[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fhm4zOHui6fseX1IYu-kGyRaLVbsqOlcvqPXa84xFGII":8,"$f3dTCd4q7XL2qVCUZOxIj8RFcXqQSZ0j3_21SXQytiEs":54,"$fMonuEqWWUewXYUbCBSqc6Ws87OJbfNYFbnSouj5hYLI":88},{"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":53},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":20,"quality":52,"commentCount":21,"isComment":20},67619,870829,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//StxOERQnzPeH7FNSvwd7N9PtumGDqplx.png","肖忠军","泰兴市第三人民医院","麻醉科","副主任医师",1,0,"麻醉领域在左股骨粗隆间骨折手术中的应用与管理","","https://ystcdn.venuertc.com/venue/AI/829fae31-3f6b-4c51-87fe-4099253872a1.jpg","\u003Cdiv class=\"custom-material-content\">\n\n  \u003Ch2 id=\"material_title\" class=\"custom-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">麻醉领域在左股骨粗隆间骨折手术中的应用与管理\u003C/h2>\n\n  \u003Csection class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-header\" style=\"background-image: linear-gradient(90deg,#f5f7fa 0,#c3cfe2 100%);\">\n      \u003Ch2 class=\"custom-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 麻醉科在手术前到底做了些什么？🩺\u003C/h2>\n    \u003C/div>\n    \u003Cp>\n      有些人觉得骨折手术只需外科医生就够了，其实在准备手术前，麻醉科医生也悄悄做了很多事。比如说，72岁的王阿姨因为不小心摔倒，导致左股骨粗隆间骨折。她有糖尿病，体重偏瘦，医生们在手术前仔细了解了她的身体状况——查血糖、看心脏有没有问题，甚至了解吃没吃药。\u003Cbr>\n      简单来说，麻醉团队会测量血常规、肝肾功能、过敏史，必要时还要做青霉素皮试。像王阿姨这样血糖略高，血红蛋白偏低，每项身体指标都会被纳入计划之中。\u003Cbr>\n      麻醉医生给每位患者量身定制麻醉方案，目的就是让身体稳妥度过手术关，降低风险。这些准备虽然看不见，但它们就像施工前的地基检查，为整个手术过程打下安全的基础。\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-header\" style=\"background-image: linear-gradient(90deg,#e3eeff 0,#f9dfff 100%);\">\n      \u003Ch2 class=\"custom-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 哪些麻醉方式最常用？该怎么选择？💉\u003C/h2>\n    \u003C/div>\n    \u003Cul class=\"custom-ul\">\n      \u003Cli>\n        \u003Cstrong>全身麻醉：\u003C/strong> 适用于年轻或身体较为健康、不能安静配合的患者。全身麻醉下，患者会完全入睡，对手术没有记忆。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>区域麻醉（椎管内麻醉/神经阻滞）：\u003C/strong> 适合大部分高龄、基础疾病多的骨折患者，比如椎管内麻醉（硬膜外、腰麻等），让下半身感觉不到疼痛，人还是清醒的。\u003Cbr>\n        比如上面提到的王阿姨，医生就选择了椎管内麻醉，这样既减少了药物对呼吸和循环的影响，也更安全。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      麻醉方式的选择，其实就像买鞋，得合脚才行。有高血压、糖尿病或者年龄偏大的患者，往往更推荐区域麻醉，因为全身麻醉对心肺的“压力”更大。医生会结合体检结果、既往病史和患者意愿，综合评估后作决定。\u003Cbr>\n      手术中麻醉团队还会根据情况调整药物，比如加入右美托咪定，帮助患者稳定情绪、缓解压力。\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-header\" style=\"background-image: linear-gradient(90deg,#cef2e7 0,#f9ffe3 100%);\">\n      \u003Ch2 class=\"custom-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 手术时，麻醉科医生都在关注什么？🩸\u003C/h2>\n    \u003C/div>\n    \u003Cp>\n      有些朋友以为麻醉医生“打一针就走了”，其实他们全程守在手术旁边！比如在骨折手术中，麻醉医生会盯紧心率、血压、呼吸和血氧，像监控室里的“守护者”一样，随时准备处理突发状况。\u003Cbr>\n      举个例子：手术时患者如果失血较多、血压出现波动，麻醉医生能第一时间发现，调整药物甚至采取急救措施。软组织损伤、骨折等大手术容易刺激身体的应激反应，比如出现心跳加快、甚至休克，只有麻醉医生能快速分辨是麻醉反应还是其他问题。\u003Cbr>\n      术中用药分配、防止体温过低、心电监测、及时补液，这些操作其实都是麻醉医生的“日常工作”——一切只为让患者安稳躺在手术台上，最大限度避免变数。\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-header\" style=\"background-image: linear-gradient(90deg,#fff6e8 0,#e3f2fd 100%);\">\n      \u003Ch2 class=\"custom-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 手术前哪些因素会让麻醉风险上升？🧬\u003C/h2>\n    \u003C/div>\n    \u003Cp>\n      其实，很多人都低估了手术麻醉的风险。对于骨折手术来说，年龄、基础病和化验异常，都可能让麻醉变得棘手。\u003Cbr>\n      \u003Cspan style=\"color:#e57373;\">（1）老年因素：\u003C/span> 年龄大，身体各项功能变慢，应激能力下降，对药物的反应更“敏感”。一项研究（Tran et al., 2018）指出，70岁以上的骨折患者并发症发生率明显高于中青年。\n      \u003Cbr>\n      \u003Cspan style=\"color:#64b5f6;\">（2）糖尿病：\u003C/span> 血糖高时，创口愈合和感染风险就更大。术中如果控制不好血糖，容易发生应激性高血糖，增加心脑血管事件的概率。\n      \u003Cbr>\n      \u003Cspan style=\"color:#ffd54f;\">（3）贫血与感染：\u003C/span> 血红蛋白偏低、白细胞过高，提示身体可能有慢性感染或炎症反应。麻醉用药对贫血患者来说，供氧能力减弱，倦怠和手术后恢复会变慢。\n      \u003Cbr>\n      \u003Cspan style=\"color:#81c784;\">（4）药物过敏史：\u003C/span> 有些人对青霉素、麻醉药物过敏，麻醉科会提前做皮试，推迟手术时机，避免危险情况。\n    \u003C/p>\n    \u003Cp>\n      总体来讲，身体状况越复杂，麻醉医生制定方案时考虑的细节也越多。这就是为什么每次手术前都需要层层把关，不得少看每一次评估和每一项化验结果。\n    \u003C/p>\n    \u003Cp class=\"custom-ref-small\">\n      参考文献：Tran, T., et al. (2018). \"Incidence of postoperative complications in geriatric hip fracture patients.\" Journal of Orthopaedic Trauma, 32(1), 34-40.\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-header\" style=\"background-image: linear-gradient(90deg,#e7fac2 0,#ffe3ed 100%);\">\n      \u003Ch2 class=\"custom-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 手术后麻醉科在镇痛上能帮多大忙？😌\u003C/h2>\n    \u003C/div>\n    \u003Cp>\n      手术完后疼痛并不是小事。镇痛不到位，休息差、恢复慢，甚至导致谵妄等更严重的并发症。麻醉科医生会联合外科制定针对性的镇痛方案——包括药物和非药物干预。\u003Cbr>\n      比如这次王阿姨用了哌替啶（肌肉注射）和酮洛芬缓释片（口服），这样能兼顾急性和持续性的疼痛管理。每吃一颗药、每注射一次，都是经过精确评估，既不让疼痛拖慢康复，又减轻药物副作用。\u003Cbr>\n      对于部分患者，还可以使用硬膜外镇痛泵或神经阻滞，让术后前几天能比较舒适地活动，有利于早期功能锻炼。长期观察发现，有效镇痛可以显著降低慢性疼痛和术后谵妄的发生概率。\n    \u003C/p>\n    \u003Cp class=\"custom-ref-small\">\n      参考文献：Morrison, R. S., et al. (2003). \"Pain management following major orthopedic surgery.\" JAMA, 290(18), 2381-2388.\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-header\" style=\"background-image: linear-gradient(90deg,#ece1ff 0,#e1f9ff 100%);\">\n      \u003Ch2 class=\"custom-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 围术期还需重点防范哪些并发症？💡\u003C/h2>\n    \u003C/div>\n    \u003Cul class=\"custom-ul\">\n      \u003Cli>\n        \u003Cspan style=\"color:#a1887f;\">深静脉血栓：\u003C/span> 手术后下肢活动减少，容易形成血栓，严重时甚至威胁生命。使用低分子肝素和早期下地活动是常用预防手段。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"color:#ff8a65;\">术后谵妄：\u003C/span> 老年患者清醒后出现意识混乱，表现为认人困难、情绪不稳。高龄、贫血和手术应激是主要诱因。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"color:#4db6ac;\">感染风险：\u003C/span> 刀口感染、膀胱炎、肺部感染等，尤其是糖尿病患者。术前后使用抗生素和规范导尿管护理可以降低几率。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"color:#ba68c8;\">应激性高血糖：\u003C/span> 手术本身就是一次“压力山大”，血糖容易飙升。严格监测血糖，有助于降低不良结局。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"color:#ffb300;\">一级护理：\u003C/span> 外科联合麻醉科团队，关注生命体征、病情变化，定期评估预防并发症。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      这些并发症看似不起眼，却是每位科室医护团队日夜谨慎防控的重点。小到血糖监测、体位调整，大到镇痛方案和早期康复，都是为了更好地陪伴患者平稳度过“手术-康复”两个关口。\n    \u003C/p>\n    \u003Cp class=\"custom-ref-small\">\n      参考文献：Fleisher, L. A., & Fleischmann, K. E. (2014). \"Complications in the postoperative period.\" N Engl J Med, 370(23), 2258-2269.\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-header\" style=\"background-image: linear-gradient(90deg, #e8f5e9 0, #ffe0b2 100%);\">\n      \u003Ch2 class=\"custom-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 手术期如何科学管理？哪些生活方式和饮食有益？🍽️\u003C/h2>\n    \u003C/div>\n    \u003Cp>\n      想顺利度过骨折手术，术前术后都离不开科学的监护和生活方式的调整。和日常养身体类似，手术前后的每一步都很讲究：\n    \u003C/p>\n    \u003Cul class=\"custom-ul\">\n      \u003Cli>\n        \u003Cstrong>血糖持续稳定：\u003C/strong>\n        \u003Cspan>多吃全谷杂粮（如燕麦、糙米、小米粥），有助于缓慢释放能量，控糖效果好。建议一天三餐定时定量，避免暴饮暴食。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>优质蛋白补充：\u003C/strong>\n        \u003Cspan>蛋、奶、瘦肉都是不错的选择，帮助术后伤口愈合。可以每天安排1个鸡蛋和一杯牛奶。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>多样化蔬果：\u003C/strong>\n        \u003Cspan>蔬菜与水果富含维生素C，有益伤口修复（如橙子、猕猴桃）。餐餐搭配，多种颜色更好。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>骨折康复运动：\u003C/strong>\n        \u003Cspan>术后早期可在床上进行简单的踝泵练习，有助于血液回流，减少血栓。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>规律作息：\u003C/strong>\n        \u003Cspan>有个好睡眠，免疫力和恢复效果才能事半功倍。晚上尽量十一点前上床。\u003C/span>\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      很多患者问什么时候可以下地、能不能吃补品。其实最好根据医生具体建议，稳妥推进，忌盲目尝试。选择正规医院，也能保证术后监测到位，不漏掉任何小问题。\n    \u003C/p>\n    \u003Cp class=\"custom-ref-small\">\n      参考文献：Papadopoulou, S. K., et al. (2016). \"Dietary management in patients with bone fractures.\" Nutrition, 32(7-8), 725-729.\n    \u003C/p>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-header\" style=\"background-image: linear-gradient(90deg, #fde2e4 0, #cde5fd 100%);\">\n      \u003Ch2 class=\"custom-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 结语：麻醉背后的守护力量\u003C/h2>\n    \u003C/div>\n    \u003Cp>\n      说到底，一台左股骨粗隆间骨折手术的顺利，离不开麻醉科背后的默默守护。从术前评估、麻醉选择、到术中监护、术后镇痛，再到重症并发症的早期预警——每一步都藏着专业和细致。\u003Cbr>\n      那些看似平淡无奇的监护、评估和调整，是守护健康最重要的底线。遇到手术时，提前和医生沟通，有顾虑就问出来，这才是真正负责任的健康态度。而规律饮食、科学锻炼和定期体检，也能让大家在面对需要“麻醉和手术”这些大事时，更有底气，更加安心。\n    \u003C/p>\n  \u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n.custom-material-content {\n  max-width: 830px;\n  margin: 38px auto 38px auto;\n  background: #fcfcfc;\n  border-radius: 22px;\n  font-family: 'PingFang SC', 'Helvetica Neue', Arial, 'Microsoft Yahei', sans-serif;\n  box-shadow: 0 4px 32px rgba(66,87,171,0.05),0 2px 8px rgba(66,87,171,0.08);\n  padding: 14px 22px 44px 22px;\n  font-size: 18px;\n  color: #20232d;\n  line-height: 1.82;\n}\n.custom-title {\n  font-size: 2.1em;\n  font-weight: 600;\n  text-align: center;\n  letter-spacing: 2.2px;\n  color: #345995;\n  margin-top: 18px;\n  margin-bottom: 40px;\n}\n.custom-section {\n  margin-bottom: 44px;\n}\n.custom-section-header {\n  padding: 18px 20px 12px 20px;\n  border-radius: 16px 16px 0 0;\n  margin-bottom: 14px;\n  min-height: 56px;\n  display: flex;\n  align-items: center;\n}\n.custom-h2 {\n  font-size: 1.37em;\n  color: #397067;\n  font-weight: 500;\n  margin: 0;\n  letter-spacing: 1.2px;\n}\n.custom-ul {\n  padding-left: 30px;\n  margin-bottom: 16px;\n}\n.custom-ul li {\n  margin-bottom: 12px;\n  line-height: 1.75;\n}\n.custom-ref-small {\n  font-size: 0.93em;\n  color: #888;\n  text-indent: 0;\n  margin: 10px 0 0 0;\n  font-style: italic;\n}\n@media (max-width: 540px) {\n  .custom-material-content {\n    padding: 5px 3vw 20px 3vw;\n    font-size: 16px;\n  }\n  .custom-title {\n    font-size: 1.1em;\n    margin-bottom: 12px;\n  }\n  .custom-section-header {\n    font-size: 1.05em;\n    min-height: 40px;\n    padding: 9px 7px 9px 9px;\n  }\n  .custom-h2 {\n    font-size: 1em;\n  }\n  .custom-ul {\n    padding-left: 13px;\n  }\n}\n\u003C/style>\n\n","\u003Cdiv class=\"custom-material-content\">\n\n  \u003Ch2 id=\"material_title\" class=\"custom-title\" style=\"color: ",528,"2025-10-10 11:20:13","麻醉, 左股骨粗隆间骨折, 手术, 镇痛, 并发症预防","了解麻醉科在左股骨粗隆间骨折手术中的重要作用，专业麻醉管理和镇痛方案如何确保患者安全，助力快速康复。","2025-11-07 07:30:00",2,[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":32,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":20,"status":21,"createDept":6,"remark":23,"createTime":42,"children":43,"columnImage":44,"columnLogo":45,"uncheckedLogo":6,"checkedLogo":6,"isHot":20,"isHome":21,"forceLogin":21,"color":46,"seoTitle":47,"seoKeywords":48,"seoDescription":49,"contentNum":6,"promotionalPoster":50,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":51,"routerPath":37,"componentInfo":38},"1986713082609147906","健康科普","article","/article.html","1","0","T","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","重大疾病",true,{"code":9,"msg":10,"message":6,"data":55,"success":53},{"pageNo":20,"pageSize":56,"result":57,"totalSize":87},10,[58,68,78],{"id":59,"updateTime":60,"averageScore":61,"posts":19,"specialistId":62,"userName":63,"hospital":64,"avatar":65,"description":66,"department":67},32518,"2026-04-19 13:47:56",9.5,866417,"李京杭","江苏省人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//tRkOcokUNNA8XPld3qWr1E2085NZIrev.png","这篇科普文章由麻醉医师撰写，聚焦麻醉在手术安全与围术期管理中的应用，视角专业且实用。文章结构清晰，采用问答形式，系统讲解了麻醉的定义、方式、与手术安全的关系、围术期监护流程、常见风险、在重症急救中的作用、术后疼痛管理及应对建议，逻辑严谨，层层递进。\n\n语言通俗易懂，善用比喻（如“暂时关掉痛觉的小开关”“安全保障系统”），将复杂医学概念生活化，易于大众理解。文中穿插具体病例（如44岁女性子宫肌瘤切除术），增强了说服力与代入感。特别值得肯定的是，文章不仅强调麻醉医生在术中“安保队长”的角色，还详细介绍了术前评估、术中监测、术后观察的完整流程，并提供了科学的术后疼痛管理和术前准备建议，具有很强的指导价值。整体而言，这是一篇专业性与可读性兼备的优秀医学科普文。","胸外科",{"id":69,"updateTime":70,"averageScore":71,"posts":19,"specialistId":72,"userName":73,"hospital":74,"avatar":75,"description":76,"department":77},31305,"2026-04-12 20:41:50",9.1,868193,"魏新程","南京医科大学第二附属医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//ZKIPP6a3X3q6jLh8er9Br9LFr0VH3zM2.png","这篇文章写得特别接地气，用王阿姨的真实例子，把麻醉科术前的工作讲得明明白白。很多人都以为骨折手术只靠外科医生，其实麻醉医生术前要做的准备特别多：查血糖、心脏、肝肾功能，还要了解过敏史、用药情况，给每个患者量身定制麻醉方案。文章把看不见的术前准备比作施工前的地基检查，特别形象，既让普通读者看懂了麻醉的重要性，也打消了大家对手术的顾虑，是一篇很实用的科普好文。","骨科",{"id":79,"updateTime":80,"averageScore":81,"posts":19,"specialistId":82,"userName":83,"hospital":84,"avatar":85,"description":86,"department":18},16054,"2025-11-10 17:56:52",9,868103,"王乐","苏州市妇幼保健院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//s81N5NnJyoDRDyqLogIeXS4WHUXhkWL7.png","这篇科普文章聚焦于髋关节置换手术，围绕术前评估、麻醉方式选择、麻醉医生职责及术前禁食等关键问题展开。内容全面且实用，以通俗易懂的语言解释了专业医学知识，如不同麻醉方式的适用情况和优缺点，让患者及家属能更好地理解手术相关事宜。同时，对术前禁食的原因进行了科学说明，纠正了常见误区。整体条理清晰，重点突出，能有效缓解患者对手术的焦虑，增强其信心，是一篇兼具专业性与可读性的科普佳作。",3,{"code":9,"msg":10,"message":6,"data":89,"success":53},{"authors":90,"appraiseDimensionScoresVos":97},[91,93,95],{"profilePhoto":85,"specialistId":92},"868103",{"profilePhoto":75,"specialistId":94},"868193",{"profilePhoto":65,"specialistId":96},"866417",[98,104,110,115,121],{"id":99,"scores":100,"value":101,"dimensionId":6,"avgs":102,"title":103},145270,30,26,9.46667,"内容准确性",{"id":105,"scores":106,"value":107,"dimensionId":6,"avgs":108,"title":109},145271,20,19,9.3,"内容深度与广度",{"id":111,"scores":106,"value":112,"dimensionId":6,"avgs":113,"title":114},145272,18,9.2,"语言表达",{"id":116,"scores":117,"value":118,"dimensionId":6,"avgs":119,"title":120},145273,15,14,9.6,"呈现形式",{"id":122,"scores":117,"value":123,"dimensionId":6,"avgs":124,"title":125},145274,13,8.66667,"教育价值"]