[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fyRYz4dWQ1gmW2ygMk2EEG3hfCNCnhULq2h7HgQpIskE":8,"$fJtxgGNHutPKHYnjhAcz_YGsHXZ1Gk8PFXoEbADgJdLA":54,"$fp6VH0aWzw1iPPJxoL4z4s50AVYBi12g2nTeI3Dvg8Nk":58},{"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":53},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":25,"views":26,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":27,"seoTitle":22,"seoKeywords":28,"seoDescription":29,"shelvesTime":30,"version":31,"menus":32,"menuId":34,"type":41,"quality":52,"commentCount":21,"isComment":41},45744,867153,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","庞杰铖","嵊州市人民医院","肝胆外科","住院医师",210,0,"化疗药品用药全攻略：安全、合理地使用抗肿瘤药品的7大关键细节","","https://ystcdn.venuertc.com/venue/AI/dd1da99d-0722-4045-93cf-5a241f77c7b6.jpg","\u003Cdiv class=\"material-guide-container\">\n  \u003Ch2 id=\"material_title\" class=\"material-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">化疗药品用药全攻略：安全、合理地使用抗肿瘤药品的7大关键细节\u003C/h2>\n  \n  \u003Cdiv class=\"material-section\" style=\"background: linear-gradient(90deg, #e6f6ff 0%, #f2f9fd 100%);\">\n    \u003Ch2 class=\"material-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">💊 01. 主要化疗药品成分与作用机制\u003C/h2>\n    \u003Cdiv class=\"material-text\">\n      \u003Cp>\n        目前用于胆囊部位治疗的新型抗肿瘤化疗药，主要包括铂类（如顺铂）、紫杉醇类（如多西他赛）、氟尿嘧啶类（如卡培他滨）、吉西他滨、表柔比星等。它们的核心原理，是通过抑制肿瘤细胞的DNA合成、阻断细胞分裂或促进细胞凋亡来发挥作用。铂类能够形成DNA加合物，阻断遗传物质的复制；紫杉醇类则干扰细胞有丝分裂进程。氟尿嘧啶和卡培他滨能够在细胞代谢阶段插手，妨碍肿瘤细胞的新陈代谢。\n      \u003C/p>\n      \u003Cp>\n        各类药物通常通过联合方案应用，以增强疗效、减少耐药。不过，每种药的适应范围、剂量和不良反应不同，用药前务必了解所用药物的详细信息。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\" style=\"background: linear-gradient(90deg, #fbfcf0 0%, #f7fbe8 100%);\">\n    \u003Ch2 class=\"material-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">🕙 02. 正确用法用量：如何做到精准安全？\u003C/h2>\n    \u003Cdiv class=\"material-text\">\n      \u003Cp>\n        化疗药品的用量需要个体化确定，常常根据体表面积（mg/m\u003Csup>2\u003C/sup>）、体重（mg/kg）、肝肾功能等综合调整。多数药物为静脉输注，部分可口服（如卡培他滨）。以多西他赛为例，静脉滴注时，通常每3周为1个疗程，每次注射持续约1小时。部分药物建议饭后服用减少胃肠不适；口服剂型要整片吞服，不要咬碎或嚼烂。\n      \u003C/p>\n      \u003Cp>\n        正确做法：每种药物都应细读说明书，严格遵医嘱调整剂量；出现体重剧烈变化、肝肾功能受损时，需请医生重新评估剂量。输注时间应足够缓慢，避免出现刺激性反应，如静脉穿刺处红肿、疼痛等。\n      \u003C/p>\n      \u003Cp>\n        \u003Cem>案例提示：\u003C/em>临床上有位成年男性患者使用多西他赛联合顺铂化疗，因体重波动，医生及时调整剂量，有效避免了药物过量反应。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"material-section\" style=\"background: linear-gradient(90deg, #f3edf9 0%, #ede9f7 100%);\">\n    \u003Ch2 class=\"material-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">📦 03. 剂型选择与服用要点\u003C/h2>\n    \u003Cdiv class=\"material-text\">\n      \u003Cp>\n        化疗药品有注射液、片剂、胶囊等剂型。静脉注射剂型必须经受训的专业人员操作，不可自行注射。片剂、胶囊类（如卡培他滨、环磷酰胺）需用足量水整粒吞服，不可掰开、嚼碎或溶解。有些药品对胃有刺激性，宜餐后或随餐服用。\n      \u003C/p>\n      \u003Cp>\n        正确做法：口服药品避免用热水送服；选择靠前的服药时间点，方便观察是否有不良反应。例如，服用卡培他滨建议早晚饭后半小时内完整吞服。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\" style=\"background: linear-gradient(90deg, #fff5e5 0%, #fff8f0 100%);\">\n    \u003Ch2 class=\"material-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">🔄 04. 药物相互作用：哪些药不能随便一起用？\u003C/h2>\n    \u003Cdiv class=\"material-text\">\n      \u003Cp>\n        化疗药品经常联合用药，但也有明显的药物相互作用风险。部分药物（如顺铂）与氨基糖苷类抗生素、利尿剂同用，会增加肾毒性。紫杉醇类如果与某些升压药、抗心律失常药同用，可能干扰心脏功能。苯妥英钠、苯巴比妥等抗癫痫药能加速化疗药物代谢，影响疗效。\n      \u003C/p>\n      \u003Cp>\n        日常生活中，慎用葡萄柚汁、圣约翰草等植物制剂，它们会影响部分化疗药的血药浓度，导致疗效降低或毒性上升。\n      \u003C/p>\n      \u003Cp>\n        \u003Cem>正确做法：\u003C/em>如需合并其他治疗，请提前告知医生所有正在使用的药品和保健品，避免私自添加、停用或更换药物。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\" style=\"background: linear-gradient(90deg, #eafbeda 0%, #f7fff5 100%);\">\n    \u003Ch2 class=\"material-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">👨‍👩‍👦 05. 特殊人群的剂量调整与禁忌\u003C/h2>\n    \u003Cdiv class=\"material-text\">\n      \u003Cp>\n        老年患者消化和排泄能力减弱，对化疗药物更敏感，往往需要起始剂量降低。儿童用药时，应按照体重或体表面积严格调整，常规起始剂量比成人低。孕妇和哺乳期女性大多需要避免使用绝大多数化疗药。\n      \u003C/p>\n      \u003Cp>\n        正确做法：老年患者、身体瘦弱、肝肾功能不全者，一定向医生说明身体状况，由医生评估后制定方案。孕期或哺乳期患者，应在权衡利弊后选择替代治疗。\n      \u003C/p>\n      \u003Cp>\n        \u003Cem>说明书指出：\u003C/em>紫杉醇类、铂类药品孕妇绝对禁用，哺乳期需停药或暂停哺乳，避免药物通过乳汁对婴儿产生影响。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\" style=\"background: linear-gradient(90deg, #f9eaf7 0%, #fde9f8 100%);\">\n    \u003Ch2 class=\"material-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">⚠️ 06. 不良反应：常见问题与处理方法\u003C/h2>\n    \u003Cdiv class=\"material-text\">\n      \u003Cp>\n        化疗药常见不良反应包括恶心、呕吐、口腔溃疡、脱发、白细胞下降等。呕吐是极为常见的反应，尤其在使用铂类化疗（如顺铂）时。部分药物会引起神经毒性、肝肾功能损害等。\n      \u003C/p>\n      \u003Cp>\n        如果出现呕吐，可以在化疗前使用止吐药（如昂丹司琼）。如发现静脉穿刺部位灼热、肿胀或疼痛，需立即停止输注，并告知医护人员。\n      \u003C/p>\n      \u003Cp>\n        \u003Cem>用药案例：\u003C/em>一位成年男性患者化疗后出现明显呕吐，经加用止吐药后顺利缓解。临床数据显示，超过80%左右的患者有不同程度的不适反应，及时处理可大幅降低严重程度。\n      \u003C/p>\n      \u003Cp>\n        \u003Cstrong>正确做法：\u003C/strong> 每次化疗前后关注自身身体感觉，发现持续剧烈反应立即就医；按时复查血常规、肝肾功能，预防隐性损害的发生。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\" style=\"background: linear-gradient(90deg, #f6f9fa 0%, #ffffff 100%);\">\n    \u003Ch2 class=\"material-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">🔒 07. 储存方法、过期处理与漏服应对\u003C/h2>\n    \u003Cdiv class=\"material-text\">\n      \u003Cp>\n        化疗药品多为处方药，对储存环境有严格要求。注射剂型要密封避光、2-8°C冷藏。片剂、胶囊需在干燥、阴凉处保存，避免高温和潮湿。如药品已经开启，切忌手碰药片外壳，避免吸入药粉或接触皮肤。\n      \u003C/p>\n      \u003Cp>\n        \u003Cstrong>正确做法：\u003C/strong> 过期药品需送至医院或专业机构回收，切勿随意丢弃或倒入下水道。出现漏服时，不要自行加量补服，下次仍按原计划服用即可。如大量药物被误服，需立即前往医疗机构处理。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"material-section\" style=\"background: linear-gradient(90deg, #f1feec 0%, #f7fff5 100%);\">\n    \u003Ch2 class=\"material-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">🌟 总结与安全用药提醒\u003C/h2>\n    \u003Cdiv class=\"material-text\">\n      \u003Cp>\n        化疗药品的使用，关乎疗效与安全，每一个细节都需要格外重视。牢记：严格遵循医嘱用药，准确掌握剂型和服用方法，及时监测不良反应，谨防药品相互作用，注意特殊人群的剂量调整，并妥善储存药品。出现不可预期的问题时，及时咨询专业药师或医生。\n      \u003C/p>\n      \u003Cp>\n        最后，无论使用哪一种化疗药品，按步就班、安全规范始终是第一原则。如果需要更详细的用药指导，可以向专业人员咨询，让治疗过程更加安心、顺利。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n\u003C/div>\n\n\u003Cstyle>\n.material-guide-container {\n  font-family: \"Helvetica Neue\", Helvetica, Arial, \"PingFang SC\", \"Microsoft YaHei\", sans-serif;\n  background: #f6f8fa;\n  padding: 36px 24px;\n  max-width: 800px;\n  margin: 24px auto 60px auto;\n  border-radius: 18px;\n  box-shadow: 0 6px 24px rgba(23,47,91,0.04), 0 0px 3px rgba(23,47,91,0.04);\n}\n\n.material-title {\n  color: #244562;\n  font-size: 34px;\n  font-weight: bold;\n  text-align: center;\n  margin-bottom: 40px;\n  letter-spacing: 1px;\n  line-height: 1.2;\n}\n\n.material-section {\n  border-radius: 13px;\n  margin-top: 32px;\n  margin-bottom: 32px;\n  box-shadow: 0 2px 10px 0 rgba(23,47,91,0.04);\n  padding: 24px 26px 20px 30px;\n}\n\n.material-subtitle {\n  font-size: 22px;\n  background: rgba(210,226,247,0.18);\n  border-radius: 7px;\n  font-weight: bold;\n  color: #35416b;\n  padding: 9px 22px;\n  margin-left: -8px;\n  letter-spacing: 1.4px;\n  margin-bottom: 18px;\n  line-height: 1.5;\n  box-shadow: 0 2px 7px 0 rgba(23,47,91,0.06);\n  display: inline-block;\n}\n\n.material-text {\n  font-size: 18px;\n  color: #445366;\n  line-height: 1.85;\n  margin-left: 2px;\n}\n\n.material-text em {\n  color: #2e9178;\n  background: rgba(206,245,227,0.2);\n  font-style: normal;\n  border-radius: 4px;\n  padding: 0 4px;\n}\n\n.material-text strong {\n  color: #d17b24;\n  font-weight: bold;\n}\n\n@media (max-width: 600px) {\n  .material-guide-container {\n    padding: 12px 3px;\n    border-radius: 7px;\n    margin: 0 0 30px 0;\n  }\n  .material-title {\n    font-size: 23px;\n    padding:0 4px;\n    margin-bottom: 23px;\n  }\n  .material-section {\n    margin-top:19px;\n    margin-bottom:19px;\n    padding: 11px 7px 13px 9px;\n    border-radius: 7px;\n  }\n  .material-subtitle {\n    font-size: 16.5px;\n    margin-left: -4px;\n    padding: 7px 11px;\n    border-radius: 3.6px;\n  }\n  .material-text {\n    font-size: 15px;\n    margin-left:2px;\n  }\n}\n\u003C/style>\n",511,"2025-07-01 09:15:59","化疗药品, 抗肿瘤药, 不良反应, 剂量调整, 药物相互作用, 胆囊癌, 安全用药, 疗效","了解化疗药的作用机制、剂量调整和不良反应处理，确保安全、有效地使用抗肿瘤药品，适合患者、家属和关心健康的人士阅读。","2025-07-01 20:38:00",2,[33],{"menuId":34,"menuName":35,"parentId":21,"orderNum":31,"path":36,"component":37,"isFrame":38,"isCache":39,"menuType":40,"visible":41,"status":21,"createDept":6,"remark":23,"createTime":42,"children":43,"columnImage":44,"columnLogo":45,"uncheckedLogo":6,"checkedLogo":6,"isHot":41,"isHome":21,"forceLogin":21,"color":46,"seoTitle":47,"seoKeywords":48,"seoDescription":49,"contentNum":6,"promotionalPoster":50,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":51,"routerPath":36,"componentInfo":37},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","癌症肿瘤,重大疾病",true,{"code":9,"msg":10,"message":6,"data":55,"success":53},{"pageNo":41,"pageSize":56,"result":57,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":59,"success":53},{"authors":60,"appraiseDimensionScoresVos":61},[],[]]