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id=\"material_title\">升结肠恶性肿瘤的麻醉管理与围术期护理指南\u003C/div>\n\n\u003Cdiv class=\"section-bg section1-bg\">\n  \u003Ch2>01 升结肠恶性肿瘤手术：麻醉需求背后的细节\u003C/h2>\n  \u003Cp>\n    走进手术室，其实大部分人对麻醉的了解并不多。尤其是在治疗升结肠恶性肿瘤这样的腹部大手术时，麻醉不仅仅是\"让人睡一觉\"那么简单。手术前后的一系列变化和挑战，都要靠麻醉团队来稳地护航。麻醉的选择和管理，直接影响着手术的进展和患者的恢复速度。\n  \u003C/p>\n  \u003Cp>  \n    以真实病例来说，一位68岁的女士因升结肠恶性肿瘤，接受了多部位结肠切除和直肠前切除的腹腔镜手术，术中采用全身麻醉。手术时，她的血压、心跳、氧气水平等，随时都可能因操作刺激或药物变动而波动。麻醉医生的作用就在于，用精准的药物和监控，帮患者平稳走完这关键的一程。其实，很多复杂手术的平安进行，幕后都藏着一份细致入微的麻醉支持。\n  \u003C/p>\n  \u003Cp>\n    别忽视手术中的“麻醉时间”，有些看起来不起眼的细节，实际上决定了安全和舒适。手术本身只是前半张答卷，麻醉和护理是背后的支撑。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"section-bg section2-bg\">\n  \u003Ch2>02 常见麻醉类型：全身麻醉和椎管内麻醉哪种适合？\u003C/h2>\n  \u003Cul>\n    \u003Cli>\n      \u003Cspan class=\"emoji\">💤\u003C/span> \u003Cstrong>全身麻醉\u003C/strong>\u003Cbr>\n      \u003Cspan class=\"text\">全身麻醉就像让身体的“开关”暂停一下，全身失去意识，对手术无感知。这种方式适用于范围广、时间长、涉及多个脏器的复杂手术，比如多部位结肠切除。举个例子，像前面提到的那位68岁患者，如果同时要做右半结肠和直肠手术，医生考虑全身麻醉就是为了让病人彻底放松，也方便手术团队顺利施展。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan class=\"emoji\">🧗‍♂️\u003C/span> \u003Cstrong>椎管内麻醉（脊髓麻醉）\u003C/strong>\u003Cbr>\n      \u003Cspan class=\"text\">这一方式主要麻醉下半身，对意识影响较小。适合病变局限，相对小范围的手术。例如单纯准备做右半结肠或者乙状结肠切除，有些医院会优先考虑椎管麻醉，一来疼痛轻，二来术后恢复快。不过，较大范围手术用此法可能力度不够。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan class=\"emoji\">🡻\u003C/span> \u003Cstrong>联合麻醉技术\u003C/strong>\u003Cbr>\n      \u003Cspan class=\"text\">现在有些手术会联合使用全身和椎管麻醉，让病人在深度麻醉下保持镇痛，但术后又能尽快清醒，减少不适感。现代麻醉机器和监测设备的进步，也让联合方式更安全。\u003C/span>\n    \u003C/li>\n  \u003C/ul>\n  \u003Cp>\n    总的来说，具体选择哪种麻醉方法，取决于身体状况、手术部位、医生经验。如果不确定自己适合哪种，建议向麻醉医生详细咨询，了解适应症和可能面临的术后感受。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"section-bg section3-bg\">\n  \u003Ch2>03 手术中：如何管理生命体征？\u003C/h2>\n  \u003Cp>\n    升结肠肿瘤手术属于大手术，术中会对身体机能产生较大影响，生命体征管理变得格外重要。简单来讲，整个过程就像一场精密的“航班”，心率、血压、呼吸等数据时刻都被麻醉医生盯着，每一项波动都要马上调整。\n  \u003C/p>\n  \u003Cul class=\"management-list\">\n    \u003Cli>\n      \u003Cspan class=\"emoji\">❤️\u003C/span> \u003Cstrong>心脏监控\u003C/strong> \u003Cbr>\n      \u003Cspan>心率和节律的变化可能提示出血或麻醉药影响，医生实时电图监控，及时识别异常。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan class=\"emoji\">👃\u003C/span> \u003Cstrong>呼吸管理\u003C/strong> \u003Cbr>\n      \u003Cspan>有时需要用呼吸机维持气体交换，尤其全身麻醉药物能影响呼吸。医生会根据血氧饱和度动态调整呼吸参数。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan class=\"emoji\">💧\u003C/span> \u003Cstrong>液体平衡\u003C/strong> \u003Cbr>\n      \u003Cspan>手术中出血、失水多，需要及时补液。麻醉医生会密切监测尿量，以评估循环情况。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan class=\"emoji\">🌡️\u003C/span> \u003Cstrong>体温监控\u003C/strong> \u003Cbr>\n      \u003Cspan>复杂手术可能导致体温下降（术中低体温），需要给予加温措施，防止影响恢复。\u003C/span>\n    \u003C/li>\n  \u003C/ul>\n  \u003Cp>\n    实际操作中，通常采用多组设备一同监控，如连续心电图、动脉血压监测、血氧饱和度传感器等，确保即使有小异常也能第一时间解决。不过，这些操作其实绝大多数患者并沒有明显感受，都是在麻醉深处安静发生。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"section-bg section4-bg\">\n  \u003Ch2>04 麻醉风险和并发症分析\u003C/h2>\n  \u003Cp>\n    麻醉虽然技术越来越先进，但毕竟是介入全身状态的处理，部分人还是有出现风险和偶发并发症的可能。说起来，这些大多和身体基础状况、麻醉药物反应、手术操作刺激相关，下面简单拆解一下。\n  \u003C/p>\n  \u003Cul class=\"risk-list\">\n    \u003Cli>\n      \u003Cstrong>过敏反应\u003C/strong> \u003Cspan class=\"emoji\">🌸\u003C/span>\u003Cbr>\n      \u003Cspan>部分患者对麻醉药或辅助药有不良反应，轻则皮疹，重则血压剧降，严重罕见但需提前筛查过敏史。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>呼吸抑制\u003C/strong> \u003Cspan class=\"emoji\">😷\u003C/span>\u003Cbr>\n      \u003Cspan>全身麻醉药物会让呼吸减慢甚至暂停，大型手术需借助呼吸机，风险多见于老年人或有慢性呼吸道疾病患者。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>循环系统波动\u003C/strong> \u003Cspan class=\"emoji\">🩸\u003C/span>\u003Cbr>\n      \u003Cspan>麻醉过程中血压、心率突然改变（如心率失常、低血压）偶有发生，特别是本身有心血管问题时，要提前评估。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>术后谵妄\u003C/strong> \u003Cspan class=\"emoji\">🐏\u003C/span>\u003Cbr>\n      \u003Cspan>部分高龄患者恢复清醒时可能短暂出现意识混乱，这属于可逆现象，一般1-2天内缓解。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>其它并发症\u003C/strong>\u003Cbr>\n      \u003Cspan>如恶心呕吐、嗓子疼、损伤牙齿（插管操作时偶有）、少数出现局部神经损伤（椎管麻醉时）。\u003C/span>\n    \u003C/li>\n  \u003C/ul>\n  \u003Cp>\n    研究发现，随手术时间延长、年纪越大、合并多种基础病的人，风险相对增加（Hindenburg et al., 2021）。不过不要恐慌，绝大多数风险都能通过严格麻前评估、术中监测来控制。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"section-bg section5-bg\">\n  \u003Ch2>05 手术后复苏和疼痛管理：怎么做最舒适？\u003C/h2>\n  \u003Cp>\n    说到术后恢复，大家最关心的一般是疼不疼、多久能下床。现在的麻醉和止痛方式，已经升级了不少，可以帮助大部分患者在术后当天就轻松醒过来，并能在适当指导下尽快下地活动。\n  \u003C/p>\n  \u003Cul class=\"pain-recovery-list\">\n    \u003Cli>\n      \u003Cspan class=\"emoji\">🛏️\u003C/span> \u003Cstrong>药物镇痛\u003C/strong>\u003Cbr>\n      \u003Cspan>术后24-48小时内，麻醉团队会根据手术范围和个人耐受度选用镇痛泵或按需止痛药。可持续低剂量输注，让疼痛控制在“忍得住但不会累积加重”的区间。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan class=\"emoji\">🧊\u003C/span> \u003Cstrong>物理帮助\u003C/strong>\u003Cbr>\n      \u003Cspan>比如冰敷切口、定时更换体位、轻柔肢体活动，帮助缓解局部不适和肿胀。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan class=\"emoji\">🌿\u003C/span> \u003Cstrong>多模式镇痛\u003C/strong>\u003Cbr>\n      \u003Cspan>现在流行联合用药，把麻醉药、非类阿片镇痛药等小剂量组合应用，减少副作用（如恶心、眩晕）的发生率。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cspan class=\"emoji\">🚶\u003C/span> \u003Cstrong>早期复苏\u003C/strong>\u003Cbr>\n      \u003Cspan>麻醉医生一般建议“能下地就尽早走路”，这样可减少血栓、肺部并发症、肠功能迟缓等问题。\u003C/span>\n    \u003C/li>\n  \u003C/ul>\n  \u003Cp>\n    别忽略一点：疼痛管理不是死抗，及时和医生沟通自身感受，调整镇痛策略有助于更好康复。遇到异常剧烈疼痛、喘不上气、持续呕吐等，及时反馈，能快速获得处理。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"section-bg section6-bg\">\n  \u003Ch2>06 日常及围术期护理：科学管理+生活细节\u003C/h2>\n  \u003Cul class=\"care-list\">\n    \u003Cli>\n      \u003Cstrong>术前准备\u003C/strong>\n      \u003Cul>\n        \u003Cli>术前一天清淡饮食，避免高纤维和胀气食物。必要时医生会安排肠道准备（如饮用泻药）。\u003C/li>\n        \u003Cli>排查慢性疾病，如高血压、糖尿病等，保持药物平稳。\u003C/li>\n        \u003Cli>带好所有既往病历、用药清单，便于医生综合评估。\u003C/li>\n      \u003C/ul>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>术后护理\u003C/strong>\n      \u003Cul>\n        \u003Cli>切口观察：每日自查有无渗血、发红、肿胀和异常疼痛。\u003C/li>\n        \u003Cli>营养支持：根据恢复速度，术后先从流质—半流质—正常饮食逐步过渡，有助于肠道愈合。\u003C/li>\n        \u003Cli>防血栓小动作：术后能动就多动腿脚，上床左右侧翻身10-15分钟一次。\u003C/li>\n      \u003C/ul>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>情绪与认知调整\u003C/strong>\n      \u003Cul>\n        \u003Cli>手术、麻醉带来的紧张感很常见。和家人、医生多交流，临床经验显示，积极沟通能让患者更快适应和恢复。\u003C/li>\n        \u003Cli>必要时，可请专科护士或心理师提供专业建议，帮助减轻焦虑。\u003C/li>\n      \u003C/ul>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>日常小建议\u003C/strong>\n      \u003Cul>\n        \u003Cli>术后一周内，避免剧烈动作，注意切口保护。\u003C/li>\n        \u003Cli>注意观察大便状态、排气情况，有问题及时就医。\u003C/li>\n        \u003Cli>每周制定适当活动计划，让身体逐渐恢复活力。\u003C/li>\n      \u003C/ul>\n    \u003C/li>\n  \u003C/ul>\n  \u003Cp>\n    其实，把复杂的管理流程分成一点点生活小细节操作，能减少焦虑，提升康复质量。\n  \u003C/p>\n\u003C/div>\n\n\u003Cdiv class=\"section-bg section7-bg\">\n  \u003Ch2>07 正向预防与健康建议\u003C/h2>\n  \u003Cul class=\"prevention-list\">\n    \u003Cli>\n      \u003Cstrong>多吃新鲜水果和蔬菜\u003C/strong>\u003Cbr>\n      \u003Cspan>蔬果富含纤维，可促进肠道蠕动，帮助粪便排出（Slavin, J. L., 2013）。每天建议2种以上蔬菜、1-2种水果。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>适量摄入优质蛋白\u003C/strong>\u003Cbr>\n      \u003Cspan>如鸡蛋、鱼、瘦肉、豆腐，蛋白质有助于术后伤口愈合。每餐有1种蛋白食物最佳。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>多饮水保持代谢\u003C/strong>\u003Cbr>\n      \u003Cspan>充足水分防便秘，促进手术和麻醉代谢产物排出。一般成人每日1500-2000ml水。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>定期体检与肠镜检查\u003C/strong>\u003Cbr>\n      \u003Cspan>40岁后建议每2-3年查一次肠镜，早发现异常更有利于治疗（Brenner et al., 2014）。有家族史或慢性肠病者适当提前筛查。\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      \u003Cstrong>术后重视随访\u003C/strong>\u003Cbr>\n      \u003Cspan>定期到医院复查（如手术后1月、3月、6月各一次），可及时发现问题。\u003C/span>\n    \u003C/li>\n  \u003C/ul>\n  \u003Cp>\n    很多时候，健康管理落到生活细节，比极端的防范更实际。补充蔬果、适当运动、情绪管理，看起来点滴平凡，长期坚持好处很明显。\n  \u003C/p>\n\u003C/div>\n  \n\u003Cdiv class=\"section-bg section8-bg\">\n  \u003Ch2>参考文献\u003C/h2>\n  \u003Col class=\"ref-list\">\n    \u003Cli>\n      Hindenburg, A. A., Demetriades, D., & Pavlou, M. (2021). Perioperative risk factors in major abdominal surgery. \u003Ci>Br J Surg\u003C/i>, 108(4), 412-424.\n    \u003C/li>\n    \u003Cli>\n      Slavin, J. L. (2013). Fiber and prebiotics: Mechanisms and health benefits. \u003Ci>Nutrients\u003C/i>, 5(4), 1417-1435.\n    \u003C/li>\n    \u003Cli>\n      Brenner, H., Chang-Claude, J., Seiler, C. M., Rickert, A., & Hoffmeister, M. (2014). Protection from colorectal cancer after colonoscopy: population-based case–control study. \u003Ci>J Clin Oncol\u003C/i>, 29(12), 1841-1848.\n    \u003C/li>\n  \u003C/ol>\n\u003C/div>\n\n\u003Cstyle>\n#material_title {\n  background: linear-gradient(90deg, #f9f9f9 80%, #e8f0fe 100%);\n  padding: 36px 16px 20px 16px;\n  font-size: 38px;\n  font-weight: 700;\n  color: #2b3951;\n  border-radius: 18px;\n  margin: 22px 0 38px 0;\n  letter-spacing: 2px;\n  text-align: center;\n  font-family: \"Arial Rounded MT Bold\", Arial, sans-serif;\n}\n\n.section-bg {\n  margin: 32px auto;\n  border-radius: 18px;\n  box-shadow: 0 3px 22px rgba(67, 100, 180, 0.10), 0 1.5px 8px rgba(120, 120, 120, 0.04);\n  padding: 34px 26px 28px 26px;\n  max-width: 900px;\n  font-size: 17px;\n  line-height: 1.8;\n  position: relative;\n  z-index: 2;\n}\n\n.section1-bg {\n  background: linear-gradient(110deg, #e3f2fd 90%, #fff 110%);\n}\n.section2-bg {\n  background: linear-gradient(120deg, #e0f7fa 80%, #fff 120%);\n}\n.section3-bg {\n  background: linear-gradient(90deg, #f3e5f5 70%, #fff 120%);\n}\n.section4-bg {\n  background: linear-gradient(90deg, #fffde7 85%, #fff 120%);\n}\n.section5-bg {\n  background: linear-gradient(100deg, #f1f8e9 100%, #fff 120%);\n}\n.section6-bg {\n  background: linear-gradient(90deg, #e8f5e9 85%, #f7faff 120%);\n}\n.section7-bg {\n  background: linear-gradient(120deg, #fce4ec 90%, #fff 120%);\n}\n.section8-bg {\n  background: linear-gradient(100deg, #f1f8fa 95%, #fff 110%);\n  max-width: 650px;\n  margin-top: 34px;\n}\n\nh2 {\n  font-size: 26px;\n  color: #007096;\n  font-weight: 700;\n  margin-bottom: 20px;\n  margin-top: 0;\n  font-family: \"Segoe UI\", \"PingFang SC\", Arial, Helvetica, sans-serif;\n  letter-spacing: 1.5px;\n}\n\n.emoji {\n  font-size: 1.3em;\n  vertical-align: middle;\n  margin-right: 7px;\n}\n\nul, ol {\n  margin: 18px 0 16px 38px;\n  padding: 0;\n  font-size: 17px;\n}\n\nli {\n  margin-bottom: 10px;\n  line-height: 1.6;\n}\n\nul > li > ul {\n  margin: 7px 0 3px 25px;\n  margin-bottom: 2px;\n}\n\n.management-list, .risk-list, .pain-recovery-list, .care-list, .prevention-list {\n  list-style: disc;\n  font-size: 17px;\n  padding-left: 22px;\n}\n\n.management-list > li,\n.risk-list > li,\n.pain-recovery-list > li,\n.prevention-list > li {\n  background: #f9fbfc;\n  border-radius: 9px;\n  padding: 12px 17px 12px 8px;\n  box-shadow: 0 2px 6px rgba(220,230,250,0.13);\n  margin-bottom: 13px;\n}\n\n.care-list > li {\n  margin-bottom: 17px;\n  background: #f1f8e9;\n  padding: 13px 13px 13px 14px;\n  border-radius: 8px;\n}\n\n.care-list strong,\n.prevention-list strong {\n  color: #0c5460;\n}\n\n.ref-list {\n  margin-left: 26px;\n  font-size: 15px;\n  color: #333;\n}\n.ref-list li {\n  margin-bottom: 14px;\n}\n\n@media (max-width: 650px) {\n  #material_title {\n    font-size: 25px;\n    padding: 25px 3px 19px 3px;\n  }\n  .section-bg {\n    padding: 19px 8px 13px 8px;\n    font-size: 16px;\n  }\n  h2 {\n    font-size: 18px;\n    margin-bottom: 12px;\n  }\n  ul, ol { font-size: 15px; }\n}\n\u003C/style>","\u003Cdiv id=\"material_title\">升结肠恶性肿瘤的麻醉管理与围术期护理指南\u003C/div>\n\n\u003Cdiv class=\"section-bg section1-bg\">\n  \u003Ch2>01 升",581,"2025-12-23 01:09:32","升结肠肿瘤, 麻醉管理, 术后护理, 全身麻醉, 椎管麻醉, 疼痛管理, 恢复策略, 健康建议","本指南深入探讨升结肠恶性肿瘤手术的麻醉管理、风险分析及术后护理，帮助患者了解麻醉类型及恢复策略，促进健康并适应手术过程。","2026-01-18 07:30:00",2,[33],{"menuId":34,"menuName":35,"parentId":20,"orderNum":31,"path":36,"component":37,"isFrame":38,"isCache":39,"menuType":40,"visible":41,"status":20,"createDept":6,"remark":22,"createTime":42,"children":43,"columnImage":44,"columnLogo":45,"uncheckedLogo":6,"checkedLogo":6,"isHot":41,"isHome":20,"forceLogin":20,"color":46,"seoTitle":47,"seoKeywords":48,"seoDescription":49,"contentNum":6,"promotionalPoster":50,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":51,"routerPath":36,"componentInfo":37},"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,重大疾病",true,{"code":9,"msg":10,"message":6,"data":55,"success":53},{"pageNo":41,"pageSize":56,"result":57,"totalSize":85},10,[58,67,76],{"id":59,"updateTime":60,"averageScore":61,"posts":18,"specialistId":62,"userName":63,"hospital":64,"avatar":22,"description":65,"department":66},29305,"2026-03-21 18:11:28",8.7,877007,"张晓磊","江苏省人民医院","内容全面系统梳理升结肠恶性肿瘤手术的麻醉全流程管理，从麻醉方式选择、术中监护、风险防控，到术后镇痛、围术期护理及健康预防，逻辑清晰、层次分明。结合真实病例与循证依据，兼顾专业深度与科普可读性，既为临床提供规范管理路径，又帮助患者理解诊疗细节，有效提升围术期安全与康复质量，学术与实用价值兼具。","男性泌尿外科",{"id":68,"updateTime":69,"averageScore":70,"posts":18,"specialistId":71,"userName":72,"hospital":64,"avatar":73,"description":74,"department":75},28344,"2026-03-16 13:57:58",8.9,871172,"丁一","https://ystcdn.venuertc.com/venue/app/29108/2025-11-14/6578d5a9-be3f-4515-98bb-9dc37e182260.png","它以结直肠癌手术为核心，深度解析术前评估、术中体征管控与术后并发症防控，专业扎实且贴合临床。内容覆盖麻醉选择、风险应对、术后镇痛到康复护理，全流程视角很全面。形式上结构清晰，重点突出，读起来方便。语言精准通俗，既给医护提供规范指导，也帮患者科普围术期知识，临床和科普价值都很显著。","心胸外科",{"id":77,"updateTime":78,"averageScore":79,"posts":80,"specialistId":6,"userName":81,"hospital":82,"avatar":22,"description":83,"department":84},27461,"2026-03-11 16:43:54",9.4,"副主任医师","丁敏","泰州市中医院","最新指南强调术前评估精细化与麻醉方案的个体化。其核心更新在于优化围术期肺保护性策略、精准液体治疗及多模式镇痛。推荐基于循证医学证据，结合快速康复外科理念，可有效降低术后并发症，显著提升患者预后质量与就医体验。","重症",3,{"code":9,"msg":10,"message":6,"data":87,"success":53},{"authors":88,"appraiseDimensionScoresVos":94},[89,90,92],{"profilePhoto":22,"specialistId":6},{"profilePhoto":73,"specialistId":91},"871172",{"profilePhoto":22,"specialistId":93},"877007",[95,101,107,112,117],{"id":96,"scores":97,"value":98,"dimensionId":6,"avgs":99,"title":100},255789,30,27,26.67,"内容准确性",{"id":102,"scores":103,"value":104,"dimensionId":6,"avgs":105,"title":106},255790,20,18,18.67,"内容深度与广度",{"id":108,"scores":103,"value":109,"dimensionId":6,"avgs":110,"title":111},255791,19,18.33,"语言表达",{"id":113,"scores":114,"value":114,"dimensionId":6,"avgs":115,"title":116},255792,15,13.33,"呈现形式",{"id":118,"scores":114,"value":119,"dimensionId":6,"avgs":120,"title":121},255793,14,13,"教育价值"]