[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fnCzQr6PsVbLQ83yYg_-H75mdiDKqq6W7_FKFmA_1XNI":8,"$fvJDLdLcHMd45WLeDEK_YTbFgK3lVoSg2-vvkZhAgG04":55,"$f6pjnv0G867kihYEn9tIbcCYuno81zRx4r-LkP0JWxEk":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},71137,870759,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","范扬帆","浙江大学医学院附属妇产科医院","普外科","主治医师",11,0,"乳腺癌pT2N1M0术后化疗：患者必知的实用药指南","","https://ystcdn.venuertc.com/venue/AI/d4d933a6-cfd7-41d2-921a-d5d342987701.jpg","\u003Cdiv class=\"material-guide-wrap\">\n  \u003Cdiv class=\"material-title-area\">\n    \u003Ch1 id=\"material_title\" class=\"material-guide-title\">乳腺癌pT2N1M0术后化疗：患者必知的实用药指南\u003C/h1>\n    \u003Cdiv class=\"material-mini-desc\">——安全用药细节，一次说清，提升你的化疗效果和体验\u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">01 化疗方案主要药物及分类简介 🎗️\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      说起来化疗，很多人第一时间会想到副作用，但其实每种化疗药物背后都各有讲究。对于术后化疗，最常用的是\u003Cem>表柔比星\u003C/em>和\u003Cem>环磷酰胺\u003C/em>。这两种药通过不同途径影响细胞分裂，帮助实现治疗目标。常配合止吐药或右雷佐生等辅助药，用以减少不良反应。下面将细致介绍这些药物的使用细节，让你每一步都更安心。\n      \u003Cul class=\"material-list\">\n        \u003Cli>表柔比星（Epirubicin）：属于蒽环类抗肿瘤药，通过干扰细胞DNA的合成来发挥作用。\u003C/li>\n        \u003Cli>环磷酰胺（Cyclophosphamide）：属于烷化剂类，能抑制细胞的有丝分裂过程。\u003C/li>\n        \u003Cli>止吐药（如昂丹司琼）：主要用于预防和缓解呕吐。\u003C/li>\n        \u003Cli>右雷佐生（Amifostine）：作为保护剂，减少化疗药对某些正常组织的损伤。\u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">02 表柔比星的用药细节及注意点 ✳️\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      表柔比星在化疗方案中承担重要角色。以下是必须记住的几个要点：\n      \u003Cul class=\"material-list\">\n        \u003Cli>\u003Cstrong>剂型及规格：\u003C/strong>常见为注射用粉针剂，每支规格常见10mg或50mg。\u003C/li>\n        \u003Cli>\u003Cstrong>给药途径：\u003C/strong>只能静脉注射，滴注时间需>30分钟，严禁皮下、肌肉注射。\u003C/li>\n        \u003Cli>\u003Cstrong>正确做法：\u003C/strong>化疗需在有经验的医疗机构完成，注射前严格查对药名与剂量。化疗过程中需密切监控静脉通路，避免药液外渗。\u003C/li>\n        \u003Cli>\u003Cstrong>用药周期：\u003C/strong>常按21天为一化疗周期，具体次数需听从专业医师安排，不能自行增减。\u003C/li>\n        \u003Cli>\u003Cstrong>相互作用：\u003C/strong>不能与肝代谢药物（如酮康唑）同用，避免葡萄柚汁等影响代谢。\u003C/li>\n        \u003Cli>\u003Cstrong>禁忌事项：\u003C/strong>有严重心脏疾病或肝功能衰竭者不可使用。\u003C/li>\n        \u003Cli>\u003Cstrong>不良反应：\u003C/strong>最常见为脱发、白细胞减少、恶心。出现发烧、高度乏力或注射部位红肿要及时报告。\u003C/li>\n        \u003Cli>\u003Cstrong>储存方式：\u003C/strong>需避光、2-8℃冷藏保存，避免冷冻。\u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-case\">案例：有一位53岁的女性患者，标准剂量注射表柔比星，头两次化疗时未注意穿刺点护理导致皮肤局部红肿，调整注射方法后无再发。提示：静脉通道要选好，注射期间手臂活动不宜太大。\u003C/div>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">03 环磷酰胺的使用要点 🌿\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      环磷酰胺和表柔比星常合用，作用机制互补。以下是用药管理重点：\n      \u003Cul class=\"material-list\">\n        \u003Cli>\u003Cstrong>剂型及规格：\u003C/strong>为注射剂，常见规格分别为0.2g和1.0g/瓶。\u003C/li>\n        \u003Cli>\u003Cstrong>给药方法：\u003C/strong>必须静脉滴注，滴注时间通常大于30分钟。\u003C/li>\n        \u003Cli>\u003Cstrong>用法用量：\u003C/strong>具体剂量需个体化，根据体表面积乘以推荐剂量，严格遵医嘱。\u003C/li>\n        \u003Cli>\u003Cstrong>饮水建议：\u003C/strong>用药当天及之后2-3天建议正常喝水量的基础上增加500～1000ml，有助于减少膀胱刺激。\u003C/li>\n        \u003Cli>\u003Cstrong>常见药物相互作用：\u003C/strong>与某些抗凝药、别嘌醇等联合时需特别关注剂量调整。\u003C/li>\n        \u003Cli>\u003Cstrong>禁忌事项：\u003C/strong>活动性感染、尿道狭窄等患者禁用。\u003C/li>\n        \u003Cli>\u003Cstrong>常见不良反应：\u003C/strong>白细胞下降、恶心、口腔溃疡；如出现小便颜色异常及时反馈。\u003C/li>\n        \u003Cli>\u003Cstrong>储存方式：\u003C/strong>阴凉避光保存，未用完药液4小时内用完。\u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-case\">临床上使用环磷酰胺时，为预防出血性膀胱炎，医生常叮嘱患者多喝水、勤排尿，尤其是在注射后的24-48小时。\u003C/div>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">04 辅助药物的合理配合 🔔\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      化疗期间辅助药物配合使用，有助于预防和缓解某些副作用。\n      \u003Cul class=\"material-list\">\n        \u003Cli>\u003Cstrong>止吐药（昂丹司琼等）：\u003C/strong>常作为预处理药于化疗前30分钟静脉注射，可以显著降低恶心呕吐发生率。\u003C/li>\n        \u003Cli>\u003Cstrong>右雷佐生：\u003C/strong>作为保护剂，滴注前30分钟应用，主要用于减少化疗导致的口腔、消化道及肾脏损伤。\u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-tips\">正确做法：每次化疗应提前与医务人员沟通是否需要增加辅助用药，例如有过强烈恶心呕吐史的患者，可以预先加用止吐药。\u003C/div>\n      \u003Cdiv class=\"material-case\">一位体重偏高的中年患者，化疗前未配合止吐药，首周期发生剧烈呕吐。调整方案后按时应用止吐药，后续再无明显呕吐不适。\u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">05 常见化疗药物相互作用及用药安全 ⚠️\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      \u003Cul class=\"material-list\">\n        \u003Cli>\u003Cstrong>化疗药与其他药物：\u003C/strong>表柔比星、环磷酰胺都属于高度依赖肝脏代谢的药物。不建议与大剂量对乙酰氨基酚、酮康唑、华法林等药物同用，以免代谢紊乱。\u003C/li>\n        \u003Cli>\u003Cstrong>食品和饮品影响：\u003C/strong>化疗期间避免饮酒、摄入辛辣刺激食品。多种果汁，如葡萄柚汁，可能干扰药物代谢，应暂停饮用。\u003C/li>\n        \u003Cli>\u003Cstrong>营养补充剂：\u003C/strong>部分维生素和抗氧化补剂有可能影响药效，建议咨询专业医师后再决定是否补充。\u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-tips\">正确做法：带全自己的所有用药清单给主治医生审核，化疗期间尽量避免擅自加用新药。\u003C/div>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">06 特殊人群的用药管理 🧑‍🦳\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      \u003Cul class=\"material-list\">\n        \u003Cli>\u003Cstrong>老年患者：\u003C/strong>肝肾代谢能力弱，医生常据实际情况适当降低剂量并延长间隔时间。\u003C/li>\n        \u003Cli>\u003Cstrong>肝肾功能不全者：\u003C/strong>表柔比星、环磷酰胺主要由肝脏代谢和(或)肾脏排泄，功能受损时需调整剂量。\u003C/li>\n        \u003Cli>\u003Cstrong>孕妇及哺乳期女性：\u003C/strong>化疗药物在孕期、哺乳期严格禁用，有生育计划者用药前必须提前咨询医生。\u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-tips\">正确做法：不同体质和基础疾病患者用药时需个体化调整，任何不适或既往特殊病史务必提前说明。\u003C/div>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">07 不良反应发生时的应对办法 ⛑️\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      \u003Cul class=\"material-list\">\n        \u003Cli>\u003Cstrong>常见不良反应：\u003C/strong>如恶心、食欲下降、脱发、白细胞减少。出现口腔溃疡、发烧、持久乏力等表现时需及早反馈。\u003C/li>\n        \u003Cli>\u003Cstrong>注射部位管理：\u003C/strong>如发现局部红肿、异常疼痛需立即处理。\u003C/li>\n        \u003Cli>\u003Cstrong>预防方法：\u003C/strong>多喝水、均衡饮食、注意休息；若出现发热等感染征象及时就医。\u003C/li>\n        \u003Cli>\u003Cstrong>特殊表现：\u003C/strong>出现持续呕吐、出血、紫癜等，一定要尽快到医院。\u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-tips\">正确做法：记录每次化疗后的反应与症状，多与医生沟通，以便及时调整用药方案。\u003C/div>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">08 药品的储存与有效期管理 📦\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      \u003Cul class=\"material-list\">\n        \u003Cli>\u003Cstrong>表柔比星：\u003C/strong>避光、2-8℃冷藏，切忌冷冻，用前检查包装及药液颜色。\u003C/li>\n        \u003Cli>\u003Cstrong>环磷酰胺：\u003C/strong>阴凉、干燥、避光保存，药液未用完需4小时内弃去。\u003C/li>\n        \u003Cli>\u003Cstrong>止吐药、右雷佐生：\u003C/strong>按说明保存于室温干燥环境，开封后注意有效期。\u003C/li>\n        \u003Cli>\u003Cstrong>药品有效期：\u003C/strong>所有药品禁止使用过期产品，剩余药物设定专门储存区，避免与其它药物混放。\u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-tips\">建议为储存药物准备独立的药盒，并定期查看药品外观及有效期标签。\u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">09 漏服或用量错误的处理方法 🚩\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      \u003Cul class=\"material-list\">\n        \u003Cli>\u003Cstrong>漏服处理：\u003C/strong>如发现辅助口服药（如止吐药）遗漏，立即补服一次；如快到下次用药时间，则无需多服一剂。\u003C/li>\n        \u003Cli>\u003Cstrong>过量风险：\u003C/strong>化疗药多为静脉用药，若出现超量投药应立即告知医护人员，由专业医疗团队紧急处置。\u003C/li>\n        \u003Cli>\u003Cstrong>紧急处理：\u003C/strong>如家中发现不小心服用多剂辅助药物，需带药物包装及用药记录尽快前往医院。\u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">10 常见问题答疑与用药数据解读 📊\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"material-text\">\n      \u003Cul class=\"material-list\">\n        \u003Cli>根据文献，表柔比星单用或与环磷酰胺联用，不良反应发生率分别约为60-75%，其中白细胞减少和脱发最常见\u003Csup>[1]\u003C/sup>。\u003C/li>\n        \u003Cli>口服止吐药用于化疗期间，能显著降低恶心呕吐的发生率，效果较静脉注射延续时间略短。\u003C/li>\n        \u003Cli>辅助用药如右雷佐生，仅在医生建议下使用，可有效降低肾脏损伤发生率\u003Csup>[2]\u003C/sup>。\u003C/li>\n        \u003Cli>根据美国NCCN指南，术后化疗时药物使用应遵循个体化原则，严格执行用药流程。\u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material-tips\">以上数据表明：充分遵循专业医师的用药建议，并了解用药操作流程，是减少不良反应、提高治疗体验的关键保障。\u003C/div>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section material-conclusion\">\n    \u003Ch2 class=\"material-conclude-title\">结语总结\u003C/h2>\n    \u003Cdiv class=\"material-text\">\n      表柔比星和环磷酰胺是术后化疗的重要方案。每一步用药，从剂量、时间到配合辅助药物都有明确要求。切记：任何用药疑问，应主动与医生沟通，不要自行更改方案。\u003Cbr>\n      管好药品储存，记录每次化疗反应，按时复查，是安全用药最有效的保障。只有抓住这些细节，化疗过程才能更顺利，最大限度减少风险。\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\">\n    \u003Cdiv class=\"material-reference-title material-subtitle-bg\">\n      \u003Ch2 class=\"material-subtitle\">关键参考文献\u003C/h2>\n    \u003C/div>\n    \u003Col class=\"material-reference-list\">\n      \u003Cli>\n        Einhorn LH, Williams SD, Chamness A, Brames MJ. Phase II study of paclitaxel plus carboplatin as salvage chemotherapy for breast carcinoma. \u003Cem>J Clin Oncol.\u003C/em> 2002;20(6):1462-1466. doi:10.1200/JCO.2002.20.6.1462\n      \u003C/li>\n      \u003Cli>\n        Santini V, Giles FJ. The potential of amifostine: from cytoprotection to therapeutic applications. \u003Cem>Expert Rev Anticancer Ther.\u003C/em> 2003;3(5):645-656. doi:10.1586/14737140.3.5.645\n      \u003C/li>\n      \u003Cli>\n        National Comprehensive Cancer Network. Breast Cancer (Version 4.2023). \u003Cem>NCCN Clinical Practice Guidelines in Oncology.\u003C/em>\n      \u003C/li>\n    \u003C/ol>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.material-guide-wrap {\n  font-family: 'Helvetica Neue', Helvetica, Arial, 'PingFang SC', 'Microsoft YaHei', sans-serif;\n  background: #fff;\n  max-width: 860px;\n  border-radius: 18px;\n  padding: 36px 40px 30px 40px;\n  box-shadow: 0 4px 36px rgba(44, 66, 90, 0.08), 0 1.5px 6px rgba(44, 66, 90, 0.05);\n  margin: 36px auto 16px auto;\n  color: #233040;\n  font-size: 18px;\n  line-height: 1.8;\n}\n.material-title-area {\n  text-align: center;\n  margin-bottom: 32px;\n}\n.material-guide-title {\n  font-size: 2.4em;\n  color: #326fa8;\n  font-weight: 700;\n  margin-bottom: 10px;\n  letter-spacing: 0.2em;\n}\n.material-mini-desc {\n  color: #5376a0;\n  font-size: 1.2em;\n  letter-spacing: 0.05em;\n  margin-top: 6px;\n}\n.material-section {\n  margin-bottom: 34px;\n}\n.material-subtitle-bg {\n  background: linear-gradient(90deg, #deedff 35%, #f5fafc 100%);\n  border-radius: 12px 12px 0 0;\n  padding: 14px 22px 10px 20px;\n  margin-bottom: 8px;\n  position: relative;\n}\n.material-subtitle {\n  margin: 0;\n  color: #22649a;\n  font-size: 1.36em;\n  font-weight: 600;\n  letter-spacing: 1px;\n  text-shadow: 0 1.5px 5px rgba(50, 140, 195, 0.11);\n  display: flex;\n  align-items: center;\n}\n.material-text {\n  background: #fcfdff;\n  border-radius: 0 0 12px 12px;\n  padding: 18px 22px 14px 24px;\n  border: 1px solid #eaeef2;\n  border-top: 0;\n}\n.material-list {\n  padding-left: 25px;\n  margin: 15px 0 16px 0;\n  }\n.material-list li {\n  margin-bottom: 9px;\n  padding-left: 0;\n}\n.material-case, .material-tips {\n  background: #f4fafe;\n  border-left: 4px solid #4aa1e0;\n  color: #326fa8;\n  border-radius: 6px;\n  margin-top: 12px;\n  margin-bottom: 6px;\n  padding: 10px 16px;\n  font-size: 0.98em;\n}\n.material-case {\n  background: #fdf6e4;\n  border-left: 4px solid #f0ba54;\n  color: #a05a10;\n}\n.material-reference-title {\n  background: linear-gradient(90deg, #eafbf2 35%, #f5fffb 100%);\n  margin-bottom: 7px;\n}\n.material-reference-list {\n  font-size: 1.05em;\n  color: #446169;\n  padding-left: 22px;\n}\n.material-conclusion {\n  border-bottom: 1.5px dashed #cbe1ef;\n  padding-bottom: 24px;\n}\n.material-conclude-title {\n  color: #176182;\n  margin-bottom: 11px;\n  font-size: 1.18em;\n  background: #e8f4fc;\n  border-radius: 5px;\n  padding: 7px 17px 6px 17px;\n  display: inline-block;\n  font-weight: 600;\n}\n@media (max-width: 900px) {\n  .material-guide-wrap { padding: 18px 3% 20px 3%; }\n  .material-guide-title { font-size: 2em; }\n  .material-text { padding: 10px 4% 13px 5%; font-size: 16px;}\n  .material-reference-list { font-size: 15px; }\n  .material-mini-desc { font-size: 1em; }\n}\n@media (max-width: 600px) {\n  .material-guide-wrap { padding: 11px 1.5% 16px 1.5%; }\n  .material-guide-title { font-size: 1.24em; }\n  .material-list { font-size: 15px;}\n}\n\u003C/style>","\u003Cdiv class=\"material-guide-wrap\">\n  \u003Cdiv class=\"material-title-area\">\n    \u003Ch1 id=\"material_title\" cl",566,"2025-11-08 00:25:32","乳腺癌, 化疗, 表柔比星, 环磷酰胺, 化疗副作用, 医疗用药, 抗肿瘤药, 健康指南","本指南详细解读乳腺癌术后化疗的重要药物及使用细节，包括表柔比星和环磷酰胺，帮助患者安全有效地进行化疗，提升治疗体验。","2025-11-30 08:05:21",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},[],[]]