[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f2J87yY5FngYciZByLBb4LFzLwTsPkMHeDMkwkV3ZCkA":8,"$fcr5DsHpx18tYfE5Ro8RxW_712iNfO27rz8HRF1oJQIQ":55,"$fNaNwxKjBgOWC86K6YgqyCjsp0-BrVIZ-iu3vYGvbQIk":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},67009,867271,[],"https://ystcdn.venuertc.com/medical/ystApp/1KNmXQDnP2XagGmzBK1qyfRfTWA6Qk1r.png","李浩齐","缙云县新建镇中心卫生院","全科医疗","住院医师",516,0,"胃癌 IIa期辅助化疗药品安全使用全攻略","","https://ystcdn.venuertc.com/venue/AI/4c0f0daa-77f3-46eb-82a5-253d078128d8.jpg","\u003Cdiv class=\"material-guide-outer\">\n  \u003Cdiv class=\"material-guide-container\">\n    \u003C!-- 标题 -->\n    \u003Ch2 id=\"material_title\" class=\"material-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);\">胃癌 IIa期辅助化疗药品安全使用全攻略\u003C/h2>\n    \u003C!-- 简短引言 -->\n    \u003Cdiv class=\"material-guide-intro material-guide-section-bg\">\n      \u003Cp>在胃癌手术后的治疗方案中，辅助化疗药物常被用到，尤其是包含铂类和口服化疗药物的联合方案。也许你对这些药品并不陌生，但具体怎么用、应该注意些什么，还是让人困惑。本文将用清晰明了的方式，详细讲解这两类药品的作用机制、正确服用步骤、相互作用、常见不良反应、储存和特殊提醒等7个核心细节，帮助你越用越放心。\u003C/p>\n    \u003C/div>\n    \n    \u003C!-- 01 化疗药品的作用机制：你需要知道的核心原理 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 化疗药品的作用机制：你需要知道的核心原理 💡\u003C/h2>\n      \u003Cul class=\"material-guide-point-list\">\n        \u003Cli>\n          \u003Cstrong>铂类药物：\u003C/strong>\n          这类药物以顺铂、奥沙利铂等为代表，主要通过与细胞内的DNA结合，阻断其复制过程，从而影响异常细胞的分裂。这样可减少异常细胞的扩散和增长。\u003Cbr>\n          \u003Cspan class=\"material-guide-cite\">(Wang et al., 2016)\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>口服化疗药物（如氟尿嘧啶类及其衍生物）：\u003C/strong>\n          这类药品通过干扰核酸（尤其是DNA和RNA）的生成，让异常细胞难以繁殖，对异常细胞分裂更为活跃的部位效果更明显。\u003Cbr>\n          \u003Cspan class=\"material-guide-cite\">(Lordick et al., 2022)\u003C/span>\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-guide-tip material-guide-tip-bg\">\n        作用机制只决定药品大致方向，实际使用还需兼顾剂型、服法和个体差异。药效和风险都与用法密切相关。\n      \u003C/div>\n    \u003C/section>\n    \n    \u003C!-- 02 服药时间和用法：如何做到既有效又安全 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 服药时间和用法：如何做到既有效又安全 ⏰\u003C/h2>\n      \u003Col class=\"material-guide-point-list\">\n        \u003Cli>\n          \u003Cstrong>口服化疗药物：\u003C/strong>\n          \u003Cul>\n            \u003Cli>通常每日2次，须遵医嘱定时服用。\u003C/li>\n            \u003Cli>推荐在饭后30分钟内用温水整片吞服，避免对胃部刺激。\u003C/li>\n            \u003Cli>不可自行增减剂量或随意中断，避免影响疗效。\u003C/li>\n            \u003Cli>吞咽困难时可适度掰断，但不得磨碎或嚼碎（如为肠溶剂型不可掰开），以免影响药效释放。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>铂类药物：\u003C/strong>\n          \u003Cul>\n            \u003Cli>这类药物多为静脉输注，由专业团队在医院按疗程输注。\u003C/li>\n            \u003Cli>每次输注前后需大量饮水以预防肾脏损伤。\u003C/li>\n            \u003Cli>按疗程计划定期复查肾功能、血象。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n      \u003C/ol>\n      \u003Cdiv class=\"material-guide-tip material-guide-tip-bg\">\n        正确做法：严格按照医嘱时间和剂量执行，每次服药固定时间效果更为稳定。\n      \u003C/div>\n    \u003C/section>\n    \n    \u003C!-- 03 剂型特点和服用小技巧 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 剂型特点和服用小技巧 📝\u003C/h2>\n      \u003Cul class=\"material-guide-point-list\">\n        \u003Cli>\n          口服化疗药物大多为片剂或胶囊剂型，适合家中长期连续服用。部分特殊剂型（肠溶型）需要完整吞服，不能掰开或咀嚼。\n        \u003C/li>\n        \u003Cli>\n          正确做法：服药时搭配200-300ml温水，不宜用茶、牛奶、果汁等饮品，以免影响吸收。\n        \u003C/li>\n        \u003Cli>\n          吞咽有障碍的老年患者，可咨询药师选择合适剂型或服用方式。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-guide-tip material-guide-tip-bg\">\n        \u003Cspan>一位老年患者在服用肠溶化疗片时尝试掰片，结果导致胃部不适加重，后调整为整片吞服后症状明显缓解。\u003C/span>\n      \u003C/div>\n    \u003C/section>\n    \n    \u003C!-- 04 药物相互作用：哪些组合需格外留心 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" 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：哪些组合需格外留心 ⚠️\u003C/h2>\n      \u003Cul class=\"material-guide-point-list\">\n        \u003Cli>\n          \u003Cstrong>化疗用药：\u003C/strong>与多种处方药都有可能产生相互作用（如阿司匹林、降压药、口服降糖药、抗凝药等）。某些药物会改变化疗药物的代谢或增强其毒性。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>常见组合禁忌：\u003C/strong>\n          \u003Cul>\n            \u003Cli>口服化疗药物与华法林、阿司匹林同用时，出血风险增加。\u003C/li>\n            \u003Cli>铂类药物与部分抗生素（如庆大霉素）同用，肾毒性增加。\u003C/li>\n            \u003Cli>应避免与其他可能引发骨髓抑制的药品联用。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>需要分开服的药：\u003C/strong>\n          某些抗酸药和部分矿物补充剂（如钙片、铁剂），建议与口服化疗药间隔2小时以上。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-guide-tip material-guide-tip-bg\">\n        遇到需要联合多种药物时，务必提前告知医生和药师你的全部用药清单，由他们综合评估药物相互作用风险。\n      \u003C/div>\n    \u003C/section>\n    \n    \u003C!-- 05 特殊人群用药：老人、慢病患者的专属注意事项 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 特殊人群用药：老人、慢病患者的专属注意事项 🧓\u003C/h2>\n      \u003Cul class=\"material-guide-point-list\">\n        \u003Cli>\n          \u003Cstrong>老年患者：\u003C/strong>通常代谢慢、副作用更敏感。初始剂量建议从低剂量起步，医院应密切监测血象和肝肾功能，如耐受情况允许再逐步加量。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>慢病合并者（如高血压、糖尿病、血栓风险）：\u003C/strong>部分药品可影响血糖、血压、凝血功能。用药期间要定期监测。如口服化疗药物可引起血糖波动。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>肝肾功能不佳者：\u003C/strong>部分化疗药（尤其铂类）主要通过肾脏排泄，肾功不全者需严格调整剂量，并由医生决定具体方案。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-guide-tip material-guide-tip-bg\">\n        服药期间，每次出现明显乏力、尿量减少、皮肤出血点等异常，应及时报告医护人员。\n      \u003C/div>\n    \u003C/section>\n    \n    \u003C!-- 06 常见不良反应及处理方法：提前防范有准备 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 常见不良反应及处理方法：提前防范有准备 🙈\u003C/h2>\n      \u003Col class=\"material-guide-point-list\">\n        \u003Cli>\n          \u003Cstrong>口服化疗药物：\u003C/strong>\n          \u003Cul>\n            \u003Cli>恶心、呕吐、口腔溃疡、白细胞减少是最常见副作用。\u003C/li>\n            \u003Cli>如出现恶心呕吐，可配合医生选择适宜的止吐药。\u003C/li>\n            \u003Cli>部分患者可能出现腹泻或便秘，需调整饮食、安排适当运动。\u003C/li>\n            \u003Cli>发生白细胞减少时，需密切监测，必要时暂停或调整药物。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>铂类化疗药物：\u003C/strong>\n          \u003Cul>\n            \u003Cli>肾损伤、耳鸣、四肢麻木、白细胞及血小板下降等。\u003C/li>\n            \u003Cli>用药期间如出现水肿、明显乏力、持续耳鸣等异常，应立即与医生联系。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n      \u003C/ol>\n      \u003Cdiv class=\"material-guide-tip material-guide-tip-bg\">\n        一项统计表明，常见消化道副反应（如恶心、呕吐）发生率约为40%-60%，白细胞减少率在20%-40%左右（Zhou et al., 2022）。掌握这些可能副作用，做到有备无患。\n      \u003C/div>\n    \u003C/section>\n    \n    \u003C!-- 07 储存与有效期：避免药品失效的关键操作 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 储存与有效期：避免药品失效的关键操作 🗃️\u003C/h2>\n      \u003Cul class=\"material-guide-point-list\">\n        \u003Cli>\n          \u003Cstrong>口服化疗药物：\u003C/strong>\n          \u003Cul>\n            \u003Cli>应放置在干燥、阴凉、避光的地方，常温（15~25℃）保存，避免受潮变色。\u003C/li>\n            \u003Cli>避免置于冰箱冷冻层，防止成分失效。\u003C/li>\n            \u003Cli>开封后保持原包装，每次用后密封保存。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>静脉化疗药物：\u003C/strong>\n          \u003Cul>\n            \u003Cli>多数由医院药房冷藏保存，仅在用药日前临时取出配制，不建议家庭自行储存。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>过期/变质药品：\u003C/strong>请勿服用！可带到医院药房或定点回收处妥善销毁，切勿随意丢弃。\u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-guide-tip material-guide-tip-bg\">\n        正确做法：定期检查药品包装和有效期，发现异味、变色、结块等情况立即停止使用。\n      \u003C/div>\n    \u003C/section>\n    \n    \u003C!-- 08 漏服与过量处理：常见误区和及时补救 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 漏服与过量处理：常见误区和及时补救 ⏳\u003C/h2>\n      \u003Cul class=\"material-guide-point-list\">\n        \u003Cli>\n          \u003Cstrong>漏服：\u003C/strong>\n          \u003Cul>\n            \u003Cli>发现时间距离下次服药较远（超过4小时），可立即补服一次。\u003C/li>\n            \u003Cli>若已临近下次服药时间，直接跳过、按时服用即可，禁止一次性补服双倍剂量。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>过量：\u003C/strong>\n          \u003Cul>\n            \u003Cli>出现明显呕吐、水样腹泻、持续出血、极度乏力等，应立即停药并就医。\u003C/li>\n            \u003Cli>携带药品包装或说明书前往医院，便于医师处理。\u003C/li>\n          \u003C/ul>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan>有位患者因健忘，在一天内重复服用口服化疗药，第二天出现恶心乏力，及时就医后症状缓解。\u003C/span>\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-guide-tip material-guide-tip-bg\">\n        特别提醒：定时定量记录用药是杜绝误服、漏服最直接有效的方法。建议配合闹钟或用药记录本。\n      \u003C/div>\n    \u003C/section>\n    \n    \u003C!-- 09 核心总结与安全提醒 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">09 总结与安全提醒 🔒\u003C/h2>\n      \u003Cdiv class=\"material-guide-summary material-guide-section-bg\">\n        \u003Cp>\n          辅助化疗药品在胃癌 IIa期术后是常用方案，规范用药是保障疗效和生活质量的关键。回顾正文，请务必把控以下重点：\n        \u003C/p>\n        \u003Cul>\n          \u003Cli>严格遵医嘱、定时定量服用；不可随意增减量/停药。\u003C/li>\n          \u003Cli>老年及慢病患者需定期复查，提前告知全部合用药物。\u003C/li>\n          \u003Cli>及时识别和应对不良反应，重要异常立即就医。\u003C/li>\n          \u003Cli>药物储存、过期管理做到位，严禁服用过期变质药品。\u003C/li>\n        \u003C/ul>\n        \u003Cp>\n          记住：药物是“精准工具”，用得准、用得稳最重要。如有任何疑问或用药困难，建议及时咨询专业药师或医生。\n        \u003C/p>\n      \u003C/div>\n    \u003C/section>\n    \u003C!-- 文献引用 -->\n    \u003Csection class=\"material-guide-section\">\n      \u003Ch2 class=\"material-guide-subtitle material-guide-section-bg\" 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      \u003Col class=\"material-guide-ref-list\">\n        \u003Cli>Wang, J., Wu, Q., Yang, Y., et al. (2016). Mechanisms of platinum resistance. Cancer Biology & Medicine, 13(4), 389-401.\u003C/li>\n        \u003Cli>Lordick, F., Shitara, K., Janjigian, Y.Y. (2022). New agents on the horizon in gastric cancer. Nature Reviews Clinical Oncology, 19(6), 403–419.\u003C/li>\n        \u003Cli>Zhou, Y., Li, N., Zhuang, W., et al. (2022). Adverse reactions of postoperative adjuvant chemotherapy for gastric cancer and their management. Journal of Oncology Pharmacy Practice, 28(8), 1907–1914.\u003C/li>\n      \u003C/ol>\n    \u003C/section>\n  \u003C/div>\n\u003C/div>\n\u003Cstyle>\n.material-guide-outer {\n  background: #f7fafc;\n  padding: 30px 0;\n  font-family: 'Segoe UI', 'Arial', sans-serif;\n}\n.material-guide-container {\n  background: #fff;\n  max-width: 860px;\n  margin: 0 auto;\n  border-radius: 14px;\n  box-shadow: 0 4px 20px rgba(120, 140, 200, 0.09);\n  padding: 34px 44px 36px 44px;\n}\n.material-guide-title {\n  font-size: 2.15em;\n  color: #274663;\n  margin-bottom: 22px;\n  letter-spacing: 1.5px;\n  text-align: center;\n  font-weight: 700;\n}\n.material-guide-intro {\n  font-size: 1.12em;\n  color: #406184;\n  padding: 24px 28px;\n  border-radius: 12px;\n  background: linear-gradient(90deg,#f6f9ff 30%,#f5f7fa 70%);\n  margin-bottom: 30px;\n}\n.material-guide-section {\n  margin-bottom: 38px;\n}\n.material-guide-subtitle {\n  font-size: 1.25em;\n  font-weight: bold;\n  color: #215176;\n  margin-top: 0;\n  margin-bottom: 16px;\n  padding: 12px 0 10px 22px;\n  letter-spacing: 1px;\n  border-left: 3.5px solid #a0c4fe;\n  background: linear-gradient(85deg, #e9f1ff 60%, #edf4ff 100%);\n  border-radius: 0 18px 18px 0;\n  box-shadow: 0 1.5px 10px #eaefff;\n}\n.material-guide-section-bg {\n  background: linear-gradient(96deg, #f7fbff 70%, #f1f6fe 100%);\n}\n.material-guide-point-list,\n.material-guide-ref-list {\n  font-size: 1.05em;\n  color: #314d67;\n  padding-left: 20px;\n  line-height: 1.78;\n  margin-bottom: 12px;\n}\n.material-guide-point-list > li, \n.material-guide-point-list ul > li {\n  margin-bottom: 7px;\n}\n.material-guide-tip {\n  padding: 14px 19px;\n  background: linear-gradient(92deg,#eaf1f9 65%,#f2f6fb 100%);\n  color: #2c5274;\n  border-radius: 8px;\n  margin-top: 13px;\n  font-size: 1em;\n  border-left: 4px solid #9ecaff;\n  box-shadow: 0 2px 9px #e4ecf9;\n}\n.material-guide-tip-bg{\n  background: linear-gradient(97deg,#e9eff7 65%,#f3f8fb 100%);\n}\n.material-guide-summary {\n  font-size: 1.07em;\n  color: #334865;\n  padding: 20px 28px 18px 28px;\n  border-radius: 12px;\n  background: linear-gradient(85deg,#f8fdff 55%,#f2f6fa 100%);\n}\n.material-guide-ref-list {\n  margin-top: 18px;\n  font-size: 0.98em;\n  color: #68798c;\n  padding-left: 28px;\n}\n.material-guide-cite {\n  color: #5b7b9d;\n  font-size: 0.96em;\n  margin-left: 7px;\n}\n@media (max-width: 900px) {\n  .material-guide-container {\n    padding: 18px 10px 16px 10px;\n  }\n  .material-guide-title {\n    font-size: 1.55em;\n    margin-bottom: 12px;\n  }\n}\n\u003C/style>\n\n","\u003Cdiv class=\"material-guide-outer\">\n  \u003Cdiv class=\"material-guide-container\">\n    \u003C!-- 标题 -->\n    \u003Ch2 ",566,"2025-09-23 14:05:28","胃癌, 化疗药物, 辅助化疗, 不良反应, 药物使用","本文详细讲解胃癌 IIa期辅助化疗药物的使用，包括服药时间、作用机制及不良反应等，帮助患者规范用药，提高疗效，解决用药困惑。","2025-10-04 17:00:51",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},[],[]]