[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fqoE7q57aPMbNl_HM9uFc88ZgaJ-sGvViGJNh84eKOrQ":8,"$f1y345PIeZyOAp3QBBHM42LtR76JNTbpMKmwrEiKZF10":56,"$fzjM7xRqLXMZvg0cxjg13cGq8aspgcnz0C3DW2IT-tl0":57,"$fiWrzK5-zbj3Pl7vZ2Hpy8V6NSHwOB33nYfUPltzChOs":61},{"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,"roleType":17,"adept":6,"hospital":18,"department":19,"postsTitle":20,"materialTotal":17,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"directionMarker":25,"description":26,"vid":27,"time":28,"mediaType":25,"views":29,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":30,"seoTitle":23,"seoKeywords":23,"seoDescription":23,"shelvesTime":31,"menus":32,"menuId":34,"type":51,"quality":52,"commentCount":17,"isComment":25,"deviceType":53,"url":54},25051,878171,[],"https://ystcdn.venuertc.com/venue/app/26678/2026-05-18/59d40ed5-3914-4218-92bb-47c2757c2888.png","朱舜",0,"上海市第一人民医院","急诊科","主治医师",5,"肺部感染性疾病的流行病学","","https://cdn.yishi-tong.com/console/3/BIogicrQ7oc5kzZfiCIej8wCU0GD0_x3.png",1,"WEBVTT\n\n00:02.138 --> 00:02.263\n嗯，\n\n00:02.263 --> 00:02.888\n大家好，\n\n00:03.187 --> 00:06.763\n我是上海市第一人民医院的朱顺。\n\n00:06.763 --> 00:11.288\n今天我们来跟大家讲一下肺部感染性疾病的流行病学。\n\n00:12.783 --> 00:13.032\n嗯。\n\n00:15.519 --> 00:19.743\n我会通过五个方面来进行阐述这个问题啊，\n\n00:19.743 --> 00:23.468\n首先是肺部感染性疾病的概述，\n\n00:24.018 --> 00:27.768\n第二是社区获得性肺炎的流行病学，\n\n00:28.419 --> 00:32.118\n第三是医院获得性肺炎的流行病学，\n\n00:32.719 --> 00:37.368\n第四是特殊病原体感染的流行病学，\n\n00:38.469 --> 00:42.918\n第五是肺部感染性疾病的防控策略。\n\n00:46.942 --> 00:48.016\n我们来看一下啊，\n\n00:48.016 --> 00:49.791\n肺部感染性疾病的概述。\n\n00:52.549 --> 00:54.349\n首先是定义与分类。\n\n00:54.900 --> 00:57.549\n感染性肺炎的定义，\n\n00:57.549 --> 01:05.375\n肺部感染性疾病是指各种病原体引起的气道、支气管和肺实质的感染，\n\n01:05.375 --> 01:09.250\n亦称下呼吸道感染或支气管肺感染，\n\n01:09.599 --> 01:12.900\n是呼吸系统的重要重点领域之一。\n\n01:14.071 --> 01:17.772\n感染性肺炎是其代表性疾病。\n\n01:19.255 --> 01:27.555\n按照感染环境可分为社区获得性肺炎cap和医院获得性肺炎hap，\n\n01:28.005 --> 01:29.755\n其中hap中，\n\n01:29.755 --> 01:38.055\n呼吸机相关性肺炎VP是ICU住院天数延长及病死率升高的主要原因。\n\n01:38.952 --> 01:39.351\n嗯。\n\n01:40.748 --> 01:42.898\n主要分类和常见病原体，\n\n01:43.447 --> 01:50.097\n细菌性肺部感染cap致病细菌主要以革兰性阳性球菌，\n\n01:50.498 --> 01:52.947\n其次是肺炎链球菌为主。\n\n01:54.790 --> 02:04.815\n其次包括肺炎、流感嗜血杆菌、金黄色葡萄球菌、卡他莫拉菌等。\n\n02:04.815 --> 02:10.740\n医院获得性肺炎最常见的病原体以革兰性阴性为主，\n\n02:11.190 --> 02:19.839\n如铜绿假单胞菌、鲍曼不动杆菌、嗜麦芽单胞菌、肺炎克雷伯菌等等。\n\n02:21.046 --> 02:21.395\n嗯。\n\n02:22.222 --> 02:27.322\n病毒性肺炎的感染自2003年非典、SARS事件后，\n\n02:27.621 --> 02:30.921\n新型呼吸道感染病毒不断出现，\n\n02:31.272 --> 02:36.847\n如2012年的中东呼吸综合症病毒MERS，\n\n02:36.847 --> 02:41.171\n2013年我国发现的A型流感病毒H 7 N9。\n\n02:42.755 --> 02:51.979\nH 1 N1和H 10 N8等病毒性肺炎的发病率及病毒种类逐年增加，\n\n02:51.979 --> 02:55.929\n且重症感染患者进展迅速，\n\n02:55.929 --> 02:57.005\n病死率高。\n\n02:59.054 --> 03:04.304\n真菌性肺炎感染随着真菌性肺炎感染率的升高，\n\n03:04.554 --> 03:08.804\n真菌性耐药性也逐渐也逐年提升。\n\n03:08.955 --> 03:10.604\n鉴别诊断，\n\n03:11.054 --> 03:11.979\n避免误诊，\n\n03:11.979 --> 03:13.154\n加强依从性。\n\n03:13.203 --> 03:15.804\n是抗真菌治疗的重要原则。\n\n03:17.134 --> 03:17.483\n嗯。\n\n03:18.839 --> 03:20.990\n其次就是流行病学的重要性。\n\n03:24.095 --> 03:29.095\n流行病学为疾病防控提供了重要的依据。\n\n03:29.445 --> 03:37.544\n流行病学研究可以帮助我们了解肺部感染性疾病的发病率、流行趋势和危险因素，\n\n03:37.945 --> 03:41.845\n为制定有效防控策略提供科学依据。\n\n03:43.227 --> 03:49.477\n如通过监测细菌性肺炎的发病趋势，\n\n03:49.727 --> 03:52.277\n发现其发病呈上升趋势，\n\n03:52.578 --> 03:54.977\n尤其在发展中国家和地区，\n\n03:55.378 --> 04:02.328\n可能与人口老龄化、抗生素耐药性增加以及环境因素等有关，\n\n04:02.777 --> 04:05.328\n从而针对性的采取防控措施，\n\n04:06.128 --> 04:11.378\n能够实时的监测疾病发病情况和流行趋势，\n\n04:11.727 --> 04:13.527\n及时发现异常情况。\n\n04:13.996 --> 04:17.096\n为防控工作提供预警，\n\n04:17.295 --> 04:21.071\n以使及时调整防控策略，\n\n04:21.071 --> 04:23.196\n减少疾病传播和危害，\n\n04:24.346 --> 04:26.346\n推动公共卫生的发展。\n\n04:27.246 --> 04:28.846\n流行病学的研究。\n\n04:29.933 --> 04:32.884\n为公共卫生策略制定的。\n\n04:34.104 --> 04:36.354\n实施提供科学依据，\n\n04:36.903 --> 04:40.053\n推动公共卫生事业的发展。\n\n04:40.903 --> 04:45.503\n如通过对肺部感染性疾病进行病原学的研究，\n\n04:45.903 --> 04:48.954\n发现某些地区的人群感染率较高，\n\n04:49.253 --> 04:55.778\n可促使地方政府加大对这些地区的医疗卫生的投入，\n\n04:55.778 --> 04:57.704\n改善公共卫生条件，\n\n04:58.153 --> 05:00.003\n提高居民的健康水平，\n\n05:00.354 --> 05:02.803\n有助于合理分配医疗资源，\n\n05:03.354 --> 05:04.354\n提高医疗。\n\n05:04.470 --> 05:05.470\n资源的利用率，\n\n05:05.920 --> 05:11.019\n确保有限的资源能更好的在疾病的预防、诊断和治疗中，\n\n05:11.070 --> 05:13.970\n从而提高整体的公共卫生水平。\n\n05:16.138 --> 05:18.537\n社区获得性肺炎的流行病学。\n\n05:19.970 --> 05:21.869\n病原谱以及变化趋势，\n\n05:22.420 --> 05:24.320\n常见病原体及分布，\n\n05:24.720 --> 05:25.619\n近10年，\n\n05:25.970 --> 05:31.945\n我国18岁以下儿童和青少年最常见的重症cap a病原体，\n\n05:31.945 --> 05:35.869\n主要为呼吸道合胞病毒和肺炎链球菌，\n\n05:36.519 --> 05:43.019\n而老年人中多为铜绿假单胞菌和病毒性流流感病毒。\n\n05:43.420 --> 05:46.545\n不同病原体的混合会显著增加。\n\n05:46.545 --> 05:49.720\nSAP的就严重社区获得性肺炎的发病。\n\n05:50.403 --> 05:52.204\n和严重并发症的发生率。\n\n05:52.803 --> 05:54.854\n美国Cap指南显示，\n\n05:55.153 --> 06:05.153\n免疫正常的成人cap常见病原体包括肺炎链球菌、流感嗜血杆菌、金黄色葡萄球菌。\n\n06:05.253 --> 06:09.204\n但近年来CAP致病菌发生了较大的变化，\n\n06:09.803 --> 06:11.303\n革兰阴性杆菌。\n\n06:12.381 --> 06:13.832\n发生有所上升，\n\n06:13.832 --> 06:18.182\n取代格林阳性球菌逐渐成为CAP的主要致病菌。\n\n06:20.764 --> 06:21.664\n耐药性的问题，\n\n06:22.063 --> 06:28.063\n2014年我国一项多中心的抗生素药敏调查发现，\n\n06:28.514 --> 06:35.213\n肺炎链球菌及流感嗜血杆菌多重耐药率超过去年，\n\n06:35.614 --> 06:39.713\n嗯及其他发达国家的报道比率明显上升。\n\n06:40.313 --> 06:40.889\n例如，\n\n06:40.889 --> 06:45.414\n作为过去作为治疗流感嗜血杆菌的一线药物，\n\n06:45.463 --> 06:48.914\n氨苄西林的耐药率从2009年的。\n\n06:49.989 --> 06:53.002\n17.3%升至35%。\n\n06:53.002 --> 06:55.813\n2023年China，\n\n06:56.164 --> 07:01.014\nChina China耐药性检测率显示，\n\n07:01.014 --> 07:03.614\n我国细菌耐药形势严峻。\n\n07:03.664 --> 07:16.851\n肺炎克雷伯菌、铜绿假单胞菌和鲍曼不动杆菌对亚胺培南、美罗培南的耐药率分别为29%和30%，\n\n07:16.851 --> 07:19.713\n23.3%和18.500%分。\n\n07:19.772 --> 07:22.772\n之78.6和79.5%。\n\n07:23.171 --> 07:26.196\n在金黄色葡萄球菌中，\n\n07:26.196 --> 07:33.872\n耐药率氧中甲氧西林菌株占比占到了31.7%，\n\n07:34.272 --> 07:37.071\n较2022年上升3%。\n\n07:38.529 --> 07:40.329\n发病率与高危人群。\n\n07:41.894 --> 07:42.144\n嗯。\n\n07:43.355 --> 07:47.480\n全球及国内发病率约75%。\n\n07:47.480 --> 07:50.679\n全球细菌性肺炎的发病率呈上升趋势，\n\n07:50.829 --> 07:53.480\n尤其是在发展中国家和地区，\n\n07:53.929 --> 08:00.730\n可能与人口老龄化、抗生素耐药性的增加以及环境因素有关。\n\n08:01.536 --> 08:04.036\n冬季和春季是发病高峰期，\n\n08:04.335 --> 08:08.135\n可能与气温变化、室内空气污染等有关。\n\n08:09.885 --> 08:13.084\n我国CAP的发病率也存在类似趋势，\n\n08:13.734 --> 08:17.834\n且不同地区、不同年龄段的发病率存在差异，\n\n08:18.285 --> 08:21.334\n如儿童和老年人的发病率相对较高。\n\n08:23.960 --> 08:26.786\n百分易感人群及危险因素，\n\n08:26.786 --> 08:28.661\n约占52%。\n\n08:28.661 --> 08:31.811\n老年人和婴幼儿的免疫力较低，\n\n08:32.060 --> 08:34.611\n是细菌性肺炎的易感人群。\n\n08:35.111 --> 08:37.111\n患有慢性心肺疾病，\n\n08:37.210 --> 08:40.411\n糖尿病等基础疾病的患者，\n\n08:40.411 --> 08:41.960\n由于免疫力的下降，\n\n08:42.510 --> 08:44.760\n也易感染细菌性肺炎。\n\n08:45.210 --> 08:45.861\n此外，\n\n08:46.060 --> 08:46.760\n吸烟，\n\n08:46.760 --> 08:48.361\n酗酒等不良习惯，\n\n08:48.560 --> 08:54.010\n以及长期暴露在污染的空气中或处于拥挤的环境中也会。\n\n08:54.208 --> 08:55.307\n增加感染的风险。\n\n08:56.408 --> 08:59.757\n免疫抑制人群也是cap的高危人群，\n\n09:00.158 --> 09:04.807\n其细菌病谱与免疫正常患者并无差异，\n\n09:05.057 --> 09:11.408\n但真菌感染、非结核分枝杆菌及非流感病毒尤为常见。\n\n09:11.908 --> 09:16.257\n对于感染人类免疫缺陷病毒HIV的患者，\n\n09:16.507 --> 09:20.158\n阿片类药物的使用会增加cap的发生率。\n\n09:20.809 --> 09:21.159\n嗯。\n\n09:23.020 --> 09:25.320\n医院获得性肺炎的流行病学。\n\n09:27.599 --> 09:32.400\n病原普及变化趋势常见病原体及分布，\n\n09:33.150 --> 09:37.299\nHap最常见的病原体以革兰阴性杆菌为主。\n\n09:38.351 --> 09:41.476\nVAP是HAP的主要重要类型。\n\n09:42.340 --> 09:42.739\n嗯。\n\n09:44.341 --> 09:53.392\n其致病菌依次主要为铜绿假单胞菌、鲍曼不动杆菌、嗜麦芽单胞菌、肺炎克雷伯菌。\n\n09:53.692 --> 09:54.492\n近年来，\n\n09:54.492 --> 09:55.742\n鲍曼不动杆菌。\n\n09:57.114 --> 09:58.414\n感染率逐渐升高，\n\n09:58.713 --> 10:02.814\n以取代铜绿假单胞菌成为VP最主要致病菌，\n\n10:03.614 --> 10:11.013\n同时耐甲氧西林金黄色葡萄球菌马A感染比例也出现明显上升。\n\n10:11.513 --> 10:16.263\n不同医院不同科室的h hap病原体分布可能存在差异，\n\n10:16.713 --> 10:24.713\n这与医院的感染防控措施、患者病情严重程度、侵入性操作的使用情况等有关。\n\n10:25.864 --> 10:27.213\n耐药性的问题。\n\n10:27.585 --> 10:33.447\nVAP致病菌的多重耐药MDR比例较cap高，\n\n10:33.447 --> 10:36.859\n近年来MDR感染率也有增高趋势，\n\n10:37.409 --> 10:39.510\n新型耐药菌不断增多，\n\n10:39.809 --> 10:45.159\n如耐甲、耐万古、金黄色葡萄球菌、超级耐药株的出现，\n\n10:45.159 --> 10:47.559\n增加了肺部感染的病死率。\n\n10:48.523 --> 10:50.823\n给临床治疗带来了更大的挑战。\n\n10:51.874 --> 10:55.723\n不同地区、不同医院的耐药菌株存在一定差异，\n\n10:55.924 --> 11:00.823\n但总体趋势是VP及hap的难治性细菌不断增多。\n\n11:01.995 --> 11:05.495\n抗生素多重耐药率MD、R也在升高，\n\n11:05.995 --> 11:13.445\n因此尽快推进VP早期病原学诊断及合理的经验性治疗十分重要。\n\n11:16.481 --> 11:17.931\n发病率高危人群。\n\n11:19.260 --> 11:21.159\n全球及国内发病率，\n\n11:21.809 --> 11:28.909\n在我国住院患者HAP的发生率介于3.22%.5.22%。\n\n11:30.130 --> 11:33.429\n误吸依然是HAP的重要诱发因素。\n\n11:34.502 --> 11:37.052\n近期前瞻性的队列研究提示，\n\n11:37.452 --> 11:42.702\n我国呼吸机相关性肺炎VAP的发生率为8.7例，\n\n11:42.702 --> 11:47.401\n每千例为每千机械通气日。\n\n11:48.151 --> 11:51.401\n全球范围内hap的发病率也较高，\n\n11:51.702 --> 11:54.252\n尤其在ICU等重症监护室。\n\n11:54.802 --> 11:56.377\n由于患者病情危重，\n\n11:56.377 --> 11:57.351\n免疫力低下，\n\n11:57.552 --> 11:59.526\n且长期侵入性操作，\n\n11:59.526 --> 12:01.827\n长期使用肝抗生素，\n\n12:01.827 --> 12:03.401\n所以感染风险更高。\n\n12:04.440 --> 12:06.289\n易感人群及危险因素。\n\n12:08.713 --> 12:16.263\n重症患者、长期住院患者、使用侵入性设备如呼吸机、导尿管的患者是hap的高危人群。\n\n12:16.814 --> 12:17.463\n此外，\n\n12:17.614 --> 12:19.213\n免疫力低下的患者，\n\n12:19.213 --> 12:36.463\n如患有恶性肿瘤、血液系统疾病、免疫抑制剂使用者等也更容易感染hap医院的环境污染、医护人员的手卫生不规范、抗生素的不合理使用也是AP发生的重要原因。\n\n12:36.914 --> 12:38.814\n加强医院感染防。\n\n12:38.968 --> 12:39.968\n治措施，\n\n12:39.968 --> 12:41.617\n如严格执行手卫生，\n\n12:41.817 --> 12:43.317\n合理使用抗生素，\n\n12:43.668 --> 12:46.442\n加强环境清洁消毒，\n\n12:46.442 --> 12:48.867\n可以有效降低hap的发生率。\n\n12:50.635 --> 12:52.385\n特殊病原体的感染，\n\n12:52.385 --> 12:53.635\n感染的流行病学，\n\n12:54.236 --> 12:57.786\n病毒性肺炎常见的病毒及趋势，\n\n12:58.335 --> 13:00.335\n2022023年，\n\n13:00.335 --> 13:05.335\n新冠病毒奥密克戎变变异株仍是全球流行的优势病株，\n\n13:06.085 --> 13:10.060\n其突破感染重症感染发生率较高，\n\n13:10.060 --> 13:11.385\n累计风险增加。\n\n13:11.736 --> 13:13.861\n与感染一次的患者相比，\n\n13:13.861 --> 13:19.585\n感染两次及以上的患者出现至少一种的后遗症风险增加百分之。\n\n13:21.109 --> 13:21.710\n110%，\n\n13:22.059 --> 13:24.710\n住院风险增加232%。\n\n13:25.739 --> 13:34.289\n除了新冠病毒流行病、流感病毒、呼吸道合胞病毒也是常见的引起病毒性肺炎的病原体，\n\n13:34.590 --> 13:39.739\n且不同病毒在不同季节和不同地区的流行趋势，\n\n13:40.890 --> 13:45.539\n如病流行病毒在冬季和春季较为常见，\n\n13:45.739 --> 13:49.340\n呼吸道合胞病毒在婴幼儿中感染较为较多。\n\n13:50.302 --> 13:52.927\n临床特点与危害啊，\n\n13:52.927 --> 13:59.151\n病毒性肺炎的典型症状包括发热、咳嗽、咳痰、呼吸困难等。\n\n13:59.728 --> 14:02.377\n部分患者可能出现全身中毒症状，\n\n14:02.728 --> 14:05.627\n如头痛、乏力、肌肉酸痛等，\n\n14:06.328 --> 14:07.978\n重症患者进行，\n\n14:08.078 --> 14:09.877\n往往病情进展迅速，\n\n14:10.228 --> 14:14.377\n可能导致急性呼吸窘迫综合症ARDS。\n\n14:15.190 --> 14:18.291\n脓毒症严重并发症病死率较高。\n\n14:18.940 --> 14:22.341\n病毒性肺炎的诊断主要依靠病原学检测，\n\n14:22.640 --> 14:25.241\n如核酸检测、病毒检测等。\n\n14:26.711 --> 14:27.062\n因此，\n\n14:27.111 --> 14:30.661\n预防仍是病毒性肺炎流行病学的重要手段，\n\n14:30.812 --> 14:33.312\n如疫苗接种和加强个人防护。\n\n14:34.211 --> 14:39.161\n真菌性肺炎常见真菌及流行趋势，\n\n14:39.411 --> 14:44.312\n移植性患者的真菌感染呈较高的一个趋势，\n\n14:44.312 --> 14:46.012\n是临床的一大难题。\n\n14:46.611 --> 14:48.262\n临床特点与难点。\n\n14:50.661 --> 14:53.935\n真菌的感染往往是至关重要，\n\n14:53.935 --> 14:56.810\n这个在用药需要用药时间较长，\n\n14:56.960 --> 14:58.661\n而且需要全程用药。\n\n15:01.598 --> 15:03.648\n结核病流行现状与挑战，\n\n15:03.947 --> 15:09.747\n2022年全球新发结核患者约为1060万，\n\n15:09.747 --> 15:11.247\n结核病发病率是。\n\n15:12.755 --> 15:15.005\n133每10万患者，\n\n15:15.306 --> 15:18.255\n且造成全球130万人死亡，\n\n15:18.455 --> 15:19.955\n相比2020年，\n\n15:20.106 --> 15:23.169\n结核病发病率反而上升了3.9%，\n\n15:23.169 --> 15:27.255\n中断了过去20年的下降趋势。\n\n15:27.255 --> 15:32.806\nCOVID 19的流行造成结核患者就诊延迟，\n\n15:32.955 --> 15:36.906\n影响患者诊治和结核病传播控制。\n\n15:37.385 --> 15:39.986\n我国是结核病高负担国家之一，\n\n15:40.286 --> 15:43.435\n结核病的防治面临诸多挑战。\n\n15:46.317 --> 15:49.392\n肺部疾病的防治策略有，\n\n15:49.392 --> 15:50.392\n疫苗接种，\n\n15:50.392 --> 15:53.767\n接种疫苗是预防肺炎的有效手段。\n\n15:53.817 --> 15:55.166\n推广与实施，\n\n15:55.517 --> 16:02.117\n我们需要在加强各各各国政府卫生组织加强疫苗的接种和推广，\n\n16:02.617 --> 16:05.617\n医疗机构也要加强对医务人员的培训，\n\n16:05.817 --> 16:09.067\n提高他们对疫苗的认识。\n\n16:10.122 --> 16:11.721\n抗生素的合理使用，\n\n16:11.971 --> 16:18.622\n耐药菌耐药菌的上升和抗生素的滥用有非常大的关系，\n\n16:18.671 --> 16:22.872\n往往是抗生素使用过多会导致将来无药可用。\n\n16:23.392 --> 16:24.966\n合理使用措施与举措，\n\n16:24.966 --> 16:28.242\n抗生素的使用应遵循以下特点，\n\n16:28.492 --> 16:31.692\n根据病原体的类型和药敏实验，\n\n16:31.692 --> 16:33.192\n选择合适的抗生素，\n\n16:33.442 --> 16:35.867\n严格掌握使用用药指征，\n\n16:35.867 --> 16:37.442\n避免滥用抗生素。\n\n16:38.666 --> 16:46.466\n医院感染的防控医院感染的防控是HAP等医院获得性感染的关键措施。\n\n16:49.348 --> 16:55.447\n公众教育要加强公众教育是肺部感染性疾病的重要环节。\n\n16:56.664 --> 16:57.989\n教育方式的推广，\n\n16:57.989 --> 17:01.314\n包括健康讲座、发放宣传资料等。\n\n17:02.286 --> 17:02.635\n好，\n\n17:02.835 --> 17:04.061\n今天我就讲到这里，\n\n17:04.061 --> 17:04.836\n谢谢大家。\n\n","v0247cg10004d735432ljht4rhk9ogh0",1029,597,"2026-03-25 00:00:50","2026-06-11 19:01:40",[33],{"menuId":34,"menuName":35,"parentId":17,"orderNum":36,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":25,"status":17,"createDept":6,"remark":23,"createTime":42,"children":43,"columnImage":44,"columnLogo":45,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":46,"seoKeywords":47,"seoDescription":48,"contentNum":6,"promotionalPoster":49,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":50,"routerPath":37,"componentInfo":38},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video",2,"传染病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/878171/93bb15c8-9e6b-4389-a9f8-e7d0e7696c81.tmp?a=0&auth_key=1789027646-bcf7eba10efa47dfb35fe2fb1863c89b-0-5eb6c1f5b379552d166d7938335455c5&br=356&bt=356&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d735432ljht4rhk9ogh0&er=0&l=20260811055017C9177CD5BD36A887DC0F&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M2o8azdrbzY4OjczNGY3M0Apa3JudXdtNTc2ZzMzajo1eWdlbGhvcWcvMTBhLS1kNC9zcy1kNmUxZWkwMjQxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":54,"message":6,"data":6,"success":55},{"code":9,"msg":10,"message":6,"data":58,"success":55},{"pageNo":25,"pageSize":59,"result":60,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":62,"success":55},{"authors":63,"appraiseDimensionScoresVos":64},[],[]]