[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fjtNh69xcQtBb2vbIC06DZkV7oDm6xm90xXdV6xwNO5s":8,"$fOJSl8kmmopWxiH9VaIntuSGeuXo6vsBOSAPbtJr49A0":62,"$ffoB_2xUPHDE7QpBpgL--cVO98ZPb-8PGab_CjNzErjY":63,"$fzMb_ZSt7Eqw86B07CIF7IUEob8AwfSQl5cisi5lHqS0":94},{"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":61},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":6,"adept":17,"hospital":18,"department":19,"postsTitle":20,"materialTotal":21,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":30,"views":31,"likes":32,"isThumbsUp":7,"isCollection":7,"collections":32,"createTime":33,"seoTitle":34,"seoKeywords":35,"seoDescription":36,"shelvesTime":37,"menus":38,"menuId":40,"type":26,"quality":58,"commentCount":32,"isComment":30,"deviceType":59,"url":60},8807,864612,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//q5fAiu7y4IzQQfmaKmHDNECCzmvS6ErI.png","陶鑫","临床麻醉，普外科麻醉，骨科麻醉等、麻醉手术、麻醉用药及疾病治疗。","苏州市中医医院","麻醉科","主治医师",10,38,"别等肛瘘恶化再后悔！了解椎管内麻醉的关键","https://cdn.yishi-tong.com/console/3/0Fr-wImg0xoyeRVFTVMNhFTeEPbJc8HJ.png","https://cdn.yishi-tong.com/console/3/lXj-4oBMG9b0UA0-bC8_jR-Zb_4gKmat.png",2,"\u003Cdiv>\u003Ch3>别等肛瘘恶化再后悔！了解椎管内麻醉的关键\u003C/h3>\u003Cp>咱们平时一提到肛瘘，很多人都觉得那是“拖得起”的小毛病，其实真没那么简单。你可能没想到，这种听起来有点尴尬的小问题，背后其实藏着大麻烦。前段时间门诊接诊了一位三十多岁的男士，本来想着再忍，等他决定手术时，已经多了不少困扰。\u003C/p>\u003Ch3>主要麻醉方式：\u003C/h3>\u003Cp>1. 椎管内麻醉（半麻）： 这是最常用的方式，包括腰麻或硬膜外麻醉。麻醉师在患者腰部进行穿刺注药，使手术区域（肛门及会阴部）完全麻醉，患者术中保持清醒但无痛感。此方式对生理干扰小，术后可持续镇痛。\u003C/p>\u003Cp>2. 全身麻醉（全麻）： 适用于复杂、时间长的手术，或精神高度紧张、无法配合椎管内麻醉的患者。患者术中处于睡眠状态，完全无感知。常复合局部浸润麻醉，以增强术后镇痛效果。\u003C/p>\u003Ch3>术后镇痛管理：\u003C/h3>\u003Cp>术后疼痛主要通过口服或静脉注射镇痛药（如非甾体抗炎药、弱阿片类药物）控制。此外，温水坐浴是有效且重要的辅助镇痛方法，能显著缓解肛门括约肌痉挛和伤口疼痛。\u003C/p>\u003Cp>有的人肛瘘早期就是偶尔流水、红肿，结果时间一长，管道越来越复杂，引发持续疼痛甚至发烧。我见过的病例里，有位33岁的患者，一开始就没下决心治疗，反复拖到实在难忍，才肯配合检查。其实越往后拖，手术难度就越高，恢复也慢。不过别太紧张——麻醉技术如今很成熟，科学止痛、细致监测，术后很快就能清醒，几乎不影响正常沟通和饮水，体验比想象中要好得多。\u003C/p>\u003C/div>","v0347cg10004d4e4l1aljhtefaei8gkg",126,1,510,0,"2025-11-18 00:24:22","别等肛瘘恶化再后悔！了解椎管内麻醉的关键作用与优势  ","肛瘘治疗,椎管内麻醉,肛瘘手术麻醉,麻醉方式选择,肛瘘术后恢复  ","本文详细解析椎管内麻醉在肛瘘手术中的关键作用，对比不同麻醉方式的优劣，帮助患者了解术前麻醉选择的重要性，避免因延误治疗导致病情恶化，提供术后恢复建议。","2025-11-28 19:30:00",[39],{"menuId":40,"menuName":41,"parentId":32,"orderNum":42,"path":43,"component":44,"isFrame":45,"isCache":46,"menuType":47,"visible":30,"status":32,"createDept":6,"remark":48,"createTime":49,"children":50,"columnImage":51,"columnLogo":52,"uncheckedLogo":6,"checkedLogo":6,"isHot":32,"isHome":32,"forceLogin":32,"color":6,"seoTitle":53,"seoKeywords":54,"seoDescription":55,"contentNum":6,"promotionalPoster":56,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":57,"routerPath":43,"componentInfo":44},"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","高发轻症",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/864612/c381f1bc-ee44-4fcd-a2dd-480d3a8cd6e2.tmp?a=0&auth_key=1789026248-f9a48d1c4f654ee89a4123a8135f8671-0-20d23be901fcfe4ae6f56c2b73cbe914&br=824&bt=824&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0347cg10004d4e4l1aljhtefaei8gkg&er=0&l=202608110541572AA21B2280E110164738&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ampsZGhrbzQ3NzczNGY3M0ApbjtoaXdtZG9oZzMzajo2eWdoNWJjcWdeaWJhLS1kNDBzc2RkZl5iZWkuMTExLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":60,"message":6,"data":6,"success":61},{"code":9,"msg":10,"message":6,"data":64,"success":61},{"pageNo":30,"pageSize":21,"result":65,"totalSize":42},[66,75,85],{"id":67,"updateTime":68,"averageScore":69,"posts":20,"specialistId":70,"userName":71,"hospital":72,"avatar":48,"description":73,"department":74},30643,"2026-04-10 15:20:18",9.1,880050,"丁国钰","泰州市人民医院","这篇科普小视频讲得很实在。很多人对肛瘘掉以轻心，觉得“能拖就拖”，视频里用真实案例提醒大家：越拖手术越复杂，恢复也越慢。同时清晰介绍了椎管内麻醉和全麻两种方式，还特别强调术后可以通过药物和温水坐浴有效镇痛，大大减轻了大家对手术和疼痛的恐惧。语言通俗、态度温和，既敲了警钟，又给了安心，很适合用来做健康科普，让更多人早了解、早处理。","急诊科",{"id":76,"updateTime":77,"averageScore":78,"posts":79,"specialistId":80,"userName":81,"hospital":82,"avatar":48,"description":83,"department":84},27896,"2026-03-25 12:00:45",7.5,"副主任医师",875782,"陈双明","泰州市第二人民医院","\n本视频讲解规范清晰，操作流程完整，从体位摆放、定位、消毒铺巾到穿刺进针、注药等关键步骤演示到位，重点突出，细节讲解通俗易懂。对穿刺层次、并发症预防及注意事项强调充分，符合临床教学要求，适合初学者学习掌握。整体实用性强，画面清晰，讲解专业，是优质的椎管内麻醉教学素材。\n","男性泌尿外科",{"id":86,"updateTime":6,"averageScore":87,"posts":20,"specialistId":88,"userName":89,"hospital":90,"avatar":91,"description":92,"department":93},32680,8.7,870748,"徐伟","苏州市立医院","https://ystcdn.venuertc.com/venue/app/29284/2025-11-18/81c330ea-0314-432a-b447-3c415a508e29.png","本视频结合临床病例科普肛瘘治疗知识，专业严谨且实用性强。开篇纠正肛瘘拖延治疗的认知误区，警示病情恶化风险；清晰区分椎管内麻醉、全身麻醉的适用场景与特点，解析术后药物镇痛、温水坐浴等管理方案。内容紧扣疾病诊疗核心，结合真实案例增强说服力，语言通俗自然，兼具科普性与指导性，有效缓解患者治疗顾虑。","胃肠外科",{"code":9,"msg":10,"message":6,"data":95,"success":61},{"authors":96,"appraiseDimensionScoresVos":103},[97,99,101],{"profilePhoto":48,"specialistId":98},"875782",{"profilePhoto":48,"specialistId":100},"880050",{"profilePhoto":91,"specialistId":102},"870748",[104,109,114,118,123],{"id":105,"scores":106,"value":106,"dimensionId":6,"avgs":107,"title":108},259521,30,8.44444,"内容准确性",{"id":110,"scores":111,"value":111,"dimensionId":6,"avgs":112,"title":113},259522,20,8.58333,"内容深度与广度",{"id":115,"scores":111,"value":111,"dimensionId":6,"avgs":116,"title":117},259523,8.5,"语言表达",{"id":119,"scores":120,"value":120,"dimensionId":6,"avgs":121,"title":122},259524,15,9.55556,"呈现形式",{"id":124,"scores":120,"value":120,"dimensionId":6,"avgs":125,"title":126},259525,9.44444,"教育价值"]