[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fpdrjhFZ4KOw2Yr-za614iuoT1AIqeHbMDe2Y5g_JWhs":8,"$fSuKkoO9Aa04EN_jxvbqM1TmkbmoLXX9KU87VXAwFlZc":55,"$fJsGRQAyHxIJdi-aWTpt3KteDMmndZMYag0d9eR6J8uQ":59},{"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":54},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":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":22,"seoKeywords":29,"seoDescription":30,"shelvesTime":31,"version":32,"menus":33,"menuId":35,"type":42,"quality":53,"commentCount":21,"isComment":42},46006,867330,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//YioT3Y2lC02y9r9C15DHwZvCQCxSAXMI.png","王瑜","新泰市人民医院","肿瘤科","主治医师",240,0,"左肺上叶鳞癌术后新辅助化疗后的恢复期常用药物安全用药指南","","https://ystcdn.venuertc.com/venue/AI/3708f747-c8cd-4256-8a56-f66bc169604b.jpg","\u003Cdiv class=\"med-guide-container\">\n  \u003Ch1 id=\"material_title\" class=\"med-guide-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    左肺上叶鳞癌术后新辅助化疗后的恢复期常用药物安全用药指南\n    \u003Cspan class=\"med-guide-icon\">💊\u003C/span>\n  \u003C/h1>\n  \n  \u003Cdiv class=\"med-section med-bg-01\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 药品的基础认知：恢复期常用化疗与辅助药物\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cp>\n        手术之后，辅助用药包括化疗药物、免疫调节剂和中药制剂等。这类药物主要用于防止癌细胞残留、增强身体恢复能力和改善生活质量。常用药物类型有：\n      \u003C/p>\n      \u003Cul>\n        \u003Cli>\u003Cstrong>铂类化疗药物\u003C/strong>（如顺铂、卡铂）：通过干扰肿瘤细胞分裂，从而抑制癌细胞。\u003C/li>\n        \u003Cli>\u003Cstrong>紫杉烷类药物\u003C/strong>（如紫杉醇、多西他赛）：影响细胞骨架，阻止肿瘤细胞周期继续。\u003C/li>\n        \u003Cli>\u003Cstrong>免疫检查点抑制剂\u003C/strong>（如帕博利珠单抗）：增强免疫系统针对异常细胞的识别和清除能力。\u003C/li>\n        \u003Cli>\u003Cstrong>中药合剂\u003C/strong>（如归脾合剂）：改善术后体力、促进血细胞恢复。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        今天就带大家了解这些药物最易忽略的8个关键用药细节，帮助安全度过术后恢复期。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"med-section med-bg-02\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 用药方法和服用时间：怎么用效果最佳？\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cul>\n        \u003Cli>\n          \u003Cstrong>化疗药物（如顺铂、紫杉醇等）\u003C/strong>：\n          \u003Cspan class=\"med-emoji\">⏰\u003C/span>\n          通常在医院静脉给药，由医务人员操作，不建议自行使用。每个疗程时间严格由医生安排。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>免疫调节剂\u003C/strong>：\n          给药多为静脉点滴，根据剂量间隔给药（一般2-3周一次），请全程医院操作，切勿自行注射。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>中药合剂（如归脾合剂）\u003C/strong>：\n          口服，每次的剂量需遵医嘱，建议饭后温水服用，避免空腹服用带来胃肠不适。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        正确做法：化疗和免疫药物只可在医院由专业人员使用。口服中药、辅助药建议每日定时，最好做到同一时间服药，便于养成习惯和监测效果。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"med-section med-bg-03\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 剂型特点及服用技巧：不同药哪些细节不能忽略？\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Col>\n        \u003Cli>\n          \u003Cspan class=\"med-emoji\">💉\u003C/span>\n          \u003Cstrong>静脉输注药物（如化疗、免疫药）\u003C/strong>：\n          药液在短时间内输入体内，输注期间务必静卧，防止晕针和不良反应。输注过程中如有不适及时呼叫护士。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"med-emoji\">🌿\u003C/span>\n          \u003Cstrong>中药合剂\u003C/strong>：\n          服用时摇匀，温热服用更利于吸收。部分药剂如有沉淀，不影响疗效，饮用前摇匀即可。\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp>\n        饮水要求：无论哪类药物，静脉输注后多饮水有助于代谢药物。口服药时建议用200ml以上温水送服，避免饮酒、浓茶或咖啡送药，会影响药物吸收。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"med-section med-bg-04\">\n    \u003Ch2 class=\"med-section-title\" 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：哪些药不能同用？\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cul>\n        \u003Cli>\n          顺铂、卡铂等铂类药物与氨基糖苷类抗生素（如庆大霉素）同用，肾毒性增加，须警惕，不建议合用。\n        \u003C/li>\n        \u003Cli>\n          紫杉醇与甲氨蝶呤等药合用可能增强毒副反应，需谨慎联合。\u003C/li>\n        \u003Cli>\n          免疫检查点抑制剂与皮质类固醇大剂量同时用，会减弱免疫药效，应按照医师安排用药。\u003C/li>\n        \u003Cli>\n          归脾合剂与含酒精饮品同服会引发药效变化。\u003C/li>\n        \u003Cli>\n          如需同时服用降压、降糖药及抗凝药，务必报告药师，避免药物相互影响。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        正确做法：用药期间主动告知全部药物清单，包括中成药、营养补充剂。调整合并用药由医生或药师统筹安排。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"med-section med-bg-05\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 特殊人群用药调整：肝功能异常/老年人需更谨慎\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cul>\n        \u003Cli>\n          \u003Cstrong>乙肝或肝功能异常：\u003C/strong>\n          铂类、紫杉烷等药物代谢依赖肝功能。肝功能下降时需调整剂量甚至暂停，具体由医生依据肝酶水平决策。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>老年人用药：\u003C/strong>\n          代谢变慢，建议按体质量和生理功能调整剂量，开始时选最低有效剂量逐步增加。避免多药叠加。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>肾功能异常：\u003C/strong>\n          顺铂、卡铂排泄需肾功能正常。肾损伤时需要特殊用药方案，由专业医师评估。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        特别提醒：老年及肝肾功能受损患者用药，务必定期监测肝肾生化指标，发现异常及时就医。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"med-section med-bg-06\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 常见不良反应与应对：怎样监测和处理？\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cul>\n        \u003Cli>\n          \u003Cstrong>化疗用药：\u003C/strong>\n          常见有恶心、脱发、口腔炎、血细胞减少等。研究显示，铂类药物相关恶心发生率高达70%-90%（Hesketh, 2008）。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>免疫药物：\u003C/strong>\n          可见疲乏、皮疹、甲状腺功能改变等，需要定期检查甲状腺功能（Postow et al., 2015）。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>中药合剂：\u003C/strong>\n          个别患者可能出现消化不良、轻度腹泻。通常停药后症状缓解。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        正确做法：出现持续不适症状（如呕吐不能进食、发热、过敏等）时，立刻前往医院处理，切勿自行用药处理严重反应。出现轻度胃肠不适，多饮水、清淡饮食有一定缓解作用。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"med-section med-bg-07\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 储存条件和药品保管：保存得当，药效不减\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cul>\n        \u003Cli>\n          \u003Cstrong>化疗药物、免疫调节剂：\u003C/strong>\n          仅限医院储存和配置，患者无需自备。若有药物外带，需密封避光冷藏（2-8℃），避免暴露于高温。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>中药合剂：\u003C/strong>\n          放置于阴凉干燥处，开封后一周内尽快服用。若药品出现变色、浑浊或有异味应停用。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>口服药：\u003C/strong>\n          按包装说明保存。避免与日用化学品一同存放，以免挥发物污染药物。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        正确做法：药品单独存放于儿童无法触及的安全位置。过期或疑似受污染药品，应交回医院回收，不随意丢弃。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003Cdiv class=\"med-section med-bg-08\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 漏服与超量处理：遇到小意外该怎么办？\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cul>\n        \u003Cli>\n          \u003Cstrong>静脉药物：\u003C/strong>\n          漏服或超量仅可能发生于医疗操作，患者不需自行应对，一切由医务团队安排。\n        \u003C/li>\n        \u003Cli>\n          \u003Cstrong>口服中药或辅助药：\u003C/strong>\n          忘记一次可在想起后尽早补服；若接近下次服药时间，则不必再补，避免短时间二次服药。\u003C/li>\n        \u003Cli>\n          \u003Cstrong>大量误服：\u003C/strong>\n          出现明显不适应及时到医院处理，不要自作主张催吐或使用其他药物对抗。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        正确做法：严格按照说明或医嘱执行。如有误服历史，向药师说明详情备查。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"med-section med-bg-09\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">09 临床用药经验借鉴：真实案例小提示\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cul>\n        \u003Cli>\n          一位男性术后恢复期间，联合使用中药与免疫药，未见不良反应，提示联合用药需要监测肝肾功能定期随访。\n        \u003C/li>\n        \u003Cli>\n          归脾合剂在口服时出现轻微腹泻，短暂停药后恢复正常，说明个别体质差异需重视。\u003C/li>\n        \u003Cli>\n          化疗静脉用药期间，严格遵从护理操作标准，少见副作用说明规范流程降低风险。\u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        理解用药安全要点，及时与医务人员沟通，是术后康复的关键一步。\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"med-section med-bg-10\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">10 结语及安全用药小结\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cp>\n        恢复期化疗及相关药物种类多，各有特殊用法。用药最重要的，是明确服药时间、熟悉药物剂型细节、用药间相互作用、监测不良反应、储存规范和特别人群调整。任何疑问都要咨询专业人员。安全用药，康复路上才能更放心。\n      \u003C/p>\n      \u003Cp>\n        检查一下你的用药习惯，如果还有遗漏，请及时修正。合理用药，保护身体，家人和自己都放心！\n      \u003C/p>\n    \u003C/div>\n  \u003C/div>\n\n  \u003Cdiv class=\"med-section med-bg-ref\">\n    \u003Ch2 class=\"med-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">主要参考文献 \u003Cspan class=\"med-emoji\">📖\u003C/span>\u003C/h2>\n    \u003Cdiv class=\"med-section-content\">\n      \u003Cul>\n        \u003Cli>\n          Hesketh, P.J. (2008). Chemotherapy-induced nausea and vomiting. \u003Ci>New England Journal of Medicine\u003C/i>, 358(23), 2482–2494. https://doi.org/10.1056/NEJMra0706547\n        \u003C/li>\n        \u003Cli>\n          Postow, M.A., Sidlow, R., & Hellmann, M.D. (2018). Immune-Related Adverse Events Associated with Immune Checkpoint Blockade. \u003Ci>New England Journal of Medicine\u003C/i>, 378(2), 158–168. https://doi.org/10.1056/NEJMra1703481\n        \u003C/li>\n        \u003Cli>\n          Markman, M., Kennedy, A., Webster, K., Kulp, B., Peterson, G., Belinson, J., & Adolph, M. (2004). Safety and efficacy of carboplatin in patients with impaired renal function. \u003Ci>British Journal of Cancer\u003C/i>, 91(2), 202–207.\n        \u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/div>\n\n\u003C/div>\n\u003Cstyle>\n.med-guide-container {\n  font-family: 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif;\n  background: #f6f7f9;\n  max-width: 880px;\n  margin: 32px auto 32px auto;\n  padding: 30px 22px 36px 22px;\n  border-radius: 14px;\n  box-shadow: 0 6px 32px rgba(44, 62, 80, 0.09);\n}\n.med-guide-title {\n  font-size: 38px;\n  font-weight: bold;\n  color: #305177;\n  text-align: center;\n  margin-bottom: 36px;\n  letter-spacing: 2px;\n  line-height: 1.2;\n  background: linear-gradient(90deg, #dde6f4 10%, #f5f5fa 90%);\n  padding: 30px 0 24px 0;\n  border-radius: 18px 18px 6px 6px;\n  position: relative;\n}\n.med-guide-icon {\n  font-size: 36px;\n  vertical-align: middle;\n  margin-left: 12px;\n}\n.med-section {\n  margin-bottom: 32px;\n  border-radius: 11px;\n  padding: 28px 22px 18px 22px;\n  box-shadow: 0 2px 9px rgb(80 92 110 / 6%);\n}\n.med-section-title {\n  font-size: 24px;\n  font-weight: 700;\n  color: #456c8b;\n  letter-spacing: 1px;\n  margin-bottom: 18px;\n  line-height: 1.35;\n}\n.med-section-content {\n  font-size: 18px;\n  color: #3d424c;\n  line-height: 2.1;\n  padding-left: 5px;\n  padding-right: 5px;\n}\n.med-section-content ul {\n  margin: 8px 0 8px 26px;\n  padding-left: 0;\n}\n.med-section-content ol {\n  margin: 12px 0 8px 26px;\n  padding-left: 0;\n}\n.med-section-content li {\n  margin-bottom: 10px;\n}\n.med-section-content strong {\n  color: #36507a;\n}\n.med-section-content .med-emoji {\n  margin-right: 6px;\n  font-size: 21px;\n  vertical-align: baseline;\n}\n.med-bg-01 {\n  background: linear-gradient(100deg, #e7f0ff 0%, #f6faf3 98%);\n}\n.med-bg-02 {\n  background: linear-gradient(92deg, #f5f8fb 10%, #fafbfa 98%);\n}\n.med-bg-03 {\n  background: linear-gradient(98deg, #e9f4ee 10%, #fdf7fa 100%);\n}\n.med-bg-04 {\n  background: linear-gradient(92deg, #f7f6f0 15%, #e6eeff 85%);\n}\n.med-bg-05 {\n  background: linear-gradient(100deg, #fcf8f2 7%, #f1f4ff 90%);\n}\n.med-bg-06 {\n  background: linear-gradient(90deg, #eef6ff 18%, #f5f2f2 90%);\n}\n.med-bg-07 {\n  background: linear-gradient(94deg, #f3faf3 4%, #f9f3ff 100%);\n}\n.med-bg-08 {\n  background: linear-gradient(96deg, #faf6fe 2%, #e6f4f9 95%);\n}\n.med-bg-09 {\n  background: linear-gradient(100deg, #ecf2fe 8%, #fef6f0 98%);\n}\n.med-bg-10 {\n  background: linear-gradient(91deg, #fff9fd 7%, #e4ecfb 99%);\n}\n.med-bg-ref {\n  background: linear-gradient(96deg, #f1f6fd 30%, #fdfdfb 92%);\n  border: 1.5px solid #e6e7ec;\n  padding-top: 22px;\n  border-radius: 8px;\n  margin-top: 32px;\n}\n@media (max-width: 900px) {\n  .med-guide-container {\n    padding: 12px 1.5px 16px 1.5px;\n    max-width: 98%;\n  }\n  .med-guide-title {\n    font-size: 24px;\n    padding: 14px 0 8px 0;\n  }\n  .med-section {\n    padding: 13px 6px 7px 8px;\n  }\n  .med-section-title {\n    font-size: 18px;\n    margin-bottom: 7px;\n  }\n  .med-section-content {\n    font-size: 14px;\n    line-height: 1.7;\n  }\n}\n\u003C/style>\n\n","\u003Cdiv class=\"med-guide-container\">\n  \u003Ch1 id=\"material_title\" class=\"med-guide-title\" style=\"color: rg",536,"2025-07-03 10:41:48","左肺上叶鳞癌, 术后恢复, 安全用药, 化疗, 药物不良反应","了解左肺鳞癌术后恢复期常用药物的使用方法、安全注意事项及不良反应，确保恢复过程顺利，增强康复信心。","2025-07-04 21:52:00",2,[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":32,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":42,"status":21,"createDept":6,"remark":23,"createTime":43,"children":44,"columnImage":45,"columnLogo":46,"uncheckedLogo":6,"checkedLogo":6,"isHot":42,"isHome":21,"forceLogin":21,"color":47,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":37,"componentInfo":38},"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":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":60,"success":54},{"authors":61,"appraiseDimensionScoresVos":62},[],[]]