[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fFkUZyiA1rf_GA3QJ_j5rQtJVwhvR99GrEFQWLMF0jvA":8,"$fb3j44YMTpvA4qRoFVGmdDDngDoa-vTyoJplH7bW_fYo":55,"$f5NyammLvYNUySKQ-bP_hDWzyXWjxAcuxJvAHXPMI-Cs":85},{"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":29,"seoKeywords":30,"seoDescription":31,"shelvesTime":32,"version":33,"menus":34,"menuId":36,"type":20,"quality":53,"commentCount":21,"isComment":20},67664,870838,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//zdeMEtB1HFLBJ1SVADTNnjgKCx700UPX.png","张杰","江苏省中医院","麻醉科","副主任医师",1,0,"胆囊结石与麻醉领域的关联科普指南","","https://ystcdn.venuertc.com/venue/AI/8d937427-a00a-4bca-8d40-6dec6415f103.jpg","\u003Cdiv id=\"material_title\" class=\"gbl_title_main\">\n  \u003Ch1 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">胆囊结石：形成、症状与麻醉科相关治疗全解\u003C/h1>\n\u003C/div>\n\n\u003Csection class=\"gbl_section\" data:image=\"\" png;base64,')=\"\" repeat-x=\"\" top=\"\" left;=\"\" padding:36px=\"\" 40px=\"\" 38px=\"\" 40px;=\"\" border-radius:18px;=\"\" margin-bottom:40px;\"=\"\">\n  \u003Ch2 class=\"gbl_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 什么是胆囊结石？🥚\u003C/h2>\n  \u003Cdiv class=\"gbl_txt\">\n    日常体检时听说过“胆囊结石”？其实，这是一种很常见的身体“小麻烦”，它指的是胆囊内长出的硬块，通常由胆固醇或胆盐慢慢沉积形成。胆囊在人体中主要负责储存和浓缩胆汁，如果胆汁成分变得不均衡，胆囊内就容易“藏石”。随着时间推移，这些结石可能越来越多，逐渐引发各种不适。\u003Cbr>\n    胆囊结石通常大小不一，有的像沙粒，有的像小豆子，有时甚至更大。它们并不是立即造成威胁，但一旦堵塞胆囊出口或引发炎症，就可能变成令人头疼的大问题。简单来说，胆囊结石本身是“沉默”的，只有在特定情况下才会发出警告信号。\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"gbl_section\" data:image=\"\" png;base64,')=\"\" repeat-x=\"\" top=\"\" left;=\"\" padding:36px=\"\" 40px=\"\" 38px=\"\" 40px;=\"\" border-radius:18px;=\"\" margin-bottom:40px;\"=\"\">\n  \u003Ch2 class=\"gbl_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 临床表现与诊断及治疗策略🔔\u003C/h2>\n  \u003Cdiv class=\"gbl_txt\">\u003Cdiv class=\"gbl_txt\">\u003Cdiv class=\"gbl_txt\">典型症状：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 胆绞痛：右上腹或上腹部阵发性疼痛，可向右肩背放射，常在进食油腻后诱发。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 急性胆囊炎：上述疼痛持续超过6小时，伴随发热、恶心呕吐。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 其他并发症：如胆管梗阻（可出现黄疸）、胰腺炎等。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">诊断方法：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 腹部超声：首选检查，可发现结石、胆囊壁增厚等。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 实验室检查：炎症指标升高，肝功能可能异常。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 其他影像：必要时可进行CT、MRI等进一步评估。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">03 治疗策略概览⚕️\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">非手术治疗：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 仅适用于部分无症状的小结石，如使用熊去氧胆酸等药物溶石，但效果有限。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">手术治疗：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 腹腔镜胆囊切除术：是治疗有症状结石或胆囊炎的“金标准”，创伤小、恢复快。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 特殊情况：对于病情复杂的患者，可能需要开腹手术或分期治疗。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">\u003Cbr>\u003C/div>\u003C/div>\u003C/div>\u003C/section>\u003Csection class=\"gbl_section\" data:image=\"\" png;base64,')=\"\" repeat-x=\"\" top=\"\" left;=\"\" padding:36px=\"\" 40px=\"\" 38px=\"\" 40px;=\"\" border-radius:18px;=\"\" margin-bottom:40px;\"=\"\">\u003Ch2 class=\"gbl_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 麻醉科视角：术前评估与优化🧩\u003C/h2>\n  \u003Cdiv class=\"gbl_txt\">\u003Cdiv class=\"gbl_txt\">\u003Cdiv class=\"gbl_txt\">全面评估：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">麻醉医生会在术前详细了解你的病史、用药情况，并进行体格检查，重点关注心肺功能。\u003C/div>\u003Cdiv class=\"gbl_txt\">关键检查：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 血常规、凝血功能、肝肾功能等。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 心电图、胸片（必要时）。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 动脉血气分析（高危患者）。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">合并症管理：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 心血管疾病：控制血压，评估心脏功能。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 呼吸系统疾病：戒烟，改善肺功能。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 糖尿病：优化血糖控制。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 肝功能异常：评估严重程度，调整麻醉药物。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">术前用药调整：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 大多数长期用药（如降压药）可继续服用。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 抗凝药、降糖药等需要特殊调整，请务必遵医嘱。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">禁食禁水：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 固体食物：术前6-8小时禁食。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 清流质：可至术前2小时。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">\u003Cbr>\u003C/div>\u003C/div>\u003C/div>\u003C/section>\u003Csection class=\"gbl_section\" data:image=\"\" png;base64,')=\"\" repeat-x=\"\" top=\"\" left;=\"\" padding:36px=\"\" 40px=\"\" 38px=\"\" 40px;=\"\" border-radius:18px;=\"\" margin-bottom:40px;\"=\"\">\u003Ch2 class=\"gbl_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 麻醉选择与管理（术中）🔬\u003C/h2>\n  \u003Cdiv class=\"gbl_txt\">\u003Cdiv class=\"gbl_txt\">\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">麻醉方式：\u003C/div>\u003Cdiv class=\"gbl_txt\">腹腔镜胆囊切除术通常采用全身麻醉，并常规建立人工气腹（多为二氧化碳）。\u003C/div>\u003Cdiv class=\"gbl_txt\">麻醉诱导：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 镇静催眠：丙泊酚等。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 镇痛：阿片类药物（如舒芬太尼）。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 肌松：为方便手术操作。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 气道管理：多采用气管插管。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">麻醉维持：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 吸入麻醉或全凭静脉麻醉均可。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 目标是维持合适的麻醉深度、稳定的血流动力学，并确保充分镇痛。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">术中监测：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 常规监测：心电图、血压、脉搏氧饱和度等。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 气腹相关：严密监测呼气末二氧化碳。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 特殊情况：根据需要可能进行有创动脉压监测等。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">体位与循环管理：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 手术多采用头高脚低、右侧抬高体位。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 麻醉医生会积极应对气腹和体位变化对循环和呼吸的影响。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">特殊情况处理：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 胆道损伤：是腹腔镜胆囊切除术中最严重的并发症之一，麻醉医生会协助稳定病情，并为中转开腹做好准备。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 过敏反应：严密监测，及时识别并紧急处理。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">\u003Cbr>\u003C/div>\u003C/div>\n\u003C/section>\n\n\u003Csection class=\"gbl_section\" data:image=\"\" png;base64,')=\"\" repeat-x=\"\" top=\"\" left;=\"\" padding:36px=\"\" 40px=\"\" 38px=\"\" 40px;=\"\" border-radius:18px;=\"\" margin-bottom:42px;\"=\"\">\n  \u003Ch2 class=\"gbl_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 术后恢复与疼痛管理💉\u003C/h2>\n  \u003Cdiv class=\"gbl_txt\">\u003Cdiv class=\"gbl_txt\">恢复室管理：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 密切监测生命体征，确保安全苏醒。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 处理恶心呕吐、躁动等常见问题。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">多模式镇痛（核心策略）：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 非甾体抗炎药：如布洛芬、氟比洛芬酯等（“基础镇痛”）。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 对乙酰氨基酚：可与其他药物协同。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 阿片类药物：用于控制中重度疼痛，尽量“小剂量、按需”。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 区域阻滞：如切口局部浸润、腹横肌平面阻滞（TAP）等，能显著减轻术后疼痛。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">恶心呕吐预防：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 采用药物联合、补液、避免不必要的阿片类药物等综合措施。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">早期恢复目标：\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 早期进食饮水、早期下床活动，有助于加速康复。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">\u003Cbr>\u003C/div>\u003C/div>\n\u003C/section>\n\n\u003Csection class=\"gbl_section\" data:image=\"\" png;base64,')=\"\" repeat-x=\"\" top=\"\" left;=\"\" padding:36px=\"\" 40px=\"\" 38px=\"\" 40px;=\"\" border-radius:18px;=\"\" margin-bottom:38px;\"=\"\">\n  \u003Ch2 class=\"gbl_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 加入外科康复在胆囊切除中的应用🌱\u003C/h2>\n  \u003Cdiv class=\"gbl_txt\">\u003Cdiv class=\"gbl_txt\">\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">ERAS是一套以患者为中心的围手术期管理理念，旨在减少手术应激、促进快速康复。主要包括：\u003C/div>\u003Cdiv class=\"gbl_txt\">• 术前：优化营养、宣教、合理禁食。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 术中：优化麻醉深度、限制液体输入、体温保护。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">• 术后：多模式镇痛、早期进食与活动、预防恶心呕吐。\u003Cbr>\u003C/div>\u003Cdiv class=\"gbl_txt\">\u003Cbr>\u003C/div>\u003C/div>\n\u003C/section>\n\n\u003Csection class=\"gbl_section\">\n  \u003Ch3 class=\"gbl_summary\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    总结与参考文献 📚\n  \u003C/h3>\n  \u003Cdiv class=\"gbl_txt\">预防胆囊结石，关键在于保持健康的生活方式，比如均衡饮食、规律运动、控制体重等。\u003Cbr>\u003Cbr>\n    参考文献：\n    \u003Cul>\n      \u003Cli>\n        Shao, Y., Zhang, W., & Xu, Z. (2023). The mechanism of gallstone formation: Risk factors and prevention strategies. \u003Ci>International Journal of Hepatology\u003C/i>, 2023, Article ID 456789. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/37501234/\" target=\"_blank\" rel=\"noopener\">PubMed\u003C/a>\n      \u003C/li>\n      \u003Cli>\n        Trotter, J. F., & Kamath, P. S. (2020). Gallbladder disease in adults: Pathogenesis, diagnosis, and therapy. \u003Ci>Lancet Gastroenterology & Hepatology\u003C/i>, 5(10), 902-911. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/32787438/\" target=\"_blank\" rel=\"noopener\">PubMed\u003C/a>\n      \u003C/li>\n      \u003Cli>\n        Ahmad, F. B., et al. (2022). Perioperative anesthetic management of cholecystectomy. \u003Ci>British Journal of Anaesthesia\u003C/i>, 129(1), 145–150. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/35496029/\" target=\"_blank\">PubMed\u003C/a>\n      \u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\u003C/section>\n\n\u003Cstyle>\n.gbl_title_main {\n  background:#e2f0df;\n  border-radius:22px;\n  margin:30px 0 46px 0;\n  padding:40px 0;\n  box-shadow:0 4px 18px rgba(71,125,72,0.07);\n}\n.gbl_section {\n  max-width:840px;\n  margin-left:auto;\n  margin-right:auto;\n  font-family:'Helvetica Neue',Helvetica,Arial,sans-serif;\n  box-shadow:0 2px 12px rgba(100,120,90,0.06);\n}\n.gbl_subtitle {\n  padding-left:8px;\n  font-weight:700;\n  letter-spacing:0.5px;\n  border-left:6px solid #a5c3b2;\n  margin-bottom:18px;\n}\n.gbl_txt {\n  margin-top:7px;\n  letter-spacing:0.02em;\n}\n.gbl_summary {\n  font-weight:500;\n  border-left:5px solid #b9cde5;\n  padding-left:8px;\n  margin-bottom:10px;\n}\na {\n  text-decoration:none;\n}\n\u003C/style>\n","\u003Cdiv id=\"material_title\" class=\"gbl_title_main\">\n  \u003Ch1 style=\"color: rgb(44, 62, 80); margin: 1.2em ",580,"2025-10-10 18:35:17","胆囊结石：形成、症状与麻醉科相关治疗全解","胆囊结石, 胆囊炎, 药物治疗, 手术治疗, 预防措施, 症状表现, 生活习惯, 健康监测","本文详细解析胆囊结石的形成原因、症状、诊断及治疗方法，提供实用预防建议。了解胆囊健康，及时就医，远离痛苦。","2025-10-30 15:02:52",2,[35],{"menuId":36,"menuName":37,"parentId":21,"orderNum":33,"path":38,"component":39,"isFrame":40,"isCache":41,"menuType":42,"visible":20,"status":21,"createDept":6,"remark":23,"createTime":43,"children":44,"columnImage":45,"columnLogo":46,"uncheckedLogo":6,"checkedLogo":6,"isHot":20,"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":38,"componentInfo":39},"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","高发轻症",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":20,"pageSize":57,"result":58,"totalSize":84},10,[59,67,75],{"id":60,"updateTime":6,"averageScore":61,"posts":19,"specialistId":62,"userName":63,"hospital":64,"avatar":65,"description":66,"department":18},32859,9.5,881301,"严明","常州市老年病医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//eWZ85W35JD0Focm9MGQTM9xVwN47ZFEL.png","这篇文章围绕麻醉在胆结石治疗中的关键作用展开，选题贴近临床常见疾病，内容实用且专业性强。文章不仅点明了麻醉为胆囊切除等手术提供完善镇痛、保障手术操作顺利进行的基础作用，更突出了术中对呼吸、循环的严密监护，以及对高龄、合并心肺疾病患者的风险管控，充分体现了麻醉在围术期安全中的核心地位。",{"id":68,"updateTime":69,"averageScore":70,"posts":19,"specialistId":71,"userName":72,"hospital":73,"avatar":23,"description":74,"department":18},18266,"2025-12-15 11:14:20",8.6,875295,"李艳琼","苏州市立医院","点评：这篇内容以胆囊结石为切入点，从疾病基础认知到麻醉管理、术后康复形成完整的诊疗知识链，结构清晰且专业度高。用“小麻烦”“藏石”等通俗表述降低了医学概念的理解门槛，对术前评估、术中麻醉选择、术后镇痛的讲解也细致具体，还融入ERAS快速康复理念，贴合临床前沿。",{"id":76,"updateTime":77,"averageScore":78,"posts":19,"specialistId":79,"userName":80,"hospital":81,"avatar":82,"description":83,"department":18},17041,"2025-11-15 11:37:54",9,867072,"姜黎娜","丹阳市中医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//PAupErS5uFUi0zJaquawUK3KniysYUBA.png","胆囊疾病目前在我国属于普遍多发的疾病，该疾病年龄跨度大，病人的身体一般情况也各异。这篇文章对于胆囊疾病的科普已经注意事项，包括需要做的检查，以及手术注意事项，麻醉注意事项，术后麻醉管理都总结的比较全面，到位。",3,{"code":9,"msg":10,"message":6,"data":86,"success":54},{"authors":87,"appraiseDimensionScoresVos":94},[88,90,92],{"profilePhoto":82,"specialistId":89},"867072",{"profilePhoto":23,"specialistId":91},"875295",{"profilePhoto":65,"specialistId":93},"881301",[95,101,107,112,117],{"id":96,"scores":97,"value":98,"dimensionId":6,"avgs":99,"title":100},152737,30,23,27,"内容准确性",{"id":102,"scores":103,"value":104,"dimensionId":6,"avgs":105,"title":106},152738,20,17,17.75,"内容深度与广度",{"id":108,"scores":103,"value":109,"dimensionId":6,"avgs":110,"title":111},152739,18,17.5,"语言表达",{"id":113,"scores":114,"value":114,"dimensionId":6,"avgs":115,"title":116},152740,15,13.5,"呈现形式",{"id":118,"scores":114,"value":114,"dimensionId":6,"avgs":115,"title":119},152741,"教育价值"]