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Journal of perioperative practice最新文献

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Staff satisfaction with reusable surgical drapes. 工作人员对可重复使用的手术铺巾的满意度。
IF 1.2
Journal of perioperative practice Pub Date : 2025-07-01 Epub Date: 2024-11-12 DOI: 10.1177/17504589241297796
Hayden Snow, Jessica Clarke, Kara Taylor, Forbes McGain
{"title":"Staff satisfaction with reusable surgical drapes.","authors":"Hayden Snow, Jessica Clarke, Kara Taylor, Forbes McGain","doi":"10.1177/17504589241297796","DOIUrl":"10.1177/17504589241297796","url":null,"abstract":"<p><strong>Background: </strong>Reusable surgical textiles have substantial environmental benefits over single-use, disposable items. However, staff satisfaction with the performance of reusable textiles is unclear. During a trial period using reusable drapes, staff were surveyed regarding satisfaction with the products.</p><p><strong>Results: </strong>A total of 30 staff members responded to the survey. Overall, 90% of respondents were either satisfied/very satisfied (80%) or neutral (10%) when asked about their satisfaction with the reusable drapes, while 10% were unsatisfied/very unsatisfied; 87% of staff responded that reusable drapes were either as effective or more effective than disposable drapes. Reusable drapes showed very high levels of staff satisfaction in terms of durability (87%), fluid protection (70%) and provision of a sterile field (80%). There were no staff who did not support the ongoing use of reusable surgical drapes.</p><p><strong>Conclusion: </strong>There is extremely high staff satisfaction with reusable surgical drapes.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"358-364"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629110","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
Perioperative practitioners' experiences of critical incident debriefing: A qualitative explorative study. 围手术期从业人员的重大事件汇报经验：定性探索研究。
IF 1.2
Journal of perioperative practice Pub Date : 2025-07-01 Epub Date: 2024-11-13 DOI: 10.1177/17504589241293340
Kelly Y Porteous, Callum Robertson, Agnes Lafferty
{"title":"Perioperative practitioners' experiences of critical incident debriefing: A qualitative explorative study.","authors":"Kelly Y Porteous, Callum Robertson, Agnes Lafferty","doi":"10.1177/17504589241293340","DOIUrl":"10.1177/17504589241293340","url":null,"abstract":"<p><strong>Background: </strong>A critical incident is described as any unplanned event which causes, or has the potential to cause, injury to a patient. Critical incident debriefing is a team discussion to gather facts and analyse the experience, evaluate lessons learned and provide staff with support. However, this phase is often neglected.</p><p><strong>Methods: </strong>This UK-based explorative qualitative study aims to explore perioperative practitioners' experiences of critical incident debriefing. Data were collected from six participants through audio-recorded, semi-structured interviews. Data were analysed using a thematic analysis framework.</p><p><strong>Results: </strong>Five themes emerged detailing the advantages of critical incident debriefing, including addressing staff's personal needs and learning lessons from incidents, and the disadvantages such as time constraints and unsupportive/uninformative debriefs leading to poor-quality debriefs.</p><p><strong>Conclusions: </strong>Implementation of a short debrief immediately post-incident to address immediate concerns, a later in-depth debrief and additional training for facilitators were recommended to improve debrief quality.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"350-357"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A literature review assessing the perioperative efficacy and safety of tranexamic acid in elective total hip and knee arthroplasty in UK practice. 文献综述：评估氨甲环酸在英国择期全髋关节和膝关节置换术中的围手术期疗效和安全性。
IF 1.2
Journal of perioperative practice Pub Date : 2025-07-01 Epub Date: 2024-09-20 DOI: 10.1177/17504589241278478
Ravi Patel, Steven Golding, Rajpal Nandra, Robin Banerjee
{"title":"A literature review assessing the perioperative efficacy and safety of tranexamic acid in elective total hip and knee arthroplasty in UK practice.","authors":"Ravi Patel, Steven Golding, Rajpal Nandra, Robin Banerjee","doi":"10.1177/17504589241278478","DOIUrl":"10.1177/17504589241278478","url":null,"abstract":"<p><p>Hip and knee arthroplasty are frequently associated with significant blood loss, often necessitating blood transfusions. A variety of methods are employed to minimise blood loss and consequently mitigate the necessity for transfusions. This review explores the incidence of blood loss in hip and knee arthroplasty alongside perioperative strategies aimed at its reduction in UK practice. Given the increasing prevalence of tranexamic acid utilisation, we systematically examine the extant literature concerning its application in patients undergoing hip and knee arthroplasty. Our analysis discerns a prevailing consensus within published studies favouring the implementation of tranexamic acid as a safe and efficacious measure for reducing blood loss during hip and knee arthroplasty procedures.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"326-330"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297166","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
Identification and optimisation of perioperative factors for patients with von Willebrand disease undergoing elective total hip and knee arthroplasty. 识别并优化接受择期全髋关节和膝关节置换术的 von Willebrand 病患者的围手术期因素。
IF 1.2
Journal of perioperative practice Pub Date : 2025-07-01 Epub Date: 2024-08-12 DOI: 10.1177/17504589241270251
Ravi Patel, Steven Golding, Rajpal Nandra, Robin Banerjee
{"title":"Identification and optimisation of perioperative factors for patients with von Willebrand disease undergoing elective total hip and knee arthroplasty.","authors":"Ravi Patel, Steven Golding, Rajpal Nandra, Robin Banerjee","doi":"10.1177/17504589241270251","DOIUrl":"10.1177/17504589241270251","url":null,"abstract":"<p><p>Von Willebrand disease stands as the most prevalent bleeding disorder seen in both medical and surgical practice. Due to recurrent bleeding episodes within the joints, many patients endure arthropathy, leading to substantial pain and restricted function. Total joint arthroplasty emerges as a final option for managing such cases. Nevertheless, the existence of von Willebrand disease presents several challenges in this regard. This review aims to explore the perioperative strategies tailored for patients with von Willebrand disease undergoing elective total joint arthroplasty.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"322-325"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917533","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
Comparison of the effect of different doses of phenylephrine infusion on the prevention of hypotension in the elderly under spinal anaesthesia in orthopaedic surgery. 比较不同剂量的苯肾上腺素输注对预防骨科手术脊髓麻醉中老年人低血压的效果。
IF 1.2
Journal of perioperative practice Pub Date : 2025-07-01 Epub Date: 2024-10-08 DOI: 10.1177/17504589241274470
Mitra Golmohammadi, Shahryar Sane, Wesam R Kadhum, Ahmed Hjazi, Mohammed N Fenjan, Farnaz Mahmoudifar, Behzad Kazemi Haki, Mehri Soodagar Eskandarabadi, Somayeh Ghavipanjeh Rezaiy
{"title":"Comparison of the effect of different doses of phenylephrine infusion on the prevention of hypotension in the elderly under spinal anaesthesia in orthopaedic surgery.","authors":"Mitra Golmohammadi, Shahryar Sane, Wesam R Kadhum, Ahmed Hjazi, Mohammed N Fenjan, Farnaz Mahmoudifar, Behzad Kazemi Haki, Mehri Soodagar Eskandarabadi, Somayeh Ghavipanjeh Rezaiy","doi":"10.1177/17504589241274470","DOIUrl":"10.1177/17504589241274470","url":null,"abstract":"<p><strong>Background: </strong>Considering the vasopressor drug categories and doses that can be used for elderly patients following hypotension are few, the present trial aimed to compare the effect of different doses of phenylephrine infusion on the prevention of hypotension in elderly patients undergoing orthopaedic lower extremities surgery.</p><p><strong>Methods: </strong>This randomised, double-blind prospective clinical trial was conducted by including 60 elderly patients older than 60 years and classified as American Society of Anesthesiology class I and II who were candidates for femur fracture fixation surgery. White and black cards randomly allocated patients to: group A (25µg/kg/h phenylephrine) or group B (35µg/kg/h phenylephrine).</p><p><strong>Results: </strong>At the T<sub>3</sub>-T<sub>7</sub> time points, group A's systolic and diastolic blood pressure was significantly higher than in group B's (p < 0.05). However, after 27 minutes (T<sub>0</sub>-T<sub>7</sub>) of phenylephrine infusion, statistical analysis showed no significant difference between the two groups regarding blood pressure (T<sub>8</sub>-T<sub>end</sub>). The frequency of bradycardia and reactive hypertension in group B were significantly higher than in group A (p = 0.02) and (p = 0.03), respectively. There was no significant difference between the bleeding loss, blood transfusion and crystalloid volume in both groups (p > 0.05).</p><p><strong>Conclusion: </strong>Our trial illustrated that high-dose phenylephrine infusion could not assure haemodynamic stability and may cause some side effects.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"341-349"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142393900","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
Additional doses of prophylactic antibiotics post-arthroplasty: Are there any benefits? 关节置换术后追加预防性抗生素剂量：是否有任何益处？
IF 1.2
Journal of perioperative practice Pub Date : 2025-07-01 Epub Date: 2024-06-14 DOI: 10.1177/17504589241252019
James Adeosun, Essam Rama, Azeem Thahir, Matija Krkovic
{"title":"Additional doses of prophylactic antibiotics post-arthroplasty: Are there any benefits?","authors":"James Adeosun, Essam Rama, Azeem Thahir, Matija Krkovic","doi":"10.1177/17504589241252019","DOIUrl":"10.1177/17504589241252019","url":null,"abstract":"<p><p>Guidelines for prophylactic antibiotic administration in total joint replacement vary considerably in terms of drug, dosage, route of administration and duration of cover. Despite the range of treatment options available, infection remains the most common reason for arthroplasty failure in the decades following a procedure, simultaneously increasing health care costs and lowering patient satisfaction considerably. This work aims to evaluate whether there are benefits to administering further doses of antibiotic post-arthroplasty, in addition to the recommendations of current protocols. We present a review of evidence surrounding infection rates in a variety of prophylactic regimens, and weigh this against further considerations such as cost to the patient and risks of nephrotoxicity. In summary, the available evidence does not suggest a benefit to administering additional doses post-arthroplasty in most cases. However, further doses may benefit those deemed at high risk of infection, or those in areas of high methicillin-resistant Staphylococcus aureus prevalence.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"315-321"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring operating room staff engagement in the planning and design of the built environment in Australia: Development of a constructivist grounded theory. 探索澳大利亚手术室工作人员参与建筑环境规划和设计的情况：建构主义基础理论的发展。
IF 1.2
Journal of perioperative practice Pub Date : 2025-07-01 Epub Date: 2024-10-08 DOI: 10.1177/17504589241280437
Kasey Ann Irwin, Frank Donnelly, Janet Kelly
{"title":"Exploring operating room staff engagement in the planning and design of the built environment in Australia: Development of a constructivist grounded theory.","authors":"Kasey Ann Irwin, Frank Donnelly, Janet Kelly","doi":"10.1177/17504589241280437","DOIUrl":"10.1177/17504589241280437","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore Australian health professionals' perceptions and experiences regarding built environment planning for operating rooms.</p><p><strong>Methods: </strong>We conducted semi-structured interviews and a focus group using exploratory qualitative methods, involving 16 participants: anaesthetists, surgeons, nurses, theatre technicians and designers of operating rooms.</p><p><strong>Findings: </strong>Four core concerns of participants were analysed: Engagement, Respect & Collaboration; Foreseeing & Responding to Safety Concerns; Enhancing Design Planning to Minimise Internal & External Consequences; and Ambiguous Application of Standards in Operating Room Design Planning.</p><p><strong>Conclusion: </strong>Health professionals highlighted safety impacts related to patients and staff due to the built environment and emphasised the need for improved engagement, respect and collaboration in design processes. Consideration needs to be given to the lived experiences of health professionals in design planning to address safety concerns effectively. Hierarchies and cultural factors were identified as barriers to inclusive design processes.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"331-340"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142393901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital transformation with the Hoobox OR© system: Optimising efficiency in the surgical theatre of a Brazilian hospital. Hoobox OR©系统的数字化转型：优化巴西一家医院手术室的效率。
IF 1.2
Journal of perioperative practice Pub Date : 2025-06-19 DOI: 10.1177/17504589251346635
Natalia Barbosa Ferreira de Moura, Leticia Costa Rinaldi, Cristina Silva Sousa
{"title":"Digital transformation with the Hoobox OR© system: Optimising efficiency in the surgical theatre of a Brazilian hospital.","authors":"Natalia Barbosa Ferreira de Moura, Leticia Costa Rinaldi, Cristina Silva Sousa","doi":"10.1177/17504589251346635","DOIUrl":"https://doi.org/10.1177/17504589251346635","url":null,"abstract":"<p><strong>Introduction: </strong>The Hoobox OR© system is a digital automation platform designed to optimise communication and workflow efficiency in the operating theatre.</p><p><strong>Purpose: </strong>This study specifically seeks to assess the level of process automation achieved with the implementation of the Hoobox OR© system.</p><p><strong>Methods: </strong>This is a descriptive study conducted from August to November 2024 in a large private hospital in Brazil. Data were collected via process mapping and business intelligence reports.</p><p><strong>Results: </strong>The implementation of the Hoobox OR© system significantly reduced communication inefficiencies and optimised workflow in the surgical theatre. The number of telephone calls per request decreased from an average of two to three calls to a single digital action, while the time required to request and receive materials was reduced to an average of 15 minutes across all departments. In addition, automated task coordination improved theatre turnover, minimising delays, and enhancing overall operational efficiency.</p><p><strong>Conclusion: </strong>The adoption of the Hoobox OR© system in the operating theatre, through digital communication and process automation, significantly reduced response times and minimised rework, enhancing operational efficiency. Innovative technologies reinforce automation as a key strategy for continuous improvement in the surgical environment.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251346635"},"PeriodicalIF":1.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327062","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
Effect of volume control ventilation versus pressure control ventilation with volume-guaranteed mode on intraoperative respiratory mechanics and postoperative pulmonary functions in patients undergoing scoliosis surgery: A randomised control trial. 量控通气与保量压控通气对脊柱侧凸手术患者术中呼吸力学和术后肺功能的影响：一项随机对照试验
IF 1.2
Journal of perioperative practice Pub Date : 2025-06-14 DOI: 10.1177/17504589241287513
Kadali Vejendla, Srilata Moningi, Shibani Padhy, Padmaja Durga
{"title":"Effect of volume control ventilation versus pressure control ventilation with volume-guaranteed mode on intraoperative respiratory mechanics and postoperative pulmonary functions in patients undergoing scoliosis surgery: A randomised control trial.","authors":"Kadali Vejendla, Srilata Moningi, Shibani Padhy, Padmaja Durga","doi":"10.1177/17504589241287513","DOIUrl":"https://doi.org/10.1177/17504589241287513","url":null,"abstract":"<p><strong>Background: </strong>Posterior spinal fusion surgery for thoracolumbar scoliosis in the prone position, places the patient at high risk of pulmonary complications. The pressure-controlled ventilation volume-guaranteed mode regulates the inspiratory pressure limits to achieve a set tidal volume with the lowest airway pressure. We hypothesised that pressure-controlled ventilation volume-guaranteed mode would result in improved pulmonary mechanics, gas exchange and lower incidence of atelectasis than ventilation volume-guaranteed mode in patients undergoing corrective surgery for scoliosis in the prone position.</p><p><strong>Methods: </strong>Patients of thoracolumbar scoliosis scheduled for posterior spinal fusion surgery were randomly allocated to the ventilation volume-guaranteed (n = 24) or pressure-controlled ventilation volume-guaranteed group (n = 27). As primary endpoints, peak airway pressure (Ppeak), dynamic lung compliance (Cdyn) and arterial blood gas parameters were evaluated at predefined time points. Screening for atelectasis was done by lung ultrasonography on intensive care unit arrival.</p><p><strong>Results: </strong>Pressure-controlled ventilation volume-guaranteed resulted in significantly reduced Ppeak and Cdyn as well as lower PaCO<sub>2</sub> and arterial to end-tidal carbon dioxide gradient. Both the groups were comparable with regard to oxygenation, hemodynamic variables and total lung ultrasound scores.</p><p><strong>Conclusion: </strong>Pressure-controlled ventilation volume-guaranteed confers significant advantages like improved airway mechanics and lower dead space ventilation in patients undergoing corrective surgery for scoliosis.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241287513"},"PeriodicalIF":1.2,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144294995","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 holistic care of a patient undergoing lower limb amputation: A case study. 一例下肢截肢病人的整体护理：个案研究。
IF 1.2
Journal of perioperative practice Pub Date : 2025-06-13 DOI: 10.1177/17504589251330440
Taylah Natasha Berry
{"title":"The holistic care of a patient undergoing lower limb amputation: A case study.","authors":"Taylah Natasha Berry","doi":"10.1177/17504589251330440","DOIUrl":"https://doi.org/10.1177/17504589251330440","url":null,"abstract":"<p><p>Delivering holistic health care is an essential, effective practice in an emergency perioperative team. Holistic care along with situational awareness and effective communication that incorporates standardised procedures can lead to optimal outcomes and the best chance of a positive surgical experience for the patient. This article will analyse a case study focusing on a 67-year-old male booked for a right below-knee amputation. The Operating Department Practitioner and surgical team's practice and adaptations to be holistic in nature will be analysed in this case study to support the patient through the preoperative, intraoperative and postoperative phases of his surgical procedure. Full consent for publication has been obtained by patient X for this case study.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251330440"},"PeriodicalIF":1.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144294996","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
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