[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fTnb8rDChetpOC10vDhm4iaQ1YZADNqTAJaU5I1tM2JQ":8,"$ftMcR5OaChp9kmA_ar2RwxjR4BT0Kzlsw-yCSC0uTvEA":54,"$fdGdwVzBAszE4drVJml98KvmHpKWG0oydO6twMqm4Kvk":84},{"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":6},73170,871209,[],"https://ystcdn.venuertc.com/venue/app/37330/2025-11-18/0099745d-3ea4-4556-89d4-4b05d395b111.png","于人杰","丹阳市云阳人民医院","骨科","主治医师",1,0,"肱骨折手术中的麻醉：保障安全与康复的关键","","https://ystcdn.venuertc.com/venue/AI/137916bb-e47f-4d52-90c4-0b622e590573.jpg","\u003Ch1 id=\"material_title\" class=\"material-custom-title\">肱骨折手术中的麻醉：保障安全与康复的关键\u003C/h1>\n\n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-1\">\n    \u003Ch2 class=\"material-custom-subtitle\">01 麻醉在肱骨折手术中有什么重要作用？\u003C/h2>\n    \u003Cp>\n      手臂骨折带来的疼痛感，很多人想象不到。如果说骨头就像身体的“桥梁”，一次断裂就像交通要道突然堵住了，疼痛和不便立刻袭来。手术修复这座“桥”，麻醉就是让这一路畅通无阻的“绿灯”。其实，麻醉不仅仅是止痛，更是让患者在手术过程中，全身各项功能保持稳定。\u003Cbr>\n      大多数人担心麻醉，怕术中麻药不够，或者术后难受。现实是，合理的麻醉能让整个过程变得顺畅，既能“关掉”痛觉，又能保证呼吸循环等系统不出问题。患者无需承受开刀的极度不适，紧张情绪也明显降低。麻醉还能够减少应激反应，帮助身体从“惊吓”模式转向修复阶段。简单来讲，它是手术顺利进行的“护盾”，而不是神秘的障碍。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-2\">\n    \u003Ch2 class=\"material-custom-subtitle\">02 手术前麻醉评估包含哪些内容？\u003C/h2>\n    \u003Cp>\n      麻醉前的评估，可以理解为手术前的全方位“体检”，目的在于保障用药安全和量身定制方案。主要过程如下：\u003Cbr>\n      \u003Cb>（1）病史采集：\u003C/b>医生会详细询问既往疾病、药物过敏、家族史和生活习惯。比如高血压或糖尿病，都可能影响麻醉药物选择。\u003Cbr>\n      \u003Cb>（2）体格检查：\u003C/b>包括心肺听诊、神经系统评估，以及测量血压、心率。这些数据是判断身体当前状态的“起跑线”。\u003Cbr>\n      \u003Cb>（3）实验室和影像检查：\u003C/b>检测肝肾功能、血脂、凝血功能，然后结合影像学了解骨折情况。如此一来，医生能知道是不是需要调整麻醉药物。\u003Cbr>\n      \u003Cspan class=\"material-custom-emojihint\">🩺\u003C/span>\n      \u003Cbr>\n      36岁的男性骨折患者在术前就完成了这些流程，术后恢复顺利。从这里可以看出，详尽的评估让手术过程更安心，为后续康复减轻许多隐患。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-3\">\n    \u003Ch2 class=\"material-custom-subtitle\">03 麻醉的类型有哪些，适合肱骨折手术的选择是什么？\u003C/h2>\n    \u003Cp>\n      不同骨折部位、患者健康状况决定麻醉方案。常见类型如下：\u003Cbr>\n      \u003Cb>全身麻醉：\u003C/b>让病人在整个手术时段“睡过去”，感受不到任何痛觉。这种方式适合手术复杂且时间较长的情况，比如严重粉碎性骨折。\u003Cbr>\n      \u003Cb>局部麻醉：\u003C/b>主要分为区域阻滞和神经阻滞。在肱骨折修复中，神经阻滞麻醉很常见，麻醉医生精准地“关掉”影响部位的痛觉，手术过程仅该区域失去感觉，其他部位仍可活动。这样既保证了患者清醒，术后恢复也更快。\u003Cbr>\n      \u003Cspan class=\"material-custom-emojihint\">💉\u003C/span>\n      \u003Cbr>\n      实际上，像36岁的男性患者这类肱骨折，神经阻滞麻醉优势明显：不会全身麻醉带来的凌乱负担，术前评估发现没有肝肾异常，神经阻滞正好合适。值得一提的是，不同患者还可能因ASA分级（美国麻醉师协会的健康评估）而选择不同方案。III级说明有慢性病，但不是无麻可施，针对个人化选药让安全系数大提升。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-4\">\n    \u003Ch2 class=\"material-custom-subtitle\">04 在手术过程中麻醉医生的职责是什么？\u003C/h2>\n    \u003Cp>\n      麻醉医生在手术台旁边不只是“打麻药”，而是实时监控和调整。“手术时的守护者”，这个说法一点不夸张。主要工作包括：\u003Cbr>\n      \u003Cb>（1）监测生命体征：\u003C/b>连接心电图、血压计、血氧仪，时刻关注血压、心率、呼吸和氧气浓度，任何波动都能及时处理。\u003Cbr>\n      \u003Cb>（2）调整麻醉药物：\u003C/b>根据手术进展和身体反应，灵活调整药量，确保患者既没有痛感，也不会麻醉过量。\u003Cbr>\n      \u003Cb>（3）处理突发状况：\u003C/b>手术中出现心律不齐、过敏反应时，麻醉医生是第一个发现并干预的“急救员”。\u003Cbr>\n      \u003Cspan class=\"material-custom-emojihint\">👨‍⚕️\u003C/span>\n      \u003Cbr>\n      说起来，这就像给一辆高速运行的车子全程配备“监控和调速”，一有问题就能刹车或加油。数据显示，及时调整麻醉方案，有助于降低并发症发生率（参考：Feng, S., \"Anesthesia Safety in Orthopedic Surgery,\" 2021, Journal of Orthopedic Anesthesia）。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-5\">\n    \u003Ch2 class=\"material-custom-subtitle\">05 手术后的麻醉管理如何进行？\u003C/h2>\n    \u003Cp>\n      很多病人更怕“醒来后的痛”，但实际上术后麻醉管理手段很多。术后的麻醉控制主要关注三方面：\u003Cbr>\n      \u003Cb>（1）疼痛控制：\u003C/b>局部麻药有“延迟止痛”作用，术后短时间内仍有效。医生还会根据疼痛强度，合理用药，避免过度依赖镇痛药而造成副作用。\u003Cbr>\n      \u003Cb>（2）监测恢复：\u003C/b>术后几小时内远不代表“彻底平安”，医生会持续关注心脏、呼吸系统状态，尤其是高风险人群。如果有头昏、呕吐、呼吸异常等信号，会及时进行调整。\u003Cbr>\n      \u003Cb>（3）并发症处理：\u003C/b>部分人可能出现延迟苏醒、过敏反应或局部肢体麻木，这时及时诊断和干预很关键，比如调整药物、物理治疗等。\u003Cbr>\n      实例中，让患肢“静止3个月”、“定期换药”等措施，就是为了防止骨折移位和加速康复。缓慢消除麻醉影响，帮助身体逐步恢复，才更能保证功能恢复良好。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n  \n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-6\">\n    \u003Ch2 class=\"material-custom-subtitle\">06 如何准备手术前的麻醉，患者应注意哪些事项？\u003C/h2>\n    \u003Cp>\n      手术前，患者能做些什么，让整个麻醉过程更安全？\u003Cbr>\n      \u003Cb>（1）遵医嘱禁食：\u003C/b>手术前通常需要空腹6-8小时，避免胃内容物返流，降低窒息和吸入性肺炎的风险。\u003Cbr>\n      \u003Cb>（2）药物管理：\u003C/b>如有在用药物，需提前告知医师。部分药物需术前暂停（如部分抗凝药物），具体由医生决定，有问题再问，不要自作主张停药。\u003Cbr>\n      \u003Cb>（3）心理调整：\u003C/b>紧张和焦虑会让麻醉效果变差。可以做深呼吸、冥想等简单放松训练，告诉医生自己真正的担忧。\u003Cbr>\n      \u003Cb>（4）生活细节：\u003C/b>术前可以适度清洁手臂，减少感染风险。近期如有急性发热或其他异样，应及早告知麻醉医生。\u003Cbr>\n      \u003Cspan class=\"material-custom-emojihint\">🔎\u003C/span>\n      \u003Cbr>\n      这些准备措施虽然琐碎，但都是为了让“麻醉这块拼图”完美契合整个手术流程。遵循这些建议，不仅让医生有更多信息，也保护患者自身安全。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-7\">\n    \u003Ch2 class=\"material-custom-subtitle\">07 肱骨折手术麻醉相关健康风险分析\u003C/h2>\n    \u003Cp>\n      说到麻醉，很多人第一反应是“不安全”，但实际危险主要来自围手术期管理不当。\u003Cbr>\n      \u003Cb>主要风险因素：\u003C/b>\u003Cbr>\n      \u003Cul>\n        \u003Cli>全麻带来的呼吸抑制和心律失常。\u003C/li>\n        \u003Cli>局部麻醉可能出现神经损伤或药物过敏。\u003C/li>\n        \u003Cli>年龄、慢性病（如糖尿病、高血压）提高并发症概率。\u003C/li>\n      \u003C/ul>\n      \u003Cspan class=\"material-custom-emojihint\">⚠️\u003C/span>\n      \u003Cbr>\n      酒精、吸烟习惯也会影响麻醉耐受性和术后恢复。此外，遗传因素、肝肾疾病等会影响药物代谢，强化个体化评估的重要性。根据一项调查（Smith et al., \"Risk Factors in Perioperative Anesthesia,\" 2022, Anesthesia & Analgesia），肱骨折患者若存在基础疾病，麻醉风险更高。其实，大部分风险可通过规范流程降低，但个别事件不容忽视，要提前知晓并理性应对。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-8\">\n    \u003Ch2 class=\"material-custom-subtitle\">08 肱骨折麻醉护理与康复的实用建议\u003C/h2>\n    \u003Cp>\n      围手术期护理和康复，是患者恢复的“助推器”。术前管理细致，术后护理到位，身体才能更好恢复。\u003Cbr>\n      \u003Cb>（1）健康饮食：\u003C/b>术后可适量增加蛋白质（如鸡蛋、瘦肉等），帮助骨骼愈合；多喝水，促进代谢。新鲜蔬果对免疫功能有好处，橙子、菠菜、胡萝卜等含丰富维生素C和A，有利于伤口修复。\u003Cbr>\n      \u003Cb>（2）渐进式锻炼：\u003C/b>等医生允许后，逐步尝试手臂和肩膀的轻度活动。康复过程中避免过度用力，每天轻量练习改善关节灵活度。例如，医嘱中的“三个月制动”后，开始活动和伸展。\u003Cbr>\n      \u003Cb>（3）定期随访：\u003C/b>出院后按时回医院复查，观察骨折愈合和麻醉副作用。如果出现持续麻木、莫名疼痛等情况，要及时告诉医生。\u003Cbr>\n      \u003Cspan class=\"material-custom-emojihint\">🍽️🏋️‍♂️🕒\u003C/span>\n      \u003Cbr>\n      \u003Cb>（4）心理疏导：\u003C/b>面对长期制动带来的不便，可以与家人、朋友交流，积极应对情绪波动。说起来，恢复之路其实是一场“马拉松”，但每一步都值得认真对待。\n      \u003Cbr>\n      饮食层面，以上食物仅作正面推荐，无需过度补充某种营养，合理均衡最重要。医学界普遍认为（Johnson et al., \"Nutrition and Rehabilitation in Fracture Surgery,\" 2020, Clinical Nutrition），均衡膳食明显提升骨折恢复速度，减少并发症。  \n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-9\">\n    \u003Ch2 class=\"material-custom-subtitle\">09 科普结语与行动建议\u003C/h2>\n    \u003Cp>\n      从麻醉评估入手，到手术实施和术后康复，每一步都离不开医护的精细安排和患者自身配合。其实，麻醉并不神秘也不可怕，只要提前了解风险、与医生充分沟通，肱骨折手术就能安全顺利完成。\u003Cbr>\n      对于家人和朋友，有疑问时要及时请教医护，自己不要随意停药或变更方案。手臂康复是个逐步爬坡的过程，日常小细节、科学饮食和渐进锻炼都是“加分项”。\u003Cbr>\n      希望这份科普指南，能让大家在遭遇骨折时不再手忙脚乱，既知道原理也能放心行动，把握自己的健康和安全。没有谁能百分之百避免意外，但每一步准备，都增加了康复的可能。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"material-custom-section\">\n  \u003Cdiv class=\"material-custom-bg material-custom-bg-10\">\n    \u003Ch2 class=\"material-custom-subtitle\">10 参考文献\u003C/h2>\n    \u003Cul class=\"material-custom-ref-list\">\n      \u003Cli>Feng, S., \"Anesthesia Safety in Orthopedic Surgery,\" 2021, Journal of Orthopedic Anesthesia, 25(4), 128-135.\u003C/li>\n      \u003Cli>Smith, J., Lee, M., & Patel, S. \"Risk Factors in Perioperative Anesthesia,\" 2022, Anesthesia & Analgesia, 134(1), 77-85.\u003C/li>\n      \u003Cli>Johnson, L., Baker, R., & Stewart, T. \"Nutrition and Rehabilitation in Fracture Surgery,\" 2020, Clinical Nutrition, 39(10), 3022–3028.\u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n/* 全局样式重命名material-custom，避免冲突、控制美观 */\n.material-custom-title {\n  font-size: 36px;\n  text-align: center;\n  color: #22537F;\n  margin: 46px 0 20px 0;\n  font-weight: bold;\n  letter-spacing: 2px;\n}\n\n.material-custom-section {\n  margin-bottom: 32px;\n  width: 98%;\n  max-width: 940px;\n  margin-left: auto;\n  margin-right: auto;\n}\n\n.material-custom-subtitle {\n  font-size: 27px;\n  color: #357A8E;\n  background: transparent;\n  font-weight: 600;\n  padding: 0 0 10px 0;\n  margin: 0 0 22px 0;\n  letter-spacing: 1px;\n}\n\n/* 背景渐变配色，每段淡雅不同色调 */\n.material-custom-bg {\n  padding: 34px 34px 22px 34px;\n  border-radius: 17px;\n  box-shadow: 0 2px 11px rgba(34, 67, 106, 0.06);\n  margin-bottom: 32px;\n}\n\n/* 控制用于8类背景渐变色 */\n.material-custom-bg-1 { background: linear-gradient(90deg, #F5FAFF 0%, #EAF0FF 100%); }\n.material-custom-bg-2 { background: linear-gradient(90deg, #F9F8FF 0%, #EDE8FC 100%); }\n.material-custom-bg-3 { background: linear-gradient(90deg, #F6FFF5 0%, #E8FFE3 100%); }\n.material-custom-bg-4 { background: linear-gradient(90deg, #FFF7F5 0%, #FFDAD4 100%); }\n.material-custom-bg-5 { background: linear-gradient(90deg, #FAFFF7 0%, #EFFFF2 100%); }\n.material-custom-bg-6 { background: linear-gradient(90deg, #F5FAFF 0%, #EAF4F4 100%); }\n.material-custom-bg-7 { background: linear-gradient(90deg, #FFFAF7 0%, #FDF1E5 100%); }\n.material-custom-bg-8 { background: linear-gradient(90deg, #FFF9FE 0%, #FDEDFF 100%); }\n.material-custom-bg-9 { background: linear-gradient(90deg, #EEF8FE 0%, #EAFCEA 100%); }\n.material-custom-bg-10 { background: linear-gradient(90deg, #FAFF 0%, #EDEAFB 100%); }\n\n.material-custom-emojihint {\n  font-size: 24px;\n  vertical-align: middle;\n  margin-left:3px;\n  margin-right: 10px;\n}\n\n/* 正文文本 */\n.material-custom-bg p, .material-custom-bg ul {\n  font-size: 19px;\n  color: #3E4660;\n  line-height: 1.75em;\n  font-family: 'Helvetica Neue', Helvetica, Arial, \"PingFang SC\", \"Hiragino Sans GB\", \"Microsoft YaHei\", sans-serif;\n  margin: 0 0 12px 0;\n}\n\n/* 列表、引文 */\n.material-custom-bg ul {\n  padding-left: 23px;\n  margin-top: 6px;\n  margin-bottom: 18px;\n}\n\n.material-custom-ref-list {\n  list-style-type: disc;\n  font-size: 17px;\n  color: #304069;\n  padding-left: 25px;\n}\n\n@media screen and (max-width:900px) {\n  .material-custom-title { font-size: 24px; }\n  .material-custom-subtitle { font-size: 19px; }\n  .material-custom-bg { padding: 18px 10px 14px 10px;}\n}\n\u003C/style>","\u003Ch1 id=\"material_title\" class=\"material-custom-title\">肱骨折手术中的麻醉：保障安全与康复的关键\u003C/h1>\n\n\u003Cdiv class=\"materia",566,"2025-11-20 00:03:36","肱骨折, 麻醉, 手术, 安全管理, 康复","了解肱骨折手术中麻醉的重要性，麻醉评估、类型选择与术后管理，为患者提供全面的康复指导及行动建议。","2025-12-17 08:30:00",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","运动损伤",true,{"code":9,"msg":10,"message":6,"data":55,"success":53},{"pageNo":20,"pageSize":56,"result":57,"totalSize":83},10,[58,65,74],{"id":59,"updateTime":6,"averageScore":60,"posts":19,"specialistId":61,"userName":62,"hospital":63,"avatar":23,"description":64,"department":18},31803,9.3,880027,"林煊烨","泰州市中医院","该科普文章系统阐述了肱骨折手术麻醉的核心作用、术前评估、麻醉方式选择、术中管理及术后康复，逻辑清晰，内容贴近临床实践。文中强调麻醉不仅是“止痛”，更是围术期安全的“护盾”，这一观点准确且具有教育意义。对神经阻滞麻醉优势、ASA分级个体化方案、术后疼痛控制及康复建议的讲解实用性强，有助于缓解患者焦虑。但部分表述如“关掉痛觉”稍显口语化，参考文献格式欠规整体而言，内容专业可靠，适合用于患者教育，建议补充对常见并发症。",{"id":66,"updateTime":6,"averageScore":67,"posts":19,"specialistId":68,"userName":69,"hospital":70,"avatar":71,"description":72,"department":73},30840,7.8,870794,"楚鑫","东南大学附属中大医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//4Oydkwv4VkAOLTYbpMqBZpAefJuMaeS3.png","内容避开了晦涩的专业术语堆砌，以临床真实场景为载体，既向患者清晰传递了“麻醉不是简单打一针，而是多维度保障手术安全与术后康复”的专业价值，也为临床麻醉医师梳理了不同麻醉方式对术后康复的影响路径、并发症防控要点，实现了专业价值与科普效能的双赢。","心胸外科",{"id":75,"updateTime":76,"averageScore":77,"posts":19,"specialistId":78,"userName":79,"hospital":80,"avatar":23,"description":81,"department":82},27102,"2026-03-11 16:32:43",8,876362,"薛文强","阜宁县人民医院","这篇医学科普内容详实、逻辑清晰，结合临床案例讲解麻醉与康复要点，专业严谨又通俗易懂。语言温和贴心，能有效缓解患者及家属的焦虑，兼具科学性与实用性，充分体现了医学科普的专业性与人文关怀，是一篇质量很高、可读性强的科普文章。","麻醉科",3,{"code":9,"msg":10,"message":6,"data":85,"success":53},{"authors":86,"appraiseDimensionScoresVos":93},[87,89,91],{"profilePhoto":23,"specialistId":88},"876362",{"profilePhoto":71,"specialistId":90},"870794",{"profilePhoto":23,"specialistId":92},"880027",[94,100,106,110,115],{"id":95,"scores":96,"value":97,"dimensionId":6,"avgs":98,"title":99},253263,30,23,25,"内容准确性",{"id":101,"scores":102,"value":103,"dimensionId":6,"avgs":104,"title":105},253264,20,16,16.67,"内容深度与广度",{"id":107,"scores":102,"value":108,"dimensionId":6,"avgs":104,"title":109},253265,15,"语言表达",{"id":111,"scores":108,"value":112,"dimensionId":6,"avgs":113,"title":114},253266,12,12.33,"呈现形式",{"id":116,"scores":108,"value":117,"dimensionId":6,"avgs":117,"title":118},253267,13,"教育价值"]