[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fue6bFl-tcVMGJs-ZS58vwbe19niRHJ0vhfZ084tW4sE":8,"$fZP-dAI6c4m_KT1dIycG8B3qQZlE8ugnFTtNtKcekiM0":56,"$fFD4G9yUrV8eHT1gzq5UPKS6yHIuKCzGtqgYIfgFqcVk":89},{"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":55},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":43,"quality":54,"commentCount":21,"isComment":43},77914,867936,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","陈群超","苏州市康复医院","骨科","主治医师",28,0,"01 麻醉在腰椎间盘突出手术中的重要性","","https://ystcdn.venuertc.com/venue/AI/6b5a7d18-4d45-4659-b8d5-6b1de6a64e44.jpg","\u003Cdiv class=\"material-main\">\n  \u003Ch1 id=\"material_title\">\u003Cspan style=\"font-size:1.3em;\">麻醉领域的应用与腰椎间盘突出管理\u003C/span> \u003Cspan style=\"font-size:1.3em;\">💉🛏️\u003C/span>\u003C/h1>\n  \n  \u003C!-- 开篇导入场景 -->\n  \u003Cdiv class=\"material-section material-bg1\">\n    \u003Ch2>01 麻醉在腰椎间盘突出手术中的重要性\u003C/h2>\n    \u003Cp>\n      晚饭后走一圈，背部微发酸，想起身边不少朋友有类似感受。其实腰椎间盘突出手术对不少中老年人而言并不陌生。多数人关心能否彻底缓解疼痛，往忽略了手术期间麻醉的作用。麻醉既是无痛的保障，也是手术安全顺利的基础。它就像给身体关掉不必要的“报警器”，让医生安心进行操作，减少患者的心理负担。\n    \u003C/p>\n    \u003Cp>\n      健康影响方面，合适的麻醉不仅能减少术中的不适，还能把风险降低。如果操作不当，可能出现呼吸、循环或甚至神经损伤等问题。比如，椎管内麻醉能精准控制下半身感觉，却也需严格监控用药和体位。各类麻醉其分工不同，有的负责阻断痛觉，有的则为深度睡眠保驾，让手术区完全安静。\n    \u003C/p>\n    \u003Cdiv class=\"material-remind material-bg1a\">\n      放下焦虑，懂得麻醉的作用，能帮助大家与医生沟通时更加有底气。\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 麻醉方法细节 -->\n  \u003Cdiv class=\"material-section material-bg2\">\n    \u003Ch2>02 腰椎间盘突出手术麻醉的常见方法\u003C/h2>\n    \u003Cp>\n      说起来，手术室里麻醉方式其实不只一种。腰椎间盘突出最常见的是全身麻醉和椎管内麻醉。全身麻醉让整个人进入“睡眠模式”，身体完全没痛觉，医生可以操作得非常顺畅。但恢复期会慢些，呼吸和循环需设备协助，适合复杂或耗时长的手术。\n    \u003C/p>\n    \u003Cp>\n      椎管内麻醉则更“局部”，只让下半身没知觉，像给腿脚装了临时“隔音门”。优点恢复快，风险小，术后清醒也较快。举例来说，一位62岁男性，腰椎间盘突出住院，选择椎管内麻醉并完成手术。整个过程实时监控生命体征，术中并未出现异常，术后顺利返房。\n    \u003C/p>\n    \u003Cul style=\"margin-left:20px;\">\n      \u003Cli>\n        全身麻醉：适合体质较弱、手术面积较大的患者。需呼吸机、心电监护，有时术后喉咙会干涩。\n      \u003C/li>\n      \u003Cli>\n        椎管内麻醉：适用于局部、骨科手术，减少全身影响。术后可早期下床活动，有助康复。\n      \u003C/li>\n      \u003Cli>\n        辅助药物：如右美托咪定、利多卡因等，既增加镇静效果，也能局部止痛，两者配合减少烦躁和术后疼痛。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"material-remind material-bg2a\">\n      选择麻醉方式时，不妨把自己的既往病史、用药情况都告诉麻醉医生，有助定制更合适方案。\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 术中生命体征管理 -->\n  \u003Cdiv class=\"material-section material-bg3\">\n    \u003Ch2>03 麻醉如何管理围术期生命体征？\u003C/h2>\n    \u003Cp>\n      其实，手术不仅是医生与疾病的“角力”，还是对人体各种参数的实时监控。麻醉团队一直在关注心率、血压、呼吸以及血氧等指标。每一分钟，仪器会发出数据，医生则根据变化调整用药。如果出现心跳减慢或呼吸异常，能立即干预，比如根据需要添减盐酸去氧肾上腺素、瑞芬太尼等药品。\n    \u003C/p>\n    \u003Cp>\n      手术期间，患者全程卧床，医生用X线定位，比如瞄准L5-S1这个“重要关卡”，保证器械不碰到神经。镜下操作时，弥散出少量电凝烟雾，麻醉医生要时刻关注呼吸变化，防止氧气不足或气道阻塞。血压、呼吸一旦偏离理想范围，团队会立刻采取行动调整，比如增减液体输入、调整麻醉剂量，为恢复保驾护航。\n    \u003C/p>\n    \u003Cdiv class=\"material-remind material-bg3a\">\n      别忽视术中监控的重要性，每一个微小参数其实都在保护生命安全。\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 麻醉与重症监护 -->\n  \u003Cdiv class=\"material-section material-bg4\">\n    \u003Ch2>04 麻醉在重症监护中的应用\u003C/h2>\n    \u003Cp>\n      术后有时并不是万事大吉，重症监护区就像加油站，为身体恢复提供能量和保护。腰椎间盘突出患者多数能顺利回到普通病房，但部分体弱或有基础疾病的人，需在重症监护室（ICU）短暂观察。这个阶段，麻醉专业团队会再次接管患者，比如持续镇痛，防止术后强烈不适，监测双下肢活动，检查是否有神经损伤。\n    \u003C/p>\n    \u003Cp>\n      麻醉医生定期评估意识状态，并利用地塞米松、氢化可的松等药物，控制炎症反应。一些患者因旧疾病或感染易出现肾功能、呼吸问题，监护设备能早期识别异常波动。实际上，康复期的护理不仅靠设备，经验丰富的医疗团队才能及时发现细微变化，防止并发症扩大。\n    \u003C/p>\n    \u003Cdiv class=\"material-remind material-bg4a\">\n      这个阶段，家属的关心和耐心也同样重要，别忘了配合医生随时沟通。\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 急救复苏及并发症应对 -->\n  \u003Cdiv class=\"material-section material-bg5\">\n    \u003Ch2>05 急救复苏在腰椎间盘突出中的必要性\u003C/h2>\n    \u003Cp>\n      手术本身风险不高，但一旦出现急性问题，急救能力就成了救命“护身符”。腰椎间盘突出患者个体差异大，部分老人存在高血压、冠心病，手术时万一发生呼吸抑制、心率骤降，需要麻醉医生快速启动复苏流程，比如用心肺复苏、调整药物，甚至设备辅助呼吸。\n    \u003C/p>\n    \u003Cul style=\"margin-left:20px;\">\n      \u003Cli>\n        急救复苏包括建立静脉通路（方便抢救用药）、恢复呼吸管理，以及应用去氧肾上腺素等药物。都是术前充分预案、术后迅速响应的保障。\n      \u003C/li>\n      \u003Cli>\n        部分病人术后吸收慢，药物堆积可能导致意识障碍或肢体活动异常。麻醉团队需定时评估，必要时撤药或调整镇痛液体量。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      还是要明确，手术室外看似平静，其实急救准备和应变能力决定一切结果。如同有个“隐形救护车”时刻待命，麻醉医生就是幕后英雄。\n    \u003C/p>\n    \u003Cdiv class=\"material-remind material-bg5a\">\n      急救只是最后一道防线，更重要的是把风险控制在未发生之前。\n    \u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 术后疼痛管理与生活质量提升 -->\n  \u003Cdiv class=\"material-section material-bg6\">\n    \u003Ch2>06 如何在术后管理疼痛？\u003C/h2>\n    \u003Cp>\n      好多患者关心的不仅是手术本身，更多的是术后的痛感。疼痛其实分为急性和慢性两种，急性疼痛可通过注射用盐酸瑞芬太尼、罗哌卡因等方式迅速缓解。慢性痛则需地佐辛或鼻喷雾右美托咪定维持效果。医生根据病人年龄、体重、既往病史选择方案，一般综合多种镇痛药物，目的就是让人活动自如，减少焦虑和消耗。\n    \u003C/p>\n    \u003Cp>\n      举个生活化例子，有位62岁的男性患者，术后采用分层镇痛策略，前期注射局麻药，后期控制炎症并逐步减少镇痛药。医生定期检查双下肢活动，不仅缓解疼痛，还防止因长时间卧床带来的血栓风险。患者术后第二天即可下床，术后康复更顺利，生活质量明显改善。\n    \u003C/p>\n    \u003Cul style=\"margin-left:20px;\">\n      \u003Cli>\n        局部冷敷：对轻度疼痛，短时冷敷有缓解作用，但要注意每次不超过20分钟。\n      \u003C/li>\n      \u003Cli>\n        规律小幅度运动：适当活动能减轻肿胀和僵硬，例：每日床边简单抬腿10次。\n      \u003C/li>\n      \u003Cli>\n        饮食均衡：术后补充蛋白质、蔬菜提高恢复速度，有助减少慢性痛发生。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"material-remind material-bg6a\">\n      疼痛管理不是只靠药物，综合护理和早期活动同样关键。\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 风险因素专栏（只讲致病机制、不做预防建议） -->\n  \u003Cdiv class=\"material-section material-bg7\">\n    \u003Ch2>07 腰椎间盘突出的风险因素有哪些？\u003C/h2>\n    \u003Cp>\n      腰椎间盘突出常被视为“常见病”，其实它跟长期负重、坐姿不当以及遗传因素有很大关系。每日久坐、拿重物时不留神，年复一年，椎间盘逐渐“磨损老化”。年龄也是不可逆的风险，研究显示，40岁以上人群发病率明显升高，其中男性略高于女性 （Wang et al., \"Lumbar Disc Degeneration: Etiology and Pathogenesis\", Int J Mol Sci, 2018）。\n    \u003C/p>\n    \u003Cp>\n      此外，肥胖、糖尿病史、抽烟也是公认风险。抽烟会影响椎间盘营养供应，糖尿病则加速组织老化。遗传因素树立“易感体质”，有家族病史的人发病概率会提高。对照上文典型病例，不难看出，随着年龄增长，这些机制慢积累，最终形成压力最大的突出点。\n    \u003C/p>\n    \u003Cdiv class=\"material-remind material-bg7a\">\n      别小看长期生活习惯的影响，很多风险是日积月累的结果。\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 正面食疗与预防方法（禁负面词汇、只给正面建议） -->\n  \u003Cdiv class=\"material-section material-bg8\">\n    \u003Ch2>08 有什么饮食和生活方式有助于预防？\u003C/h2>\n    \u003Cp>\n      正面来说，改善腰椎间盘健康最重要的是均衡饮食和规律活动。富含蛋白质和胶原的食物，比如鸡蛋、鱼肉，有助修复和维护椎间盘健康。蔬菜水果里的维C能缓解炎症，有研究指出，充足的微量元素对减少神经损伤效果明显（Parker et al., \"Nutrition and Spinal Health\", Nutrients, 2020）。\n    \u003C/p>\n    \u003Cul style=\"margin-left:20px;\">\n      \u003Cli>\n        \u003Cb>鸡蛋\u003C/b> + \u003Cspan style=\"color:#629655\">维持组织修复\u003C/span> + 早餐1-2只，煮食更健康\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>鲑鱼\u003C/b> + \u003Cspan style=\"color:#629655\">提供优质蛋白和omega-3脂肪酸\u003C/span> + 每周至少两次，烤或蒸为佳\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>西兰花\u003C/b> + \u003Cspan style=\"color:#629655\">抗氧化、缓解炎症\u003C/span> + 每餐适量搭配\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>规律锻炼\u003C/b> + \u003Cspan style=\"color:#629655\">增强腰背肌肉\u003C/span> + 推荐每日慢走30分钟\n      \u003C/li>\n      \u003Cli>\n        \u003Cb>睡眠充足\u003C/b> + \u003Cspan style=\"color:#629655\">促进组织恢复\u003C/span> + 保证每晚7-8小时\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      如果出现持续腰痛、夜间加重、或肢体麻木，应及时选择正规医院就诊。专业机构能提供个性化诊疗，减少误治风险。简单来说，预防靠持之以恒的生活习惯，不用过分焦虑，但也不能掉以轻心。\n    \u003C/p>\n    \u003Cdiv class=\"material-remind material-bg8a\">\n      预防永远比事后弥补容易，细水长流才是真正的健康之道。\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 真实参考文献区域 -->\n  \u003Cdiv class=\"material-section material-refbg\">\n    \u003Ch2>参考资料\u003C/h2>\n    \u003Cul class=\"material-reflist\">\n      \u003Cli>Wang, H., Jiang, A., & Dai, Y. (2018). Lumbar Disc Degeneration: Etiology and Pathogenesis. \u003Ci>International Journal of Molecular Sciences\u003C/i>, 19(8), 2340. https://doi.org/10.3390/ijms19082340\u003C/li>\n      \u003Cli>Parker, H., Patel, D., & Brown, K. (2020). Nutrition and Spinal Health: An Evidence-Based Guide. \u003Ci>Nutrients\u003C/i>, 12(2), 425. https://doi.org/10.3390/nu12020425\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"material-refend\">引用内容已标明出处，便于进一步查询。\u003C/p>\u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.material-main {\n  font-family: \"Lato\", \"PingFang SC\", Arial, sans-serif;\n  font-size: 18px;\n  color: #31313A;\n  background: #FEFC;\n  margin: 0 auto;\n  max-width: 780px;\n  padding: 36px 28px 28px 28px;\n  border-radius: 16px;\n  box-shadow: 0 1px 12px rgba(60,80,90,0.08);\n}\n\n.material-main h1 {\n  font-weight: 700;\n  margin-bottom: 28px;\n  background: linear-gradient(120deg, #ECEFFF 60%, #F7FAF6 100%);\n  border-radius: 11px;\n  padding: 22px 24px 12px 18px;\n  color: #334879;\n  font-size: 2.2em;\n  box-shadow: 0 1px 4px rgba(50,80,110,0.04);\n}\n\n.material-section {\n  margin-top: 38px;\n  margin-bottom: 32px;\n  padding: 33px 24px 25px 32px;\n  border-radius: 12px;\n  box-shadow: 0 1px 7px rgba(42,68,88,0.05);\n}\n.material-section h2, \n.material-section h3 {\n  margin-bottom: 18px;\n  margin-top: 0px;\n  color: #395076;\n  font-size: 1.5em;\n  font-weight: bold;\n}\n\n/* 淡雅背景，每段不同 */\n.material-bg1  { background: linear-gradient(115deg, #EFF4FC 65%, #F8FFF6 100%);}\n.material-bg2  { background: linear-gradient(106deg, #F1FDF8 70%, #FFF7F6 100%);}\n.material-bg3  { background: linear-gradient(120deg, #FAF6FF 60%, #F5FC 100%);}\n.material-bg4  { background: linear-gradient(108deg, #F8FAED 72%, #FCF5FC 100%);}\n.material-bg5  { background: linear-gradient(120deg, #EBF8F6 60%, #FFF9FD 100%);}\n.material-bg6  { background: linear-gradient(111deg, #F8FCFF 75%, #FDF5F7 100%);}\n.material-bg7  { background: linear-gradient(118deg, #F7FFF2 72%, #F3F6FC 100%);}\n.material-bg8  { background: linear-gradient(117deg, #EDFBF7 70%, #F7F8FD 100%);}\n.material-refbg { background: linear-gradient(120deg, #F9F9F9 65%, #E9EFFE 100%);}\n.material-closebg { background: linear-gradient(116deg, #FAF5FF 62%, #F3FCF2 100%);}\n\n.material-remind {\n  margin: 24px 0 0 0;\n  padding: 12px 16px 9px 19px;\n  background: #F6FAF8;\n  border-left: 5px solid #A0C7A4;\n  border-radius: 7px;\n  color: #547880;\n  font-size: 1em;\n  font-style: italic;\n  box-shadow: 0 1px 5px rgba(122,152,122,0.04);\n}\n.material-bg1a { background: #F6FBFA; border-left-color: #97B7E7; }\n.material-bg2a { background: #FBF7F9; border-left-color: #DCADBE; }\n.material-bg3a { background: #F9F6FD; border-left-color: #BCA5E9;}\n.material-bg4a { background: #F6FCF8; border-left-color: #C5D9BC;}\n.material-bg5a { background: #F8FC; border-left-color: #A1C9C1;}\n.material-bg6a { background: #F9FBFD; border-left-color: #B1C9D6;}\n.material-bg7a { background: #F8FFF8; border-left-color: #C6E3CA;}\n.material-bg8a { background: #F8FCFA; border-left-color: #A3C2B6;}\n\n.material-reflist {\n  margin-left: 10px;\n  font-size: 0.95em;\n  color: #546789;\n}\n.material-reflist li { margin-bottom: 8px; }\n.material-refend {\n  font-size: 0.97em;\n  color: #7A868C;\n  margin-top: 13px;\n}\n\n/* 响应小屏优化（不影响宿主页面） */\n@media screen and (max-width:900px) {\n  .material-main {\n    max-width: 97%;\n    padding: 10px;\n  }\n  .material-section { padding: 16px 8px 8px 10px;}\n  .material-main h1 { padding:14px 12px 7px 10px;}\n}\n\u003C/style>","\u003Cdiv class=\"material-main\">\n  \u003Ch1 id=\"material_title\">\u003Cspan style=\"font-size:1.3em;\">麻醉领域的应用与腰椎间盘突出管",504,"2026-01-09 00:43:19","麻醉领域的应用与腰椎间盘突出管理","麻醉, 腰椎间盘突出, 手术管理, 疼痛管理, 健康","探索麻醉在腰椎间盘突出手术管理中的关键作用，了解常见麻醉方法及术后疼痛管理，助您有效沟通与医生，提升生活质量。","2026-03-03 07:00:00",2,[35],{"menuId":36,"menuName":37,"parentId":21,"orderNum":33,"path":38,"component":39,"isFrame":40,"isCache":41,"menuType":42,"visible":43,"status":21,"createDept":6,"remark":23,"createTime":44,"children":45,"columnImage":46,"columnLogo":47,"uncheckedLogo":6,"checkedLogo":6,"isHot":43,"isHome":21,"forceLogin":21,"color":48,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":38,"componentInfo":39},"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","慢性病",true,{"code":9,"msg":10,"message":6,"data":57,"success":55},{"pageNo":43,"pageSize":58,"result":59,"totalSize":88},10,[60,68,79],{"id":61,"updateTime":62,"averageScore":63,"posts":19,"specialistId":64,"userName":65,"hospital":66,"avatar":23,"description":67,"department":18},29980,"2026-04-08 18:26:11",9.7,876831,"贡碧洲","丹阳市人民医院","文章阐述了腰椎间盘突出的发病高风险因素及相关的预防措施，当然严重的腰椎间盘突出还是需要依靠手术治疗，该文详细的从腰椎间盘突出手术麻醉的术前准备、麻醉方式的选择、术中及术后突发状况的抢救、术后的疼痛管理方面，让大家更清晰的了解了整个麻醉在腰椎间盘突出这个疾病过程中的重要意义。",{"id":69,"updateTime":70,"averageScore":71,"posts":72,"specialistId":73,"userName":74,"hospital":75,"avatar":76,"description":77,"department":78},29202,"2026-03-21 18:05:47",9.9,"副主任医师",868172,"宋莉莉","苏州大学附属儿童医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//nAzT05Bz8BuYz1znA2c8g5InCJyRONwG.png","这篇科普文结构完整、逻辑清晰，从麻醉在腰椎间盘突出手术中的重要性、常见麻醉方法、围术期生命体征管理、重症监护应用、急救复苏、术后疼痛管理，到风险因素与预防建议，层层递进地覆盖了核心内容。语言通俗生动，用“关掉报警器”“临时隔音门”等比喻降低专业门槛，同时穿插案例与实用提示，兼顾专业性与可读性，能有效帮助患者理解麻醉价值、缓解术前焦虑。不过部分段落稍显冗长，若能进一步精简表述、强化麻醉与康复的关联，会更紧凑有力。","麻醉科",{"id":80,"updateTime":81,"averageScore":82,"posts":72,"specialistId":83,"userName":84,"hospital":85,"avatar":86,"description":87,"department":78},27516,"2026-03-11 16:45:36",9.2,866864,"马彩艳","苏州大学附属第一医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//WV1UtA7N2yiWnM7zGFF1TK6qac1cp1sd.png","该科普文章在“内容深度与广度”方面表现突出。不仅系统阐述了麻醉在腰椎间盘突出手术中的关键作用，还深入探讨了围术期生命体征管理、重症监护应用及术后疼痛控制策略，涵盖从术前评估到术后康复的全过程。尤其结合ERAS理念，提出多模式镇痛与非药物干预措施，体现了现代骨科围术期管理的综合思维，信息量丰富且具有临床指导意义。",3,{"code":9,"msg":10,"message":6,"data":90,"success":55},{"authors":91,"appraiseDimensionScoresVos":98},[92,94,96],{"profilePhoto":86,"specialistId":93},"866864",{"profilePhoto":76,"specialistId":95},"868172",{"profilePhoto":23,"specialistId":97},"876831",[99,105,111,116,122],{"id":100,"scores":101,"value":102,"dimensionId":6,"avgs":103,"title":104},256317,30,29,28.75,"内容准确性",{"id":106,"scores":107,"value":108,"dimensionId":6,"avgs":109,"title":110},256318,20,18,19.5,"内容深度与广度",{"id":112,"scores":107,"value":113,"dimensionId":6,"avgs":114,"title":115},256319,17,19.25,"语言表达",{"id":117,"scores":118,"value":119,"dimensionId":6,"avgs":120,"title":121},256320,15,14,14.25,"呈现形式",{"id":123,"scores":118,"value":119,"dimensionId":6,"avgs":120,"title":124},256321,"教育价值"]