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"voice": "zh-CN-YunyangNeural",
"rate": "+38%",
"total": 88.234,
"shots": [
{
"index": 0,
"title": "疼痛开始",
"start": 0.0,
"end": 6.237
},
{
"index": 1,
"title": "腱鞘炎到底发生了什么",
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"end": 15.339
},
{
"index": 2,
"title": "为什么一动就疼",
"start": 15.339,
"end": 20.421
},
{
"index": 3,
"title": "哪些人更容易出现",
"start": 20.421,
"end": 26.929
},
{
"index": 4,
"title": "不要一上来就直接治疗",
"start": 26.929,
"end": 34.295
},
{
"index": 5,
"title": "常见治疗方法",
"start": 34.295,
"end": 44.102
},
{
"index": 6,
"title": "重点进入小针刀",
"start": 44.102,
"end": 51.138
},
{
"index": 7,
"title": "小针刀治疗过程",
"start": 51.138,
"end": 61.586
},
{
"index": 8,
"title": "松解前后对比",
"start": 61.586,
"end": 67.382
},
{
"index": 9,
"title": "从疼痛到恢复",
"start": 67.382,
"end": 74.663
},
{
"index": 10,
"title": "最后的记忆点",
"start": 74.663,
"end": 83.494
},
{
"index": 11,
"title": "评论区互动",
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"end": 88.234
}
],
"lines": [
{
"shot": 0,
"text": "手指一弯,手腕一动,",
"file": "s01_01.mp3",
"start": 2.3,
"off": 0.128,
"dur": 1.186
},
{
"shot": 0,
"text": "这里为什么突然疼?",
"file": "s01_02.mp3",
"start": 3.586,
"off": 0.155,
"dur": 0.952
},
{
"shot": 1,
"text": "腱鞘,本来像一条小通道,",
"file": "s02_01.mp3",
"start": 6.387,
"off": 0.136,
"dur": 1.386
},
{
"shot": 1,
"text": "让肌腱顺畅滑动。",
"file": "s02_02.mp3",
"start": 7.873,
"off": 0.156,
"dur": 1.098
},
{
"shot": 1,
"text": "但长期反复摩擦,",
"file": "s02_03.mp3",
"start": 9.272,
"off": 0.135,
"dur": 1.079
},
{
"shot": 1,
"text": "腱鞘可能出现肿胀、增厚。",
"file": "s02_04.mp3",
"start": 10.451,
"off": 0.143,
"dur": 1.61
},
{
"shot": 1,
"text": "通道变得更紧。",
"file": "s02_05.mp3",
"start": 12.161,
"off": 0.172,
"dur": 0.914
},
{
"shot": 1,
"text": "肌腱经过这里,就会越来越不顺。",
"file": "s02_06.mp3",
"start": 13.174,
"off": 0.159,
"dur": 1.765
},
{
"shot": 2,
"text": "这时候,你越抓、越捏、越拧,",
"file": "s03_01.mp3",
"start": 15.489,
"off": 0.153,
"dur": 1.82
},
{
"shot": 2,
"text": "肌腱移动越明显。",
"file": "s03_02.mp3",
"start": 17.409,
"off": 0.135,
"dur": 1.013
},
{
"shot": 2,
"text": "疼痛,也可能越来越明显。",
"file": "s03_03.mp3",
"start": 18.522,
"off": 0.155,
"dur": 1.4
},
{
"shot": 3,
"text": "哪些人更容易出现?",
"file": "s04_01.mp3",
"start": 20.571,
"off": 0.168,
"dur": 0.993
},
{
"shot": 3,
"text": "长期重复用手的人。",
"file": "s04_02.mp3",
"start": 21.664,
"off": 0.147,
"dur": 1.19
},
{
"shot": 3,
"text": "经常抓握、捏、拧的人。",
"file": "s04_03.mp3",
"start": 22.954,
"off": 0.144,
"dur": 1.53
},
{
"shot": 3,
"text": "还有部分需要频繁抱孩子的新手妈妈。",
"file": "s04_04.mp3",
"start": 24.584,
"off": 0.141,
"dur": 2.046
},
{
"shot": 4,
"text": "出现疼痛,不是马上做一种治疗。",
"file": "s05_01.mp3",
"start": 27.079,
"off": 0.142,
"dur": 1.873
},
{
"shot": 4,
"text": "先判断位置。",
"file": "s05_02.mp3",
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"off": 0.133,
"dur": 0.747
},
{
"shot": 4,
"text": "看活动时哪里疼。",
"file": "s05_03.mp3",
"start": 29.899,
"off": 0.144,
"dur": 1.053
},
{
"shot": 4,
"text": "必要时结合检查,",
"file": "s05_04.mp3",
"start": 31.052,
"off": 0.145,
"dur": 0.988
},
{
"shot": 4,
"text": "判断到底是哪一种腱鞘问题。",
"file": "s05_05.mp3",
"start": 32.14,
"off": 0.163,
"dur": 1.754
},
{
"shot": 5,
"text": "症状比较轻,可以先减少诱发动作。",
"file": "s06_01.mp3",
"start": 34.445,
"off": 0.155,
"dur": 1.964
},
{
"shot": 5,
"text": "必要时使用支具,配合止痛、抗炎等处理。",
"file": "s06_02.mp3",
"start": 36.509,
"off": 0.146,
"dur": 2.465
},
{
"shot": 5,
"text": "症状持续,还可以考虑局部注射等方法。",
"file": "s06_03.mp3",
"start": 39.073,
"off": 0.155,
"dur": 2.213
},
{
"shot": 5,
"text": "少数长期不缓解的情况,可能需要手术松解。",
"file": "s06_04.mp3",
"start": 41.386,
"off": 0.141,
"dur": 2.415
},
{
"shot": 6,
"text": "那小针刀,到底是在做什么?",
"file": "s07_01.mp3",
"start": 44.252,
"off": 0.163,
"dur": 1.581
},
{
"shot": 6,
"text": "不是“扎一下就结束”。",
"file": "s07_02.mp3",
"start": 45.933,
"off": 0.148,
"dur": 1.022
},
{
"shot": 6,
"text": "核心是:找到狭窄的位置,",
"file": "s07_03.mp3",
"start": 47.055,
"off": 0.168,
"dur": 1.418
},
{
"shot": 6,
"text": "对增厚、卡压的区域进行精准松解。",
"file": "s07_04.mp3",
"start": 48.573,
"off": 0.153,
"dur": 2.165
},
{
"shot": 7,
"text": "先定位。",
"file": "s08_01.mp3",
"start": 51.238,
"off": 0.132,
"dur": 0.427
},
{
"shot": 7,
"text": "再进行消毒。",
"file": "s08_02.mp3",
"start": 52.465,
"off": 0.141,
"dur": 0.764
},
{
"shot": 7,
"text": "必要时进行局部麻醉。",
"file": "s08_03.mp3",
"start": 54.129,
"off": 0.147,
"dur": 1.419
},
{
"shot": 7,
"text": "随后在影像或规范定位辅助下,",
"file": "s08_04.mp3",
"start": 56.248,
"off": 0.134,
"dur": 1.828
},
{
"shot": 7,
"text": "让器械到达目标区域。",
"file": "s08_05.mp3",
"start": 58.176,
"off": 0.152,
"dur": 1.206
},
{
"shot": 7,
"text": "进行松解。",
"file": "s08_06.mp3",
"start": 59.882,
"off": 0.142,
"dur": 0.604
},
{
"shot": 8,
"text": "松解前,肌腱经过狭窄区域时,明显受限。",
"file": "s09_01.mp3",
"start": 61.736,
"off": 0.136,
"dur": 2.51
},
{
"shot": 8,
"text": "松解后,通道空间改善。",
"file": "s09_02.mp3",
"start": 64.346,
"off": 0.145,
"dur": 1.359
},
{
"shot": 8,
"text": "肌腱活动更顺畅。",
"file": "s09_03.mp3",
"start": 65.805,
"off": 0.139,
"dur": 1.077
},
{
"shot": 9,
"text": "疼痛改善,不代表马上就能过度使用。",
"file": "s10_01.mp3",
"start": 67.532,
"off": 0.146,
"dur": 2.072
},
{
"shot": 9,
"text": "治疗之后,还要根据情况逐步恢复活动。",
"file": "s10_02.mp3",
"start": 69.703,
"off": 0.146,
"dur": 2.27
},
{
"shot": 9,
"text": "减少再次刺激。",
"file": "s10_03.mp3",
"start": 72.074,
"off": 0.129,
"dur": 0.928
},
{
"shot": 9,
"text": "让手部功能慢慢回来。",
"file": "s10_04.mp3",
"start": 73.102,
"off": 0.139,
"dur": 1.261
},
{
"shot": 10,
"text": "所以腱鞘炎,真正要解决的不是“忍住疼”。",
"file": "s11_01.mp3",
"start": 74.813,
"off": 0.151,
"dur": 2.365
},
{
"shot": 10,
"text": "而是找到疼痛的原因,选择合适的治疗方式。",
"file": "s11_02.mp3",
"start": 77.278,
"off": 0.268,
"dur": 2.484
},
{
"shot": 10,
"text": "记住一句话:",
"file": "s11_03.mp3",
"start": 79.862,
"off": 0.147,
"dur": 0.576
},
{
"shot": 10,
"text": "手越疼,越不能只靠硬扛。",
"file": "s11_04.mp3",
"start": 80.788,
"off": 0.148,
"dur": 1.606
},
{
"shot": 11,
"text": "你是哪个动作一做,手腕或者手指就开始疼?",
"file": "s12_01.mp3",
"start": 83.644,
"off": 0.147,
"dur": 2.29
}
]
} |