[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fHDtsvVOvYAnsy9baNEwLaY-kLxVlHCXplrSgfa_4B7M":8,"$fH46d4kxUzsDqmG-b6UZNTWOYf6q8YEEDPHveK9nx-Qc":55,"$f776BNj2yRFGsmLifJRRUTAgt1B2bazh0OIR8bK9A48o":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},68291,867780,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//ohOmd4OVdDouaQdzebdNULc1MdPaBoxO.png","周序东","重庆美一莲整形美容医院","麻醉科","主治医师",32,0,"麻醉在大腿脂肪堆积手术中的应用与管理","","https://ystcdn.venuertc.com/venue/AI/c953a5c4-b262-49f5-9aa7-60e4f89c1848.jpg","\u003Cdiv class=\"material-wrapper-custom\">\n  \u003Ch1 id=\"material_title\" class=\"material-title-custom\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">麻醉在大腿脂肪堆积手术中的应用与管理\u003C/h1>\n\n  \u003Cdiv class=\"material-section-custom material-bg1-custom\">\n    \u003Ch2 class=\"material-subtitle-custom\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 生活中的大腿脂肪堆积与麻醉之间的联系\u003C/h2>\n    \u003Cp>\n      夏天一到，不少人换上了短裤、裙子，但藏不住的“大腿厚”，会成了不少朋友的小烦恼。有些人即使减肥成功，大腿还是没能如愿变细。这时，医学手段比如脂肪抽吸成了很多人的新选择。在手术室中，麻醉则是整个过程不可或缺的“保护伞”。\n    \u003C/p>\n    \u003Cp>\n      手术带来的压力和紧张感，也是现实中绕不开的一步。全身麻醉或局部麻醉方案，能帮助患者更好地度过手术时光，减轻身体与心理负担。不过，任何麻醉都不只是让人“睡一觉”，它背后有着严格的风险评估与方案匹配。轻描淡写地走进手术室前，真正的安全保障，其实就藏在细致的麻醉管理里。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section-custom material-bg2-custom\">\n    \u003Ch2 class=\"material-subtitle-custom\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 大腿脂肪堆积的症状与麻醉相关风险\u003C/h2>\n    \u003Cp>\n      大腿脂肪堆积其实很有“个性”。有些朋友只是偶尔发觉裤子越来越紧，走路时大腿彼此摩擦。随着体重变化不大，却发现大腿曲线始终难恢复。轻微阶段可能只是局部松弛，但一旦持续堆积，外观改变就比较明显了，比如大腿内外侧有厚实赘肉，用手一捏就是一大把，甚至运动变得吃力。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>长期久坐、饮食偏油的人，常见大腿对称性增粗。\u003C/li>\n      \u003Cli>有时家族成员里也能找到类似“大腿粗”的身材特点。\u003C/li>\n      \u003Cli>运动与控制饮食无效，大腿围度一直不瘦。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      这些症状虽然本身不会直接威胁健康，但一旦考虑手术瘦腿，麻醉风险得提前放在台面上说清楚。比如大量脂肪堆积的区域，局部血流慢，术后容易积液或瘀血。而且肥胖本身会干扰麻醉药代谢，稍不注意可能导致恢复慢、恶心、呼吸不畅。年轻女性虽然整体麻醉耐受好，但如果有基础疾病或特殊体质，也得格外警惕。\n    \u003C/p>\n    \u003Cp>\n      \u003Cspan class=\"material-emoji-custom\">💡\u003C/span>有位28岁的女性，公司职员，长期久坐且偏油饮食，要抽大腿脂肪时选择了全身麻醉+局部肿胀麻醉。这种联合麻醉有助于缓解手术痛感，却也要在术前精细评估身体状况，完善各项指标检查，才能最大程度降低意外发生率。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section-custom material-bg3-custom\">\n    \u003Ch2 class=\"material-subtitle-custom\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 大腿脂肪堆积的致病机制与麻醉考虑\u003C/h2>\n    \u003Cp>\n      其实，大腿脂肪堆积背后的原因相当复杂。常见的有这样几类：\n    \u003C/p>\n    \u003Col>\n      \u003Cli>\u003Cstrong>遗传倾向\u003C/strong>：父母一方有大腿肥胖，后代中出现同样体型的概率更高。\u003C/li>\n      \u003Cli>\u003Cstrong>代谢减慢\u003C/strong>：过了25岁，体内的基础代谢率可能会下降，这意味着同样的饮食结构和运动量，更容易囤积脂肪。\u003C/li>\n      \u003Cli>\u003Cstrong>久坐/缺乏运动\u003C/strong>：工作久坐、绝少户外活动的人群，脂肪最易顽固在大腿等体表大部位。\u003C/li>\n      \u003Cli>\u003Cstrong>激素影响\u003C/strong>：女性特殊的内分泌，比如雌激素偏高，会加重下肢脂肪堆积。\u003C/li>\n      \u003Cli>\u003Cstrong>饮食结构单一\u003C/strong>：高能量、高脂肪饮食，易让热量剩余成为脂肪储存。\u003C/li>\n    \u003C/ol>\n    \u003Cp>\n      回头看手术麻醉，医学研究显示，肥胖患者在麻醉状态下更容易出现气道阻塞、麻醉药难以精准控制[1]。大腿区域脂肪较多的时候，局部麻醉药的分布也会受到干扰——吸收速度变慢，不小心就有麻醉药累积中毒的风险。此外，脂肪细胞本身的血流量较低，术后恢复也会更久。\n    \u003C/p>\n    \u003Cp>\n      这些特殊机制，逼得麻醉医生不仅要算好药量，还要在配比、监测、术后镇痛方面提早布局，才能让风险降到最小。\n    \u003C/p>\n    \u003Cp class=\"material-reference-custom\">\n      \u003Cspan>引用：\u003C/span>\n      \u003Cspan>\n        [1] Ingrande, J., Lemmens, H. J. M. (2010). Dose Adjustment of Anaesthetics in the Morbidly Obese. British Journal of Anaesthesia, 105(suppl_1), i16–i23.\n      \u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section-custom material-bg4-custom\">\n    \u003Ch2 class=\"material-subtitle-custom\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 手术前的全面检查和麻醉评估流程\u003C/h2>\n    \u003Cp>\n      做好术前“功课”，才能让手术稳妥进行。脂肪抽吸手术前，一般要做以下几项检查：\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>血常规、肝肾功能、心电图等基础体检，排查潜在疾病。\u003C/li>\n      \u003Cli>静态、动态大腿围度和皮肤弹性的检测，为手术制定规划。\u003C/li>\n      \u003Cli>过敏史、既往麻醉反应调查，详细询问长期药物使用史。\u003C/li>\n      \u003Cli>麻醉前评估，包括气道条件、体型、重要器官功能等，判断能否耐受全身或局部麻醉。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      若有心脏或呼吸系统慢性病史，需做专科会诊。有些朋友虽年轻没明显基础病，但BMI、体脂率超标，也要关注麻醉相关风险——比如全麻下呼吸暂停、局麻下麻醉药残留导致神经系统不适（头晕、麻木）。\n    \u003C/p>\n    \u003Cp>\n      麻醉科在整个流程中相当于“守门人”，前期严把筛查关，中期动态调控麻药剂量，术后关注苏醒、恢复情况。这一套流程，一个环节都不能松懈。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section-custom material-bg5-custom\">\n    \u003Ch2 class=\"material-subtitle-custom\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 常见麻醉方案及其手术体验\u003C/h2>\n    \u003Cp>\n      大腿脂肪抽吸手术，有两种主流麻醉方式——全身静脉麻醉和局部肿胀麻醉：\n    \u003C/p>\n    \u003Cdiv class=\"material-emoji-list-custom\">\n      \u003Cspan>🌙\u003C/span>\n      \u003Cspan>🌸\u003C/span>\n    \u003C/div>\n    \u003Cul>\n      \u003Cli>\n        \u003Cstrong>全身静脉麻醉\u003C/strong>：通过静脉注射麻醉药，让人进入深度睡眠状态，适合对手术疼痛敏感或需大范围抽脂的患者。优点是配合度好、舒适度高，但要监测呼吸循环，确保苏醒迅速、平稳。缺点是对某些基础疾病患者不适。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>局部肿胀麻醉\u003C/strong>：把麻醉药和肾上腺素等药物一起注射到手术区域，让局部麻醉和止血，一举两得。优点是麻药在脂肪组织分布密集、创伤小、术后恢复快。缺点是大范围操作时局部肿胀感强，少数人会出现手术中短暂不适。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      以“全身静脉+局部肿胀”联合麻醉为例，能最大程度兼顾舒适度与局部止痛效果。这类方案临床上用得多，但对麻醉医生的实时调控能力要求很高。\n    \u003C/p>\n    \u003Cp>\n      手术过程中，麻醉医生会随时监测心率、血压、血氧等参数，确保患者始终处于最适宜的“深度”。有不适及时调整麻药，保障整个流程平稳顺利。\n    \u003C/p>\n    \u003Cp class=\"material-reference-custom\">\n      \u003Cspan>引用：\u003C/span>\n      \u003Cspan>\n        [2] Rosenberg, P. H., Veering, B. T., Urmey, W. F. (2004). Maximum recommended doses of local anesthetics: a multifactorial concept. Regional Anesthesia and Pain Medicine, 29(6), 564-575.\n      \u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section-custom material-bg6-custom\">\n    \u003Ch2 class=\"material-subtitle-custom\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 术后护理与麻醉后的疼痛管理\u003C/h2>\n    \u003Cp>\n      手术结束后，舒适的恢复体验很大程度取决于麻醉科的后续管理。许多人关心是否会很痛？其实，麻醉后的镇痛方案能帮忙解决不少烦恼。常见术后感觉是酸胀、轻度刺痛，但正规护理下，剧痛并不常见。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>麻醉药作用逐渐消退时，根据疼痛等级选择口服镇痛药或局部冷敷；\u003C/li>\n      \u003Cli>抽脂区多余液体引流后要保持伤口干燥，预防感染；\u003C/li>\n      \u003Cli>早期适量活动防止下肢血栓，但避免剧烈运动与负重；\u003C/li>\n      \u003Cli>饮食上鼓励富含蛋白质和维生素的食物，促进组织修复。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      \"全身麻醉+局部肿胀\"后一般3-6小时逐步苏醒，有短暂头晕、恶心属正常，一般数小时内可缓解。只要术后遵循医生指导，定期复查，大多数患者能在1-2周内恢复日常生活，不影响正常工作。\n    \u003C/p>\n    \u003Cp>\n      术后护理的核心是：\"及时反馈不适、遵医嘱护理、合理活动\"。这样能把麻醉相关并发症（如恶心、抽搐、反复出血）降低到最小。\n    \u003C/p>\n    \u003Cp class=\"material-reference-custom\">\n      \u003Cspan>引用：\u003C/span>\n      \u003Cspan>\n        [3] Camilleri, M., Bharucha, A. E. (2014). Pain management after surgery in adults and children: Guidance from the American Society of Anesthesiologists. Anesthesiology, 120(3), 528-552.\n      \u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section-custom material-bg7-custom\">\n    \u003Ch2 class=\"material-subtitle-custom\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 日常护理与预防推荐\u003C/h2>\n    \u003Cp>\n      平时保持大腿线条，不止靠手术，细节也很重要。说起来，许多合理的小习惯也是大腿健康的好帮手。\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>\n        \u003Cstrong>豆类及深色蔬菜\u003C/strong> + \u003Cspan class=\"material-emoji-custom\">🥦\u003C/span> + \u003Cspan>丰富膳食纤维和抗氧化物，吃法建议：每日1-2次，可煮汤或热拌。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>深海鱼\u003C/strong> + \u003Cspan class=\"material-emoji-custom\">🐟\u003C/span> + \u003Cspan>提供优质蛋白和omega-3有助减少脂肪堆积。建议每周2-3次，清蒸或煮为佳。\u003C/span>\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>蛋白质食物\u003C/strong> + \u003Cspan class=\"material-emoji-custom\">🥚\u003C/span> + \u003Cspan>促进组织代谢，多选鸡蛋、鸡胸肉。每天适量摄入。\u003C/span>\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      除饮食外，如果平时腿部容易浮肿、疲劳，也可以常做抬腿、踢腿和弹力带侧步训练，帮助大腿肌肉激活。运动建议参考“有氧+无氧”组合，对打造紧致大腿更有帮助。\u003Cbr>\n      \u003Cspan class=\"material-emoji-custom\">🦵\u003C/span> \n      如果出现大量脂肪难减、影响行动或明显外形变化，最好尽早咨询医师，考虑专业评估，寻找合适的解决方案，避免自行盲目用药和手术。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section-custom material-bg8-custom\">\n    \u003Ch2 class=\"material-subtitle-custom\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 总结说明\u003C/h2>\n    \u003Cp>\n      说到底，大腿脂肪抽吸手术并不可怕，关键在于科学评估和规范麻醉管理，正规医院和麻醉团队少不了。日常健康饮食和适度运动，仍然是预防脂肪堆积的好帮手。如果考虑手术，别忽视了麻醉医生的建议和术后自我护理，这些环节都很重要。遇到大腿顽固赘肉，理性对待，科学决策，每一步都防患于未然。\n    \u003C/p>\n    \u003Cp>\n      \u003Cspan class=\"material-emoji-custom\">✔️\u003C/span> 希望大家都能用温和积极的心态，关照自己的身体，遇到不懂的医学问题，主动求助专业人员，总能找到适合自己的健康方案。\n    \u003C/p>\n    \u003Cdiv class=\"material-reference-container-custom\">\n      \u003Cspan>主要参考文献：\u003C/span>\n      \u003Cul>\n        \u003Cli>Ingrande, J., Lemmens, H. J. M. (2010). Dose Adjustment of Anaesthetics in the Morbidly Obese. \u003Cem>British Journal of Anaesthesia\u003C/em>, 105(suppl_1), i16–i23.\u003C/li>\n        \u003Cli>Rosenberg, P. H., Veering, B. T., Urmey, W. F. (2004). Maximum recommended doses of local anesthetics: a multifactorial concept. \u003Cem>Regional Anesthesia and Pain Medicine\u003C/em>, 29(6), 564-575.\u003C/li>\n        \u003Cli>Camilleri, M., Bharucha, A. E. (2014). Pain management after surgery in adults and children: Guidance from the American Society of Anesthesiologists. \u003Cem>Anesthesiology\u003C/em>, 120(3), 528-552.\u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.material-wrapper-custom {\n  max-width: 790px;\n  margin: 40px auto 60px auto;\n  background: #f9fafc;\n  border-radius: 12px;\n  box-shadow: 0 2px 10px rgba(30,40,62,0.10);\n  padding: 38px 24px 36px 24px;\n  font-family: 'PingFang SC','Hiragino Sans GB','Microsoft YaHei',sans-serif;\n  color: #29304b;\n  font-size: 18px;\n  line-height: 1.78;\n}\n.material-title-custom {\n  text-align: center;\n  font-size: 32px;\n  color: #30435f;\n  font-weight: bold;\n  letter-spacing: 2px;\n  margin-bottom: 34px;\n  position: relative;\n  padding-bottom: 6px;\n  border-bottom: 3px solid #cdd7e9;\n}\n.material-section-custom {\n  margin-bottom: 40px;\n  padding: 26px 24px 22px 24px;\n  border-radius: 10px;\n  background-repeat: no-repeat;\n  background-position: top 16px right 20px;\n  background-size: 90px auto;\n  min-height: 42px;\n  box-sizing: border-box;\n}\n.material-bg1-custom {\n  background-color: #f7fafd;\n  background-image: linear-gradient(135deg, #e0f3fa 34%, rgba(255,255,255,0.00) 73%);\n}\n.material-bg2-custom {\n  background-color: #fbf9f6;\n  background-image: linear-gradient(60deg, #fde7db 88%, rgba(255,255,255,0.00) 100%);\n}\n.material-bg3-custom {\n  background-color: #f3f6fa;\n  background-image: linear-gradient(45deg, #e7f9f1 42%, rgba(255,255,255,0.00) 70%);\n}\n.material-bg4-custom {\n  background: linear-gradient(130deg, #f2f5fa 75%, #ede2ff 100%);\n}\n.material-bg5-custom {\n  background: linear-gradient(109deg, #f9f2e7 61%, #e6f7f2 100%);\n}\n.material-bg6-custom {\n  background: linear-gradient(127deg,#f0f7fd 75%, #e6fbe0 100%);\n}\n.material-bg7-custom {\n  background: linear-gradient(140deg,#f9f6e9 51%, #eae1f5 100%);\n}\n.material-bg8-custom {\n  background: linear-gradient(153deg,#e7f3fd 61%, #ffeaea 100%);\n}\n.material-subtitle-custom {\n  font-size: 23px;\n  font-weight: 600;\n  color: #456197;\n  margin-bottom: 23px;\n  letter-spacing: 1px;\n  position: relative;\n  padding-left: 6px;\n}\n.material-section-custom ul,\n.material-section-custom ol {\n  margin-left: 22px;\n  margin-top: 0;\n  margin-bottom: 18px;\n}\n.material-section-custom li {\n  margin-bottom: 7px;\n}\n.material-section-custom em {\n  font-style: italic;\n}\n.material-emoji-custom {\n  font-size: 22px;\n  margin: 0 4px;\n  vertical-align: -3px;\n}\n.material-emoji-list-custom {\n  display: flex;\n  gap: 10px;\n  margin-top: 5px;\n  margin-bottom: 7px;\n}\n.material-reference-custom {\n  font-size: 16px;\n  background: #f3f6fa;\n  padding: 10px 12px 10px 14px;\n  border-left: 4px solid #b4d6fc;\n  border-radius: 0 4px 4px 0;\n  color: #7992ab;\n  margin-top: 18px;\n  margin-bottom: 0;\n}\n.material-reference-container-custom {\n  font-size: 15px;\n  color: #6781a6;\n  margin-top: 16px;\n  background: #f9fafd;\n  border-radius: 7px;\n  padding: 16px 16px 14px 20px;\n  border-left: 4px solid #e0f3fa;\n}\n@media (max-width: 700px) {\n  .material-wrapper-custom {\n    padding: 10px 2vw 8px 2vw;\n    font-size: 15.5px;\n  }\n  .material-title-custom {\n    font-size: 22px;\n    margin-bottom: 16px;\n  }\n  .material-section-custom {\n    padding: 17px 8px 10px 8px;\n  }\n  .material-subtitle-custom {\n    font-size: 17px;\n    margin-bottom: 12px;\n  }\n}\n\u003C/style>\n","\u003Cdiv class=\"material-wrapper-custom\">\n  \u003Ch1 id=\"material_title\" class=\"material-title-custom\" style=",526,"2025-10-23 19:48:52","大腿脂肪抽吸, 麻醉风险, 局部麻醉, 全身麻醉, 手术护理, 脂肪堆积, 术后恢复, 健康管理","了解大腿脂肪抽吸手术中的麻醉方式及其风险评估，助你科学决策，安全手术，让麻醉管理保护你的健康与美丽。","2025-11-29 07:30:00",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","高发轻症",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},[],[]]