Journal of Anesthesia and Clinical Research最新文献_第5页

Liver Grafts Flush and its Relation to Hemodynamic Status in Recipients of Living Donor Liver Transplantation: An Egyptian Experience 活体肝移植受者肝移植物潮红及其与血流动力学状态的关系:埃及的经验

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/2155-6148.1000831

Amr M Hilal Abdou, F. Malak

{"title":"Liver Grafts Flush and its Relation to Hemodynamic Status in Recipients of Living Donor Liver Transplantation: An Egyptian Experience","authors":"Amr M Hilal Abdou, F. Malak","doi":"10.4172/2155-6148.1000831","DOIUrl":"https://doi.org/10.4172/2155-6148.1000831","url":null,"abstract":"Background: There have been limited data towards the hemodynamic (HD) changes in recipients of living donor liver transplantation (LDLT) especially during the reperfusion phase. Purpose: Does surgical techniques affects the HD of the patients during reperfusion? We evaluated the differences between two surgical techniques done before the reperfusion phase of LDLT; one with liver graft flush and the other without flush. Methods: A retrospective observational study conducted at Ain Shams University Hospitals, Center of organ transplantation. Analysis of 50 recipients HD data, usage of vassopressors, ICU stay and mortality during reperfusion phase and 20 min after it, thus comparing two different methods; one with liver flush through the portal vein (PV) of 100 ml-200 ml (1.5 ml/kg-2.5 ml/kg) of blood and venting it from hepatic vein (HV), other group without liver flush technique. Results: Regarding the use of vassopressors; recipients underwent liver flush showed low initial and maintenance doses of nor-epinephrine compared to patients without flush (P ≤ 0.001), no differences detected regarding the HD state, intensive care unit (ICU) stay and blood products usage between the two techniques. Conclusion: In patients candidates for LDLT there is an increased risk of a complex and not completely understood pathology of postreperfusion syndrome (PRS), antegrade Portal vein (PV) flushing with HV venting is a surgical technique with reduced doses of vassopressors with minimal PRS hemodynamic instability.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"37 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91137520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Analgesia Post Abdominal Surgery: Intravenous vs. Continuous Thoracic Epidural Pain Management 腹部手术后的镇痛:静脉注射vs连续胸椎硬膜外疼痛管理

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/2155-6148.1000835

G. Enten, Suvikram Puri, M. Copeland, D. Mangar, E. Camporesi

{"title":"Analgesia Post Abdominal Surgery: Intravenous vs. Continuous Thoracic Epidural Pain Management","authors":"G. Enten, Suvikram Puri, M. Copeland, D. Mangar, E. Camporesi","doi":"10.4172/2155-6148.1000835","DOIUrl":"https://doi.org/10.4172/2155-6148.1000835","url":null,"abstract":"Introduction/Background: This study evaluates the effects of continuous thoracic epidural analgesia (TEA) vs. intravenous pain control methods on the narcotics requirement for common laparoscopic abdominal surgeries. The introduction of new guidelines at Tampa General Hospital for the year 2017 afforded the opportunity for a sequential case series analysis of these two methods of pain management. Methods: A sequential case-series on patients undergoing laparoscopic or robot assisted abdominal surgery was performed. Patients were recruited upon request of surgeons using the same nurses and resident support team. Data were obtained from retrospective chart review following local IRB approval and evaluated for the effects of intravenous analgesia compared to continuous T9-10 epidural analgesia. Primary outcomes were intraoperative, 24 h and post-24 h opioid use in morphine milligram equivalents (MME). Length of hospital stay and VAS pain scores were also collected. Results: There was no significant difference in terms of age, gender, and BMI between groups. When compared patients who received epidural reported significantly lower pain scores in the first 24 h after surgery (p<0.05) and for the remainder of their hospital stay (p<0.05). Significant decreases in narcotic requirement was noted in the PACU (p<0.001), the first 24 h after surgery (p<0.001), and aggregate use per day (p<0.01). Conclusions: Continuous thoracic epidural analgesia is a viable alternative to intravenous pain control for patients undergoing common laparoscopic surgeries. Further research is required to determine the risks and benefits of TEA for laparoscopic colorectal surgery.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"39 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84092600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Angiotensin II Receptor Blocker versus Angiotensin-Converting Enzyme Inhibitor for Postoperative Acute Kidney Injury after Cardiac Surgery 血管紧张素受体阻滞剂与血管紧张素转换酶抑制剂对心脏手术后急性肾损伤的影响

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/2155-6148.1000820

Wataru Sakai, N. Hirata, M. Yamakage

{"title":"Angiotensin II Receptor Blocker versus Angiotensin-Converting Enzyme Inhibitor for Postoperative Acute Kidney Injury after Cardiac Surgery","authors":"Wataru Sakai, N. Hirata, M. Yamakage","doi":"10.4172/2155-6148.1000820","DOIUrl":"https://doi.org/10.4172/2155-6148.1000820","url":null,"abstract":"Background and aims: Acute Kidney Injury (AKI) after cardiac surgery is a serious complication and a risk factor of postoperative mortality. It has been suggested that Angiotensin Ii Receptor Blockers (ARBs) and Angiotensin- Converting Enzymes (ACE-Is) might be able to reduce the incidence of postoperative AKI after cardiac surgery. However, it remains unknown as to which of these drugs are better for protecting the renal function after cardiac surgery. We hypothesized that each of the ARBs and ACE-Is were able to differentially affect the postoperative AKI after cardiac surgery due to their differential drug efficacies. Thus, this current study investigated the association between the ARBs or ACE-Is and the postoperative AKI after cardiac surgery. Methods: This retrospective single-center observational study was conducted in a community hospital. This study investigated 132 patients undergoing cardiac surgery with cardiopulmonary bypass between January 2013 and December 2015. The association between the incidence of AKI and the usage of ARBs or ACE-Is were analysed by using The Propensity Score Inverse Probability of Treatment Weighting (IPTW) method. Results: Multiple logistic regression analysis after adjustment revealed that of the 132 patients examined, those receiving preoperative ARBs had significantly less incidence of postoperative AKI compared to the other patients (odds ratio [OR], 0.33; 95% confidence interval [CI], 0.11-0.94; P=0.040). However, preoperative administration of ACE-Is were not associated with the incidence of postoperative AKI (OR, 0.73; 95% CI, 0.25-2.17; P=0.58). Conclusions: Our analyses showed that ARBs rather than ACE-Is are potentially the preferable drug for perioperative renal protection. Prospective studies will need to be undertaken in order to elucidate the detailed effects of ARBs and ACE-Is on the kidney after undergoing cardiac surgery.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"2 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80759650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Fentanyl or Dexmedetomidine on the Ultrasound-Guided Paravertebral Block for Patients Undergoing Renal Surgeries: Randomized Controlled Trial 芬太尼或右美托咪定对超声引导肾手术患者椎旁阻滞的影响:随机对照试验

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/12155-6148.1000870

S. Ahmed, M. G. Elmawy, A. Magdy

{"title":"The Effect of Fentanyl or Dexmedetomidine on the Ultrasound-Guided Paravertebral Block for Patients Undergoing Renal Surgeries: Randomized Controlled Trial","authors":"S. Ahmed, M. G. Elmawy, A. Magdy","doi":"10.4172/12155-6148.1000870","DOIUrl":"https://doi.org/10.4172/12155-6148.1000870","url":null,"abstract":"Objective: This study aimed to investigate the effect of the continuous paravertebral block using either fentanyl or dexmedetomidine as an additive to bupivacaine in patients undergoing renal surgeries. Methods: Ninety adult patients presented for renal surgeries under general anesthesia and ultrasound-guided continuous paravertebral block were allocated in this study and randomly distributed into three groups. All the patients received a loading and a maintenance doses of local anesthetic mixtures composed of bupivacaine alone in Control group with addition of fentanyl or dexmedetomidine in Fentanyl and Dexmedetomidine groups. The measurements included the postoperative analgesic consumption, the time for the first request for rescue analgesia, postoperative pain scores, hemodynamic parameters, and incidence of complication. Results: The addition of fentanyl or dexmedetomidine to plain bupivacaine in continuous paravertebral block significantly decreased the dose of postoperative morphine consumption from (11.33 ± 5.05 mg) to (7.33 ± 4.59 mg) (7.80 ± 4.15mg), significantly prolonged the time for first request of rescue analgesia from (6.87 ± 3.81 h) to (9.80 ± 4.50 h) (10.80 ± 5.22 h), and significantly decrease VAS score 2 h and 6 h postoperatively with insignificant difference between fentanyl and dexmedetomidine (p>0.05). Conclusion: Fentanyl or dexmedetomidine can be helpful as an adjuvant to bupivacaine (0.25%) in the continuous paravertebral block as they decreased the postoperative analgesic consumption without increased incidence of complication.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"40 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74021045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Evaluation of the Distance between the Epidural Puncture Point and the Thoracic Cavity Using CT Images in Japanese Adults 日本成人硬膜外穿刺点与胸腔距离的CT评价

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/2155-6148.1000847

T. Kawano, T. Yano, I. Tsuneyoshi

引用次数: 0

Non-surgical Treatment of Peri-implantitis: A Systematic Review of theLiterature 种植体周围炎的非手术治疗:文献系统综述

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/2155-6148.1000850

P. Giacomo, Spinoglio Gian Luca, Beltrami Riccardo, S. Maurizio, P. Cesare

引用次数: 1

Augmenting Subarachnoid Block Analgesia in Caesarean Section Delivery with Sub-Psychotomimetic Dose of Ketamine 亚拟精神剂量氯胺酮增强剖宫产的蛛网膜下腔阻滞镇痛

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/2155-6148.1000853

R. Owolabi, O. I. Adeyemi, Sunday Elisha Oyelere

{"title":"Augmenting Subarachnoid Block Analgesia in Caesarean Section Delivery with Sub-Psychotomimetic Dose of Ketamine","authors":"R. Owolabi, O. I. Adeyemi, Sunday Elisha Oyelere","doi":"10.4172/2155-6148.1000853","DOIUrl":"https://doi.org/10.4172/2155-6148.1000853","url":null,"abstract":"This study investigated the effect of low sub-psychotomimetic dose (0.3 mg/kg) of ketamine on subarachnoid block-induced analgesia with a view to assessing the analgesic effectiveness of combination of low dose ketamine with subarachnoid block in management of post caesarean section pain. Spinal anaesthesia was performed in 120 healthy pregnant women scheduled for elective caesarean delivery using 10 mg hyperbaric bupivacaine. Parturient mothers were randomly selected into four groups (n=30) consisting of K1, K2, NK1 and NK2. K1 received 0.3 mg/kg intravenous ketamine diluted with sterile water for injection to 5 mL, as a bolus dose 2 min before surgical incision; K2 was treated as K1 but at 2 minutes after delivery of baby, while NK1 and NK2 received equivalent volumes of normal saline 2 min before surgical incision and 2 min after baby extraction respectively. Age, weight, duration of surgery (DOS) and the time of first request for analgesia (TFA) for all participants were recorded. Post-operative pain intensity was assessed using a visual analogue scale (VASPI) at 2, 4, 8, 12, 24 and 36 h after spinal anaesthesia induction. Results were analyzed using ANOVA and Kruskal-Wallis tests. Student Newman-Keuls and Man-Whitney rank sum tests were used for post hoc analysis as appropriate. P value<0.05 was considered statistically significant. There was no significant difference in age and weight across groups, but duration of surgery was statistically prolonged in K1 group relative to NK1 group. Low dose ketamine significantly augmented the analgesic effect of spinal block anaesthesia, especially when given at two minutes before surgical incision.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81853029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dexmedetomidine versus Nitroglycerin for Controlled Hypotensive Anaesthesia in Functional Endoscopic Sinus Surgery 右美托咪定与硝酸甘油用于功能性内窥镜鼻窦手术的控制降压麻醉

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/2155-6148.1000822

D. D. Patel, Ankita Singh, M. Upadhyay

{"title":"Dexmedetomidine versus Nitroglycerin for Controlled Hypotensive Anaesthesia in Functional Endoscopic Sinus Surgery","authors":"D. D. Patel, Ankita Singh, M. Upadhyay","doi":"10.4172/2155-6148.1000822","DOIUrl":"https://doi.org/10.4172/2155-6148.1000822","url":null,"abstract":"Context: In patients with chronic sinusitis, Functional Endoscopic Sinus Surgery (FESS) is the preferred surgical option as part of treatment after conservative measures have failed. Aims: To improve the success of this surgery and to minimize complications, bloodless field is required. So our primary objective will be to provide bloodless field intraoperatively. Settings and design: Our study was a single blinded, prospective, randomized and comparative clinical study. It included forty adult patients between 18-60 years of age and of either sex. They all were from ASA Grade I & II. The patients were distributed into two groups of 20 each. Methods and material: Group D (n=20) Patients who received loading dose of Dexmedetomidine 1 microgram/ kilogram (μg/kg) over a period of 10 min before induction of anaesthesia and followed by maintenance infusion in the dose of 0.4-0.8 μg/kg/h after intubation via syringe infusion pump. Group N (n=20): Patients who received Inj. Nitroglycerine 5-10 μg/kg/min after intubation via continuous infusion. Patients were monitored for haemodynamic parameters, arterial oxygen saturation and end tidal CO2 at fifteen minute time interval. Average category scale score was used to assess the Quality of surgical field. Total amount of blood loss was noted. Statistical test used: Student's t-test Results: We observed statistically significant increase in mean pulse rate in the Nitroglycerine group as compared to the Dexmedetomidine group. Mean arterial pressure was successfully reduced to the target value in both the groups. There was no difference in amount of blood loss between the two groups. Conclusions: Dexmedetomidine and Nitroglycerine both can be used with great safety profile to achieve controlled hypotension during FESS.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"27 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87010156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Inadvert Intravenous Administration of Local Anaesthetic During Labour: A Case Report 分娩过程中不小心静脉注射局麻1例报告

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/2155-6148.1000829

P. A. Ramos, T. Barreto, Ana Paula Alves, H. Machado

{"title":"Inadvert Intravenous Administration of Local Anaesthetic During Labour: A Case Report","authors":"P. A. Ramos, T. Barreto, Ana Paula Alves, H. Machado","doi":"10.4172/2155-6148.1000829","DOIUrl":"https://doi.org/10.4172/2155-6148.1000829","url":null,"abstract":"Introduction: Local anaesthetics are widely used in the daily practice of the anaesthesiologists. Although in most part of the times no adverse effect are observed secondary to its use, accidental intravascular injection can be related to serious consequences. The objective of this case report is to describe an accidental intravascular administration of a local anesthetic during labour epidural analgesia. Methods: Clinical records of a complete epidural labour analgesia case were collected. Results: During an epidural blockade for labour analgesia, local anesthetic toxicity was acutely diagnosed after a bolus dose. This epidural catheter was promptly removed. Following the parturient informed consent and will, a second epidural catheter was introduced at a different lumbar level, with a subsequent successful analgesia, with no complications registered, with a normal delivery in the due time, with no morbidities either to the mother and the newborn. Discussion: After an incomplete success of the first bolus when the first epidural catheter has been used, a diagnostic bolus of Lidocaine showed that this catheter was actually in an intravascular space. The diagnostic was purely clinical, given the highly typical clinical signs that were observed. These signs were so clear that no other diagnostic procedure was necessary. The fact that labour analgesia was resumed after a second catheter was introduced (this time with complete success) showed a good confidence relationship between doctor and patient, which is of paramount importance during Anesthesiology practice. Conclusions: Intravascular injection of local anaesthetics could be prevented following some safe steps. In cases when it is not primarily identified, a transparent dressing could allow observation of blood inside catheter and help to make the diagnosis.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"4 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75585572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Performance Assessment of a New Electromyography-based Neuromuscular Monitor and Subjective Discomfort in Unmedicated Volunteers 一种新的基于肌电图的神经肌肉监测仪的性能评估和主观不适在未服药的志愿者

Journal of Anesthesia and Clinical Research Pub Date : 2018-01-01 DOI: 10.4172/2155-6148.1000848

R. Nemes, Boglárka Diószeghy, A. Pongrácz, E. Tassonyi, B. Fülesdi

{"title":"Performance Assessment of a New Electromyography-based Neuromuscular Monitor and Subjective Discomfort in Unmedicated Volunteers","authors":"R. Nemes, Boglárka Diószeghy, A. Pongrácz, E. Tassonyi, B. Fülesdi","doi":"10.4172/2155-6148.1000848","DOIUrl":"https://doi.org/10.4172/2155-6148.1000848","url":null,"abstract":"Objective: The aim of this prospective, unblinded, randomized study was to provide performance data of the prototype of new electromyography-based neuromuscular monitor, the NEAT device (Acacia Designs BV, Amsterdam, the Netherlands) and assess the subjective discomfort associated with neurostimulation in unmedicated healthy volunteers. Methods: The study enrolled ten male and ten female volunteers. Based on a priori randomization the ulnar nerve of the left or right arms was stimulated in 1 Hz single twitch and train-of-four modes. Stimulating current intensity was increased from 10 mA to 60 mA in 10 mA steps. Electromyography recordings were performed at the abductor digiti minimi and adductor pollicis muscles via surface electrodes. The volunteers were asked to rate the discomfort in association with neurostimulation on a 0-10 visual analogue scale. Results: The overall train-of-four ratio was 1.02 (0.98-1.06) {median and (interquartile range)}. The abductor digiti minimi muscle required lower stimulating current intensity to evoke maximal stimulation, than the adductor pollicis (30 vs. 50 mA, p<0.001). The overall intracurrent variability of compound muscle action potential amplitudes was 0.42 (0.21-0.87) mV, that was unaffected by the type of muscle or the stimulating current intensity. Women reported moderately higher visual analogue scale scores than men. The largest recorded difference was 5 (3.75-6) vs. 3 (3-4), p<0.05. Conclusion: The Acacia Designs BV NEAT monitoring device was suitable to deliver neurostimulation, record and analyze the elicited muscle action potentials. The precision of stimulations was acceptable. The volunteers reported the discomfort in association with neurostimulation as tolerable. Registered at the Hungarian Office for Health Authorization and Administrative Procedures (December 30th, 2014). Identifier: 028605-010/2014/OTIG. Registered at clinicaltrials.gov (December 15th, 2015). Identifier: NCT02630576.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86415348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1