Pain Management Nursing最新文献_第6页

Managing Allodynia in Complex Regional Pain Syndrome: An Integrated Rehabilitation Approach. 复杂局部疼痛综合征的异常性疼痛管理：一种综合康复方法。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-30 DOI: 10.1016/j.pmn.2025.08.004

Roberto Tedeschi

引用次数: 0

Registered Nurses’ Association of Ontario’s (RNAO) Best Practice Guideline on Pain 安大略省注册护士协会（RNAO）疼痛最佳实践指南。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-28 DOI: 10.1016/j.pmn.2025.07.017

Courtney Braun MSc, Lauren Bailey MPH, Deborah Flores MN, Christine Buchanan MN, Nafsin Nizum MN

Aim

A fourth edition best practice guideline (BPG), Pain: Prevention, Assessment, and Management, was published in February 2025. This updated guideline offers three evidence-based recommendations for nurses and other health providers to effectively prevent, assess and manage pain for individuals across the lifespan. A summary of the guideline is presented.

Methods

The BPG team in collaboration with a panel of experts developed five good practice statements and conducted two systematic reviews to address three recommendation questions. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach was used to evaluate the quality of evidence, ensuring the guideline aligns with international reporting standards. This article summarizes the guideline development process and provides a high-level overview of the guideline content.

Results

The BPG features three recommendations and five good practice statements. Summaries of the systematic review findings and supporting literature for the good practice statements are provided.

Conclusions

The guideline highlights implementation and evaluation strategies, health equity considerations and future research priorities with respect to the recommendations and good practice statements. This BPG serves as a valuable resource for academic institutions, health service organizations and health providers to support effective pain prevention, assessment and management for individuals experiencing pain.

目标：第四版最佳实践指南（BPG）《疼痛：预防、评估和管理》于2025年2月出版。这一更新的指南为护士和其他卫生服务提供者提供了三项基于证据的建议，以有效地预防、评估和管理个人一生中的疼痛。本文对该指南进行了总结。方法：BPG团队与专家小组合作制定了五项良好实践声明，并进行了两次系统评价，以解决三个推荐问题。采用建议、评估、发展和评价分级（GRADE）方法来评估证据的质量，确保指南与国际报告标准保持一致。本文总结了指南的开发过程，并提供了指南内容的高级概述。结果：BPG有三条建议和五条良好实践声明。提供了系统审查结果的摘要和良好做法声明的支持文献。结论：该指南强调了关于建议和良好做法声明的实施和评价战略、卫生公平考虑和未来研究重点。该BPG为学术机构、卫生服务组织和卫生服务提供者提供了宝贵的资源，以支持对经历疼痛的个人进行有效的疼痛预防、评估和管理。

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引用次数: 0

25 Years of Pain Management Nursing Celebrating Our History 疼痛管理护理25周年纪念

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-27 DOI: 10.1016/j.pmn.2025.08.007

Elaine L. Miller PhD, RN, CRRN, FAAN, FAHA (editor)

引用次数: 0

Letter to the Editor: “Hand and Foot Massage on Pain Management After Cesarean Section: A Meta-Analysis” 致编辑的信：“手和脚按摩对剖宫产术后疼痛管理：荟萃分析”。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-27 DOI: 10.1016/j.pmn.2025.07.011

Sari Luthfiyah MSc , Triwiyanto Triwiyanto PhD , Enung Mardiyana Hidayat MN

引用次数: 0

Effects of Yoga on Pain and Functional Disabilities in Nurses Experiencing Low Back Pain 瑜伽对护士腰痛疼痛和功能障碍的影响。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-27 DOI: 10.1016/j.pmn.2025.07.012

Raziye Nur Kutlay R.N., M.Sc. , Gamze Muz R.N., Ph.D. , Hanife Özçelik R.N., Ph.D.

Purpose

This study was conducted to evaluate the effects of yoga on pain levels and functional disabilities in nurses.

Design

Randomized controlled trial.

Methods

The sample of the study consisted of 91 nurses (Intervention group: 44, control group: 47). Ethics committee and institutional approvals were obtained for the study to be conducted. Data of the study were collected using a questionnaire form, Mcgill Melzack Pain Questionnaire (MASF), Oswestry Functional Disability Scale. Descriptive statistics, t-test in independent groups, Paired t-test and chi-square tests were used in the evaluation of the data.

Results

A statistically significant decrease was found in all sub-dimensions of the MASF scale after the application of the nurses in the intervention group compared to before the application (p < .001). A significant decrease was found in the post-application mean scores of the Oswestry Functional Disability Scale of the nurses in the intervention group (p < .001).

Conclusions

Four weeks of regular yoga practice reduced pain and functional disability in nurses

Clinical Implications

Yoga-based interventions may help nurses maintain physical health and achieve successful pain management.

目的：本研究旨在评估瑜伽对护士疼痛水平和功能障碍的影响。设计：随机对照试验。方法：研究对象为91名护士（干预组44名，对照组47名）。该研究已获得伦理委员会和机构的批准。采用Mcgill Melzack疼痛问卷（MASF）、Oswestry功能障碍量表收集研究数据。资料评价采用描述性统计、独立组t检验、配对t检验和卡方检验。结果：干预组护士应用后MASF量表各子维度较应用前均有显著降低（p < 0.001）。干预组护士申请后Oswestry功能障碍量表平均得分显著降低（p < 0.001）。结论：四个星期的常规瑜伽练习可以减少护士的疼痛和功能障碍。临床意义：瑜伽干预可以帮助护士保持身体健康，实现成功的疼痛管理。

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引用次数: 0

A Systematic Review of Pain Catastrophizing and Chronic Musculoskeletal Pain. 疼痛灾难和慢性肌肉骨骼疼痛的系统综述。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-25 DOI: 10.1016/j.pmn.2025.07.014

Sotaro Shimada, Ardith Z Doorenbos, Ellen Goldstein, Dahee Wi

Objectives: This study was designed to synthesize recent randomized controlled trials examining the associations between pain catastrophizing and four key pain-related outcomes (i.e., pain intensity, disability, pain interference, and physical function) among adults with chronic musculoskeletal pain. This review clarifies the role of pain catastrophizing in pain outcomes to inform targeted interventions.

Design: A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

Methods: The Cumulative Index of Nursing and Allied Health Literature, PubMed, Excerpta Medica Database, PsycINFO, Scopus, and Web of Science were searched. The key search terms "pain catastrophizing," "chronic musculoskeletal pain," and "pain-related outcomes" were combined to find randomized controlled trials published in English from October 2018 to 2024 and study quality was assessed using the revised Cochrane Risk-of-Bias tool for randomized trials. The data were descriptively synthesized.

Results: After screening, 20 studies were included in the review. The major pain type was chronic back pain. Among the studies, 13 reported a significant association between pain catastrophizing and pain-related outcomes, with some studies identifying multiple significant outcomes, including pain intensity (n = 8), disability (n = 7), and pain interference (n = 3).

Conclusion: This review highlights the associations between pain catastrophizing and pain-related outcomes in adults with chronic musculoskeletal pain. The findings emphasize the importance of addressing pain catastrophizing in interventions to improve pain-related outcomes.

Funding: This work was supported by Grant K24 AT011995 from the National Center for Complementary and Integrative Health and the National Institute of Neurological Disorders and Stroke.

目的：本研究旨在综合近期的随机对照试验，研究慢性肌肉骨骼疼痛成人患者疼痛灾变与四个关键疼痛相关结局（即疼痛强度、残疾、疼痛干扰和身体功能）之间的关系。这篇综述阐明了疼痛灾难在疼痛结果中的作用，为有针对性的干预提供信息。设计：按照系统评价和荟萃分析指南的首选报告项目进行系统评价。方法：检索Nursing and Allied Health Literature Cumulative Index、PubMed、abstrpta Medica Database、PsycINFO、Scopus、Web of Science。将关键词“疼痛灾难化”、“慢性肌肉骨骼疼痛”和“疼痛相关结果”结合起来，找到2018年10月至2024年发表的英文随机对照试验，并使用修订后的Cochrane随机试验风险偏倚工具评估研究质量。数据是描述性合成的。结果：经筛选，纳入20项研究。主要疼痛类型为慢性背痛。在这些研究中，13项研究报告了疼痛灾难化与疼痛相关结局之间的显著关联，一些研究确定了多个显著结局，包括疼痛强度（n = 8）、残疾（n = 7）和疼痛干扰（n = 3）。结论：这篇综述强调了成人慢性肌肉骨骼疼痛的疼痛灾难和疼痛相关结果之间的联系。研究结果强调了在干预中解决疼痛灾难的重要性，以改善疼痛相关的结果。资助：这项工作由国家补充和综合健康中心和国家神经疾病和中风研究所的Grant K24 AT011995支持。

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引用次数: 0

Implementation of Music Intervention for Acute Postoperative Pain Management 音乐干预在急性术后疼痛管理中的应用。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-25 DOI: 10.1016/j.pmn.2025.07.010

Sabitha Purayil D.N.P., R.N., C.M.S.R.N., R.N.-B.C. , Christi Nguyen D.N.P., R.N.,. N.E.A.-B.C., C.E.N.P., F.A.C.H.E., F.A.A.N. , Joanna Carrega Ph.D., R.N.

Background

Pain is expected as an aftermath of any kind of surgery, irrespective of the site or duration. A comprehensive pain management strategy is required to ensure a positive outcome in the postoperative period.

Purpose

The purpose of the project was to evaluate the effectiveness of the music intervention as an adjuvant to the pharmacological measures for postoperative pain management measured by the pain scoring on the numerical rating scale tool and the amount of opioids measured by morphine milligram equivalent (MME) scores during postoperative days 1 and 2.

Method

The project used two nonequivalent groups, and the data on the pre-implementation group was obtained by retrospective chart review. The postimplementation group was allowed to listen to music of their choice thrice a day for at least 30 minutes each time, and data was collected prospectively. The pain scores were analyzed using the t-test: two-sample assuming equal variances and MME score by Mann–Whitney U test.

Results

The result demonstrated that music is statistically and clinically significant in reducing the postoperative pain score and opioids administered.

Conclusion

Music being safe and easily accessible should be advocated as an adjuvant with pharmacological measures for safer recovery after surgery. It is a nurse-driven intervention requiring no physician order and allows patients to control their plan of care better. Advocating for patient-chosen music allows healthcare team members to provide culturally competent care.

背景：任何类型的手术，无论部位或持续时间，疼痛都是预期的后果。需要一个全面的疼痛管理策略来确保术后的积极结果。目的：该项目的目的是评估音乐干预作为术后疼痛管理药物措施的辅助措施的有效性，这些药物措施是通过数字评定量表工具上的疼痛评分和术后第1天和第2天吗啡毫克当量（MME）评分来衡量的阿片类药物的数量。方法：采用非等效两组，实施前组资料采用回顾性图表复习法。研究人员允许实施后的一组每天听三次自己选择的音乐，每次至少30分钟，并前瞻性地收集数据。疼痛评分采用t检验，两样本假设方差相等，MME评分采用Mann-Whitney U检验。结果：结果表明音乐在降低术后疼痛评分和阿片类药物使用方面具有统计学和临床意义。结论：应提倡安全、方便的音乐作为辅助手段，配合药物治疗，使术后恢复更安全。这是一种护士驱动的干预，不需要医生的命令，并允许患者更好地控制他们的护理计划。提倡病人选择的音乐可以让医疗团队成员提供符合文化的护理。

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引用次数: 0

Artificial Intelligence for Knee Osteoarthritis Care and Rehabilitation: A Systematic Review. 人工智能在膝关节骨关节炎护理和康复中的应用：系统综述。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-23 DOI: 10.1016/j.pmn.2025.07.013

Feng Wang, Ling Wang, Lili Zhong, Jianxin Feng, Xue Wang

Objectives: To explore how artificial intelligence (AI) can improve the clinical and rehabilitation management of knee osteoarthritis (KOA), emphasizing the unique contributions of specialized nurses.

Design: A systematic review was conducted to examine the integration of AI in the management of KOA, with a specific focus on implications for nursing practice.

Methods: This review followed established systematic review protocols. A comprehensive search of peer-reviewed qualitative and quantitative studies was conducted across PubMed, Google Scholar, and IEEE Xplore from January 1st, 2019, to May 1st, 2025. Studies were selected based on predefined inclusion and exclusion criteria. Data extraction and quality appraisal were independently performed by two reviewers using standardized tools.

Results: One key innovation is the use of AI-powered remote monitoring systems that collect data from wearable devices, allowing nurses to track patients' pain levels, joint mobility, and physical activity in real time. These systems enable continuous, remote assessment of symptoms, so nurses can intervene promptly if a patient's condition deteriorates. Additionally, AI-driven predictive analytics are helping nurses identify patients at higher risk for rapid disease progression or complications, allowing for early, proactive adjustments to care plans. Virtual health assistants and AI-based chatbots are also transforming patient education by answering common questions, guiding patients through home exercises, and providing reminders for medication and lifestyle adherence. By automating routine tasks such as documentation and appointment scheduling, AI reduces administrative burdens, giving nurses more time to focus on direct patient care.

Conclusions: AI holds promise in revolutionizing KOA disease management by enabling nurses to deliver more effective, tailored care and ultimately improving patient outcomes.

目的：探讨人工智能（AI）如何改善膝骨关节炎（KOA）的临床和康复管理，强调专科护士的独特贡献。设计：进行了系统的回顾，以检查人工智能在KOA管理中的整合，特别关注对护理实践的影响。方法：本综述遵循既定的系统评价方案。从2019年1月1日至2025年5月1日，我们在PubMed、b谷歌Scholar和IEEE explore上对同行评议的定性和定量研究进行了全面搜索。根据预先确定的纳入和排除标准选择研究。数据提取和质量评估由两名审稿人使用标准化工具独立完成。结果：一个关键的创新是使用人工智能远程监控系统，从可穿戴设备收集数据，使护士能够实时跟踪患者的疼痛程度、关节活动和身体活动。这些系统能够对症状进行持续的远程评估，因此护士可以在患者病情恶化时及时进行干预。此外，人工智能驱动的预测分析正在帮助护士识别疾病快速进展或并发症风险较高的患者，从而能够及早、主动地调整护理计划。虚拟健康助理和基于人工智能的聊天机器人也通过回答常见问题、指导患者进行家庭锻炼、提醒患者服药和坚持生活方式，改变了患者教育。通过自动完成记录和预约安排等日常任务，人工智能减少了管理负担，使护士有更多时间专注于直接护理患者。结论：人工智能有望彻底改变KOA疾病管理，使护士能够提供更有效、量身定制的护理，并最终改善患者的治疗效果。

{"title":"Artificial Intelligence for Knee Osteoarthritis Care and Rehabilitation: A Systematic Review.","authors":"Feng Wang, Ling Wang, Lili Zhong, Jianxin Feng, Xue Wang","doi":"10.1016/j.pmn.2025.07.013","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.07.013","url":null,"abstract":"<p><strong>Objectives: </strong>To explore how artificial intelligence (AI) can improve the clinical and rehabilitation management of knee osteoarthritis (KOA), emphasizing the unique contributions of specialized nurses.</p><p><strong>Design: </strong>A systematic review was conducted to examine the integration of AI in the management of KOA, with a specific focus on implications for nursing practice.</p><p><strong>Methods: </strong>This review followed established systematic review protocols. A comprehensive search of peer-reviewed qualitative and quantitative studies was conducted across PubMed, Google Scholar, and IEEE Xplore from January 1st, 2019, to May 1st, 2025. Studies were selected based on predefined inclusion and exclusion criteria. Data extraction and quality appraisal were independently performed by two reviewers using standardized tools.</p><p><strong>Results: </strong>One key innovation is the use of AI-powered remote monitoring systems that collect data from wearable devices, allowing nurses to track patients' pain levels, joint mobility, and physical activity in real time. These systems enable continuous, remote assessment of symptoms, so nurses can intervene promptly if a patient's condition deteriorates. Additionally, AI-driven predictive analytics are helping nurses identify patients at higher risk for rapid disease progression or complications, allowing for early, proactive adjustments to care plans. Virtual health assistants and AI-based chatbots are also transforming patient education by answering common questions, guiding patients through home exercises, and providing reminders for medication and lifestyle adherence. By automating routine tasks such as documentation and appointment scheduling, AI reduces administrative burdens, giving nurses more time to focus on direct patient care.</p><p><strong>Conclusions: </strong>AI holds promise in revolutionizing KOA disease management by enabling nurses to deliver more effective, tailored care and ultimately improving patient outcomes.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging Gaps in Pain Management: A Qualitative Study of Nurse Navigator Roles. 弥合疼痛管理的差距：护士导航员角色的定性研究。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-22 DOI: 10.1016/j.pmn.2025.07.008

Michael Coriasco, Elizabeth Feustel, Jennifer C Anderson, Fionnuala S Brown, Evan Thomas, Ross J Bindler, Marian Wilson

Purpose: This study explores healthcare professionals' perspectives on how a Nurse Navigator (NN) role can be used to enhance pain management for adults with pain living in community settings.

Design: A qualitative descriptive design was employed using virtual focus groups to gather data from healthcare professionals experienced in nurse navigation, care coordination, or case management.

Methods: A convenience sample of seven U.S.-based participants was recruited, all of whom reported current or prior experience working as or with NNs, care coordinators, or case managers. Participants held roles in pain and oncology-focused navigation across diverse geographic regions. Focus groups were conducted via videoconferencing, recorded, and analyzed using qualitative content analysis to identify common themes.

Results: Four key themes emerged: Creative Problem Solving, Functional Roles of Care Navigation, Relational Roles of Care Navigation, and Emotional Support. These themes highlight the multifaceted ways NNs can support adults with pain through coordinating care, managing resources, fostering relationships, and providing empathetic support - key components of person-centered pain management.

Conclusion and clinical implications: The findings underscore the potential of NNs to improve pain management through personalized advocacy and care coordination. Integrating NNs into care teams may offer opportunities to enhance outcomes and address systemic barriers. Healthcare organizations should consider investing in formal training, role standardization, and supportive policies to develop NN roles and measure impacts on community-based pain management.

目的：本研究探讨了医疗保健专业人员的观点，即如何利用护士导航员（NN）的角色来加强社区生活中疼痛成人的疼痛管理。设计：采用定性描述性设计，使用虚拟焦点小组收集在护士导航、护理协调或病例管理方面经验丰富的医疗保健专业人员的数据。方法：招募了7名美国参与者作为方便样本，他们都报告了目前或以前作为神经网络医生、护理协调员或病例管理人员工作或与之合作的经验。参与者在不同地理区域担任以疼痛和肿瘤为重点的导航角色。焦点小组通过视频会议进行，记录，并使用定性内容分析来确定共同主题。结果：出现了四个关键主题：创造性问题解决、护理导航的功能角色、护理导航的关系角色和情感支持。这些主题强调了神经网络可以通过协调护理、管理资源、培养关系和提供移情支持等多方面的方式来支持患有疼痛的成年人，这些都是以人为本的疼痛管理的关键组成部分。结论和临床意义：研究结果强调了神经网络通过个性化倡导和护理协调来改善疼痛管理的潜力。将神经网络整合到护理团队中可以提供机会来提高结果并解决系统障碍。医疗机构应考虑在正式培训、角色标准化和支持性政策方面进行投资，以发展神经网络角色，并衡量对社区疼痛管理的影响。

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引用次数: 0

Use of Google Trends to investigate “Pain” Searches Over 24 Hours 使用谷歌趋势调查“疼痛”搜索超过24小时。

IF 2.1 4区医学 Q2 NURSING

Pain Management Nursing

Pub Date : 2025-08-21 DOI: 10.1016/j.pmn.2025.07.009

Jacek Stańdo , Żywilla Fechner , Magdalena Kocot-Kępska

Background

The Google Trends tool can be used in medical research to monitor and analyze health trends and patient behavior, but no studies analyzing diurnal patterns in queries related to pain have been done so far.

Objectives

The aim of the study was to analyze the temporal pattern of daily and weekly pain information searches in selected European countries. We measured the search for information about pain by analyzing the search volume for the term “pain” in the Google search engine, depending on the time of day.

Methods

We used data reported by Google Trends (GT) to identify and analyze global interest in pain from January 9, 2023, to July 3, 2023, between 8 a.m. and 9 a.m.

Results

We showed for the first time that searches for the term “pain” in individual national languages in selected European countries were characterized by diurnal and weekly seasonality patterns, with most countries’ searches peaking between 2:00 and 4:00 a.m. Moreover, in all surveyed countries except Slovakia, searches for the phrase “pain” show a decreasing trend from Monday to Friday until the afternoon, and then an increase in interest in searching for the term “pain” is observed during the weekend. Our data may confirm the close correlations between pain sensation under physiological and pathological conditions and diurnal rhythms in humans, but moreover, clearly show the weekly seasonality of pain sensations in developed countries, which has not been extensively studied and taken into consideration in health care systems so far.

Conclusions

The results of our study may show new epidemiological patterns in pain medicine, confirm correlations between pain and sleep quality in real life, and can contribute to creating well-developed and evidence-based resources by policymakers and the pain medicine community.

背景：谷歌Trends工具可用于医学研究中监测和分析健康趋势和患者行为，但迄今为止还没有研究分析与疼痛相关的查询的日常模式。目的：本研究的目的是分析选定的欧洲国家每日和每周疼痛信息搜索的时间模式。我们通过分析谷歌搜索引擎中“疼痛”一词的搜索量，根据一天中的不同时间，来测量有关疼痛的信息的搜索量。方法：我们使用谷歌Trends （GT）报道的数据来识别和分析2023年1月9日至2023年7月3日上午8点至9点之间全球对疼痛的兴趣。结果：我们首次发现，在选定的欧洲国家中，单个国家语言对“疼痛”一词的搜索具有昼夜和每周季节性模式的特征，大多数国家的搜索在凌晨2点到4点之间达到高峰。此外，除斯洛伐克外，在所有被调查的国家中，从周一到周五直到下午，对“疼痛”一词的搜索呈下降趋势，然后在周末对“疼痛”一词的搜索兴趣有所增加。我们的数据可能证实了生理和病理条件下的疼痛感觉与人类昼夜节律之间的密切相关性，但此外，清楚地显示了发达国家疼痛感觉的每周季节性，这一点迄今尚未在卫生保健系统中得到广泛研究和考虑。结论：我们的研究结果可能揭示疼痛医学新的流行病学模式，确认现实生活中疼痛与睡眠质量之间的相关性，并有助于决策者和疼痛医学界建立完善的循证资源。

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引用次数: 0