[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f_D2Gd17M4U9sp1IefoUnA2LDkmxQe66kzN3u510PLBU":8,"$f5trZVVRv_wW1cwdcjjvHKLB1aMC_ft2_hT9E2_Yi6Cw":61,"$fT-6KK_25ObHguFqrdu7dEFjct45Sev0tqFFILRtK9PI":62,"$f_nQkOK9iZNwFnQ3slN4MtBps3kzharCFq8n5aLBeahw":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":60},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":21,"description":26,"vid":27,"time":28,"mediaType":29,"views":30,"likes":31,"isThumbsUp":7,"isCollection":7,"collections":31,"createTime":32,"seoTitle":33,"seoKeywords":34,"seoDescription":35,"shelvesTime":36,"menus":37,"menuId":39,"type":21,"quality":57,"commentCount":31,"isComment":29,"deviceType":58,"url":59},8960,868362,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//j0D5FBhdUH6ZNhhHAPM95zzXvMoMtBoR.png","朱鹏","手足外伤等治疗","江苏盛泽医院","骨科","主治医师",2,10,"老年患者的麻醉安全与疼痛管理你知道多少？","https://cdn.yishi-tong.com/console/3/a58gUhPjDufWxK-j5lAecEdM9vGMrsG7.png","https://cdn.yishi-tong.com/console/3/vciSVc1snODH-9OKANfiMVWSQ59PIbP3.png","\u003Cdiv>\u003Ch3>老年患者的麻醉安全与疼痛管理你知道多少？\u003C/h3>\u003Ch3>👋 真实经历开场\u003C/h3>\u003Cp>你可能觉得麻醉只是“睡一觉”的事儿，但实际上，尤其到了老年，骨折和手术真是说来就来。我是江苏盛泽医院骨科医生朱鹏，在门诊上遇到太多像这样突然摔倒骨折的大爷大妈。他们总觉得疼痛忍忍久过去了，对麻醉也没啥概念，却不知道麻醉方案其实关乎着术后是不是能睡好觉、能早期下床活动。\u003C/p>\u003Ch3>🔎 麻醉基础你真的懂吗？\u003C/h3>\u003Cp>麻醉的类型很多，并不是只有全身麻醉。尤其老年患者对于手术麻醉类型的选择尤为重要。就拿我最近遇到的一例病例来说，81岁的老人因为股骨颈骨折要做手术。术前需要完善胸部CT、心电图以及常规检验等检查，排除手术禁忌症。对于有慢性病病史的老年患者更应该慎重选择麻醉方式。最终我们给这位患者选择了椎管内麻醉。只有掌握了这些信息，麻醉医生才能选最合适的方案，既能让手术过程顺利，还能最大程度保障手术安全。\u003C/p>\u003Ch3>💡 骨科手术的痛苦与风险\u003C/h3>\u003Cp>有些人可能觉得“疼就忍一忍嘛”，但真到骨折需要上钢板或者做关节置换的时候，疼痛那可不只是一点半点、小打小闹。术后如果镇痛不够，会直接影响术后康复。疼痛让人不敢早期下床活动，而卧床太久就容易肺部感染、甚至产生静脉血栓。只要选择合理的麻醉方案，不仅能保障手术安全，还能帮助患者早期功能锻炼。\u003C/p>\u003Ch3>📋 实用建议与安全守护\u003C/h3>\u003Cp>那怎么才能把麻醉和疼痛这道关过得稳妥？首先，术前一定要主动和医生沟通健康状况——别以为“小毛病”无关紧要，像CT、抽血检查都能帮助判断风险。其次，术中麻醉用药及剂量需医生认真斟酌，尤其老年患者更需要细致管理。术后合理使用镇痛药物能够帮助早期下床活动、避免长期卧床导致的并发症。\u003C/p>\u003Ch3>🍀 温馨提醒收尾\u003C/h3>\u003Cp>其实，任何年龄阶段的人遇到骨折和手术，都应该重视麻醉安全和疼痛管理。这不仅能减轻因骨折手术带来的痛苦，还有助于术后康复。希望今天的科普视频能帮到大家、谢谢！\u003C/p>\u003C/div>","v0347cg10004d4j5ogaljht3shtl1k20",199,1,575,0,"2025-11-26 00:03:22"," 老年患者麻醉安全与疼痛管理指南 | 关键注意事项与风险防控  "," 老年麻醉安全, 疼痛管理, 麻醉风险, 术后镇痛, 高龄患者麻醉, 麻醉并发症预防  "," 本文深入探讨老年患者麻醉安全的核心要点与疼痛管理策略，涵盖术前评估、麻醉方式选择、术中监测及术后镇痛方案，帮助降低高龄患者手术风险并优化康复效果。","2025-12-03 11:00:00",[38],{"menuId":39,"menuName":40,"parentId":31,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":29,"status":31,"createDept":6,"remark":47,"createTime":48,"children":49,"columnImage":50,"columnLogo":51,"uncheckedLogo":6,"checkedLogo":6,"isHot":31,"isHome":31,"forceLogin":31,"color":6,"seoTitle":52,"seoKeywords":53,"seoDescription":54,"contentNum":6,"promotionalPoster":55,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":56,"routerPath":42,"componentInfo":43},"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","重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/868362/a9a167a1-06bf-4c20-82e0-5773b2c765e3.tmp?a=0&auth_key=1789022543-8320188a6a2745fcbffdae9cbef32c69-0-8d6e343685f428532c22407f3eb94ce7&br=603&bt=603&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0347cg10004d4j5ogaljht3shtl1k20&er=0&l=20260811043859A85363952852398673C0&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M25vazZrb2o4NzczNGY3M0ApNTR3dndtZHJtZzMzajo2eWcvLnFwcWdebGdhLS1kNDBzcy1oaWUwZWlkMjExLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":59,"message":6,"data":6,"success":60},{"code":9,"msg":10,"message":6,"data":63,"success":60},{"pageNo":29,"pageSize":22,"result":64,"totalSize":41},[65,75,84],{"id":66,"updateTime":67,"averageScore":68,"posts":20,"specialistId":69,"userName":70,"hospital":71,"avatar":72,"description":73,"department":74},29946,"2026-04-14 17:53:34",9.5,866710,"索传健","江苏省人民医院","https://cdn.haohuanjiao.com/learnMaterial/ystApp//EVaBlbhbZydk8UhwcS1Rgk5yrmE0M7po.png","该视频科普以聚焦老年骨科患者麻醉与疼痛管理，以临床真实病例为切入点，专业且通俗。内容系统拆解了老年患者麻醉方案的个体化选择逻辑，阐明了术后镇痛对预防卧床并发症、促进早期康复的核心价值，同时给出了术前沟通、术中管理、术后镇痛的全流程实用建议。讲解逻辑清晰、贴合临床，既纠正了大众对麻醉的认知误区，也为老年患者及家属提供了可落地的健康指导，兼具专业性与实用性","男性泌尿外科",{"id":76,"updateTime":77,"averageScore":78,"posts":79,"specialistId":6,"userName":80,"hospital":81,"avatar":47,"description":82,"department":83},21107,"2026-01-13 10:52:13",9.4,"副主任医师","吴颐","江苏省中医院","视频中老年患者麻醉安全与疼痛管理科普，以临床医生的真实经历切入，极具亲和力与代入感。内容紧扣老年患者的临床特点，结合股骨颈骨折案例拆解麻醉方案选择的核心逻辑，还清晰阐述了疼痛管理对术后康复的关键意义。既用专业知识破除了老年患者对麻醉的认知误区，又为其术后康复指明方向，是一篇兼具专业度与温度的优质科普。","神经外科",{"id":85,"updateTime":86,"averageScore":87,"posts":88,"specialistId":89,"userName":90,"hospital":91,"avatar":47,"description":92,"department":93},18775,"2025-12-16 11:05:54",9,"主任医师",881256,"史新华","南京市高淳人民医院","本视频紧扣老年患者“安全麻醉+有效镇痛+加速康复”核心需求，重点强调麻醉与镇痛的协同设计：术中依托精准监测规避循环波动风险，术后采用非甾体类药物+神经阻滞的多模式镇痛，减少阿片类药物依赖与不良反应。同时关注心理疏导、早期活动等康复要点，形成“风险防控-疼痛管理-功能恢复”闭环，内容全面且重点突出，既缓解患者焦虑，又为临床优化老年围术期管理提供科学参考","麻醉科",{"code":9,"msg":10,"message":6,"data":95,"success":60},{"authors":96,"appraiseDimensionScoresVos":102},[97,99,100],{"profilePhoto":47,"specialistId":98},"881256",{"profilePhoto":47,"specialistId":6},{"profilePhoto":72,"specialistId":101},"866710",[103,109,115,119,125],{"id":104,"scores":105,"value":106,"dimensionId":6,"avgs":107,"title":108},170803,30,27,9.8,"内容准确性",{"id":110,"scores":111,"value":112,"dimensionId":6,"avgs":113,"title":114},170804,20,18,9.7,"内容深度与广度",{"id":116,"scores":111,"value":112,"dimensionId":6,"avgs":117,"title":118},170805,9.6,"语言表达",{"id":120,"scores":121,"value":122,"dimensionId":6,"avgs":123,"title":124},170806,15,14,9.86667,"呈现形式",{"id":126,"scores":121,"value":127,"dimensionId":6,"avgs":128,"title":129},170807,13,7.86667,"教育价值"]