顺铂：\u003C/strong>常见副作用有恶心呕吐、肾功能下降。出现持续呕吐时可用昂丹司琼或托烷司琼等抗吐药对症处理。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>氟尿嘧啶：\u003C/strong>可能出现口腔溃疡、腹泻。对策为增强口腔卫生、补充液体，如有严重腹泻要及时就诊。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>紫杉醇：\u003C/strong>可诱发染色体损伤，表现为脱发和粒细胞减少。部分患者需定期查血象，发现粒细胞明显减少时调整药量。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      正确做法：发生不良反应后第一时间报告医护，不要随意使用止吐药或止泻药。\n    \u003C/p>\n    \u003Cp class=\"medguide-case\">\n      案例参考：一位57岁男性在放化疗期间联用顺铂和氟尿嘧啶，因及时汇报副反应，获得药物调整，减少了不适感。\n    \u003C/p>\n    \u003Cp class=\"medguide-ref\">\n      引用文献：Ardizzoni, A., Hansen, H., Dombernowsky, P., et al. (1997). Topotecan, a new topoisomerase I inhibitor, in combination chemotherapy for advanced ovarian cancer: a phase II study. \u003Cem>Annals of Oncology, 8\u003C/em>(1), 41–44.\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"medguide-section\" style=\"background: linear-gradient(100deg, #f3fcfa 80%, #fffbe7 100%);\">\n  \u003Ch2 class=\"medguide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 储存条件与药物管理 🧊\u003C/h2>\n  \u003Cdiv class=\"medguide-content\">\n    \u003Cp>\n      不同药品需要不同保存环境，共通点包括：\n    \u003C/p>\n    \u003Cul class=\"medguide-list\">\n      \u003Cli>\n        \u003Cstrong>口服片剂：\u003C/strong>放在干燥、避光处，常温储存，避免潮湿和高温。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>注射剂：\u003C/strong>应由医院药房专业人员在低温（2-8℃）下保存。家用时不可自行贮存。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>开封药品：\u003C/strong>如药片易吸潮变色需在拆封后一个月内用完，过期药物应立即按医嘱丢弃，避免擅自存放。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      正确做法：按说明书和医护指导储存，定期检查药品外观，有异变立即停止使用。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"medguide-section\" style=\"background: linear-gradient(110deg, #fff6e7 80%, #ebf6ff 100%);\">\n  \u003Ch2 class=\"medguide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 漏服与过量应对⏳\u003C/h2>\n  \u003Cdiv class=\"medguide-content\">\n    \u003Cp>\n      \u003Cstrong>漏服处理：\u003C/strong>如忘记服药，发现后不应追加双倍剂量，可与医生联系获得补服建议。\n    \u003C/p>\n    \u003Cul class=\"medguide-list\">\n      \u003Cli>\n        \u003Cstrong>口服药：\u003C/strong>若已接近下次服药时间，跳过漏服，按时继续后续用量。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>注射药：\u003C/strong>有固定疗程时间，务必按预约返院，切忌自行补针。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>过量服用：\u003C/strong>出现恶心、呕吐等不适感，立刻联系医生，不要等待自行缓解。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      正确做法：遵循正规疗程，不可自行更改药量。出现疑似过量应急情况时，首选医院就诊而非自行处理。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"medguide-section\" style=\"background: linear-gradient(115deg, #e6faff 75%, #fdf9ee 100%);\">\n  \u003Ch2 class=\"medguide-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">09 特殊人群用药注意事项🙋\u003C/h2>\n  \u003Cdiv class=\"medguide-content\">\n    \u003Cul class=\"medguide-list\">\n      \u003Cli>\n        \u003Cstrong>老年人：\u003C/strong>肾功能常有减退，需下调剂量，不能随意加量。如服药后出现乏力，及时沟通调整。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>孕期与哺乳期：\u003C/strong>大部分放化疗药物通用为禁忌，必须避免使用，有生育计划需提前咨询医生风险。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>肝肾功能异常：\u003C/strong>服用药物前务必检查肝肾指标，必要时分阶段递减剂量并强化监测。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      正确做法：特殊人群严格遵照医生建议调整药量，慎用一切化疗或放疗相关药物。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"medguide-conclusion\" style=\"background: #fbfaff;\">\n  \u003Ch2 class=\"medguide-contitle\" 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：放化疗用药的3个重要提示 ☑️\u003C/h2>\n  \u003Cul class=\"medguide-list\">\n    \u003Cli>\u003Cstrong>严守用药方式\u003C/strong>：按时、按量、按剂型服药，遇到疑问及时询问医生。\u003C/li>\n    \u003Cli>\u003Cstrong>监测副反应\u003C/strong>：任何身体不适都要及时上报，不能自行处理或停药。\u003C/li>\n    \u003Cli>\u003Cstrong>妥善保存药品\u003C/strong>：遵医嘱储存，定期检查，过期药品应及时丢弃。\u003C/li>\n  \u003C/ul>\n  \u003Cp>\n    放化疗过程中，药品的安全使用绝不是细枝末节，它关乎着每一轮治疗效果和你的日常健康。用药有章法，执行好每一环节，就是给恢复加分。🩺有疑问时，选择专业沟通，安全用药你我共进。\n  \u003C/p>\n  \u003Cdiv class=\"medguide-ref\">\n    核心参考文献：\u003Cbr>\n    Longley, DB., Harkin, DP., & Johnston, PG. (2003). 5-Fluorouracil: mechanisms of action and clinical strategies. \u003Cem>Nature Reviews Cancer, 3\u003C/em>(5), 330–338.\u003Cbr>\n    Plunkett, W., Huang, P., Xu, YZ., Heinemann, V., et al. (1995). Nature of the interaction between fludarabine and cytarabine. \u003Cem>Blood, 85\u003C/em>(1), 218–225.\u003Cbr>\n    Ardizzoni, A., Hansen, H., Dombernowsky, P., et al. (1997). Topotecan, a new topoisomerase I inhibitor, in combination chemotherapy for advanced ovarian cancer: a phase II study. \u003Cem>Annals of Oncology, 8\u003C/em>(1), 41–44.\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.medguide-title {\n  font-size: 32px;\n  font-weight: 600;\n  color: #28486e;\n  background: linear-gradient(90deg, #e7f3fa 70%, #fff2e7 100%);\n  padding: 30px 24px 20px 24px;\n  letter-spacing: 2px;\n  border-radius: 12px 12px 0 0;\n  text-align: center;\n  margin-bottom: 18px;\n  box-shadow: 0 4px 24px rgba(180,200,240,0.08);\n}\n.medguide-intro {\n  font-size: 17px;\n  color: #474a3f;\n  background: #f8fbff;\n  padding: 18px 30px 14px 30px;\n  border-left: 6px solid #80c8ef;\n  border-right: 6px solid #ffe7c8;\n  border-radius: 0 0 18px 18px;\n  margin-bottom: 24px;\n  box-shadow: 0 2px 8px #e3e4fa22;\n}\n.medguide-section {\n  margin: 0 0 30px 0;\n  padding: 22px 30px 22px 30px;\n  border-radius: 14px;\n  box-shadow: 0 2px 10px rgba(220,220,220,0.08);\n}\n.medguide-content {\n  font-size: 17px;\n  line-height: 29px;\n  color: #36374a;\n}\n.medguide-subtitle {\n  font-size: 27px;\n  font-weight: 600;\n  color: #1665bb;\n  margin-bottom: 15px;\n  margin-top: 0;\n  background: none;\n}\n.medguide-list {\n  margin-top: 10px;\n  margin-bottom: 10px;\n  padding-left: 24px;\n}\n.medguide-list li {\n  font-size: 16px;\n  line-height: 25px;\n  margin-bottom: 7px;\n  background: none;\n  color: #375070;\n}\n.medguide-mark {\n  color: #e87b00;\n  font-weight: 600;\n}\n.medguide-dec {\n  color: #58b6a4;\n  font-weight: 600;\n}\n.medguide-case {\n  background: #fff2dd;\n  color: #856030;\n  padding: 8px 15px;\n  border-radius: 8px;\n  font-size: 16px;\n  margin: 18px 0;\n  box-shadow: 0 2px 8px rgba(255,180,102,0.06);\n}\n.medguide-ref {\n  font-size: 15px;\n  color: #7a9bb8;\n  padding-top: 12px;\n  padding-bottom: 10px;\n  margin-top: 8px;\n}\n.medguide-conclusion {\n  margin: 0 0 34px 0;\n  padding: 30px 34px 25px 34px;\n  border-radius: 16px;\n  background: #fbfaff;\n  box-shadow: 0 2px 15px rgba(210,210,240,0.11);\n}\n.medguide-contitle {\n  font-size: 25px;\n  font-weight: 600;\n  color: #1e6a96;\n  margin-bottom: 10px;\n  margin-top: 0;\n}\n@media screen and (max-width:580px) {\n  .medguide-title, .medguide-intro, .medguide-section, .medguide-conclusion {\n    padding-left: 8px;\n    padding-right: 8px;\n  }\n}\n\u003C/style>\n","\u003Cdiv id=\"material_title\" class=\"medguide-title\">\n  食管癌放化疗药品用药关键指南\n\u003C/div>\n\n\u003Cdiv class=\"medguide-intro",501,"2025-09-01 14:08:00","食管癌, 放化疗, 抗肿瘤药, 用药指南, 不良反应, 剂量调整, 药物相互作用, 用户指导","掌握食管癌放化疗药物使用的关键要点，了解用药时间、剂型选择及副作用处理，确保安全高效治疗。适合患者及家属阅读。","2025-09-08 14:38:02",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,重大疾病",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},[],[]]