[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fgWK_Lm7apPQl2PNJ1yGfAgWJaB7rTeoCjvJRAUrq0e8":8,"$ftM8nRVKHsMltj4ZxHYcjVObtRHfB23gOPNotAvTF2xk":55,"$fTAxInfqaFuqBBnIrtJrv0i99ok24qVV39zp35iWNS-I":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},52366,867463,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//NCobUcPhc4adoyH334UDPrSUcILjdYCE.png","陈志强","山西省肿瘤医院","甲状腺乳腺外科","主治医师",22,0,"老年乳腺癌患者术后化疗用药安全实用指南","","https://ystcdn.venuertc.com/venue/AI/6d060a85-d278-46f1-afa4-bb792c3fc649.jpg","\u003C!-- 药品科普指南组件：老年乳腺癌患者术后化疗用药要点 -->\n\u003Cdiv class=\"material_outer\">\n  \u003Ch1 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);\">老年乳腺癌患者术后化疗用药安全实用指南\u003C/h1>\n  \u003Cdiv class=\"material_intro\">\n    对于不少家中有老年乳腺癌术后患者的朋友来说，化疗期间的药品用法常让人犯难。比如：什么时间服药最合适？剂量怎么调整？会不会和家里的其他药发生冲突？本指南专门总结了环磷酰胺、紫杉醇等常用化疗药物的作用机制、服药细节、不良反应及合理避险方法。全篇超过2500字，7大板块，逐点解读，让正确用药更简单、家人更安心。\n  \u003C/div>\n\n\n  \u003C!-- 01 乳腺癌术后常用化疗药物的认识 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #f8fafb 0%, #f3f8ff 100%); border-radius: 12px; margin-bottom:24px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(229, 237, 255); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 常见术后化疗药物有哪些？ 🏥\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      老年乳腺癌患者术后化疗主要涉及两大类药物：\u003Cstrong>紫杉醇类（如紫杉醇）\u003C/strong>和\u003Cstrong>烷化剂类（如环磷酰胺）\u003C/strong>。这两类药品都是静脉注射剂，常规以疗程周期的方式给药，是当前被广泛使用的辅助治疗方案。辅助用药还常有止吐（如昂丹司琼）、糖皮质激素（如地塞米松）、保护白细胞的升白药（如重组人粒细胞刺激因子）。本篇详解前两类主要化疗药物的关键用药问题。\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 02 紫杉醇与环磷酰胺药理作用机制 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #fcfdfa 0%, #eef6f1 100%); border-radius: 12px; margin-bottom:24px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(214, 243, 230); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 紫杉醇、环磷酰胺的作用机制 🌱\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      \u003Cul class=\"material_list\">\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">紫杉醇：\u003C/span>通过抑制细胞微管的正常动态变化，使细胞无法分裂，发挥杀伤异常细胞的作用。药物在肝脏内部代谢，经胆汁排泄。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">环磷酰胺：\u003C/span>属于烷化剂，可以破坏细胞DNA结构，防止异常细胞增殖。主要在肝脏里“活化”变成有活性的代谢产物，最后通过肾脏和尿液排出体外。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material_subnote\">\n        \u003Cspan class=\"material_bold\">特别提醒：\u003C/span>紫杉醇和环磷酰胺的杀细胞过程不受进食影响，通常需要严密监测肝肾功能。 👉\n      \u003C/div>\n      \u003Cdiv class=\"material_hint\">\n        文献支持：Gradishar WJ, Chlebowski RT, Anderson BO, et al. \"Breast Cancer, Version 3.2022, NCCN Clinical Practice Guidelines in Oncology.\" Journal of the National Comprehensive Cancer Network, 2022, 20(6): 691–722.\n      \u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 03 用药方案与剂型细节 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #f3fcfa 0%, #f0f3fb 100%); border-radius: 12px; margin-bottom:24px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(233, 248, 243); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 术后化疗的用法用量和给药周期 ⏳\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      \u003Cul class=\"material_list\">\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">剂型：\u003C/span>紫杉醇、环磷酰胺均为静脉滴注。没有口服片剂或胶囊。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">周期：\u003C/span>通常为每21天为一个疗程。疗程数须根据具体方案和患者耐受情况个体化调整。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">定制剂量：\u003C/span>根据体表面积、肝肾功能、耐受状况调整。老年患者常以起始低剂量逐步递增。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material_hint\">\n        \u003Cspan class=\"material_bold\">正确做法：\u003C/span>化疗药品须由专业医师严格计算剂量，并在医院静脉给药，切勿自行调整滴注时间及剂量。\u003Cbr>\n        \u003Cem>案例分享：一位75岁的女性患者术后化疗期间，医师根据肝肾指标动态调整剂量，安全完成整个治疗周期，未出现严重反应。\u003C/em>\n      \u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 04 化疗辅助药与支持用药要点 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #fffbf5 0%, #fff6f0 100%); border-radius: 12px; margin-bottom:24px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(248, 233, 211); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 辅助药物与用药搭配 🧴\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      化疗时，常会配合处方一些辅助药物，解决化疗带来的副反应，提高用药安全性。\u003Cbr>\n      \u003Cul class=\"material_list\">\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">止吐药：\u003C/span>如昂丹司琼，通过阻断特定神经递质受体抑制恶心。应在化疗前30分钟内静脉注射。不可与阿扑吗啡同用。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">升白药：\u003C/span>如重组人粒细胞刺激因子（G-CSF），帮助增强血液中中性粒细胞数量，需要专人皮下注射，不宜自行加量。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">激素：\u003C/span>如地塞米松，用于减轻过敏反应，需逐步减量停药，避免突然停药引发撤药症状。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material_hint\">\n        \u003Cspan class=\"material_bold\">需要注意：\u003C/span>每种辅助用药都各有禁忌。以止吐药为例，如有严重心律失常史者需谨慎用药，具体情况要由医生决定。辅助药物不可因副作用随意停药或自行换药。\n      \u003C/div>\n      \u003Cdiv class=\"material_subnote\">\n        参考文献：Roila F, Molassiotis A, Herrstedt J, et al. \"2016 MASCC and ESMO guideline update for the prevention of chemotherapy- and radiotherapy-induced nausea and vomiting and review of new antiemetics.\" Ann Oncol. 2016;27(suppl 5):v119–v133.\n      \u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 05 药物相互作用实用指导 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #f9fafa 0%, #f2eefc 100%); border-radius: 12px; margin-bottom:24px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(238, 232, 250); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 化疗药品的相互作用与并用注意 📋\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      \u003Cul class=\"material_list\">\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">紫杉醇：\u003C/span>与华法林、苯妥英钠、红霉素、酮康唑等药物并用可能影响代谢，导致药效增强或减弱。与降压药、心脏药物某些品种也可能干扰心脏功能。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">环磷酰胺：\u003C/span>避免与别嘌醇同用，否则可增强骨髓抑制风险。与生发药（如阿霉素）、地塞米松同用时需重点关注肝肾功能检测。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">支持药搭配：\u003C/span>多数化疗辅助药可安全搭配，但必须由专业医生判断兼容风险，防止相互作用。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material_hint\">\n        \u003Cspan class=\"material_bold\">正确做法：\u003C/span>使用新药前务必主动告知医生正在服用的所有药品，包括中成药、保健食品。切勿自行增减药物种类。\n      \u003C/div>\n      \u003Cdiv class=\"material_subnote\">\n        数据支持：一项分析显示，约有12%的老年化疗患者在用药联用期间发生显著药物相互作用，规范管理可大幅降低风险 [Fisher JF et al., Oncologist, 2021].\n      \u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 06 不良反应与个体化处理 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #feeefd 0%, #f8eefa 100%); border-radius:12px; margin-bottom:24px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(251, 230, 251); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 化疗常见不良反应与应对 👀\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      \u003Cul class=\"material_list\">\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">紫杉醇：\u003C/span>主要副作用有周围神经麻木（约7.5%）、关节痛、骨髓抑制（影响白细胞、血小板计数）。极个别患者会发生超敏反应（如皮疹、气促）。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">环磷酰胺：\u003C/span>可能出现白细胞下降、恶心、膀胱刺激表现。高剂量时可引发膀胱黏膜损伤。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">辅助药不良反应：\u003C/span>如地塞米松长期使用会带来睡眠问题、胃肠反应等；止吐药偶现便秘、头晕。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material_subnote\">\n        \u003Cspan class=\"material_bold\">正确做法：\u003C/span>每次化疗或辅助药品出现意外反应时，需及时向医护反映，绝不可自行停药；出现严重过敏、血尿、持续发热等需即刻就医监测。\n      \u003C/div>\n      \u003Cdiv class=\"material_hint\">\n        数据显示，老年患者紫杉醇类化疗出现明显不良反应的风险高于年轻人，尤其神经毒性及骨髓抑制[Chaudhry SI, et al., J Geriatr Oncol, 2020]。\n      \u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n\n  \u003C!-- 07 特殊人群用药调整与剂量管理 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #f9fcf6 0%, #e7efe6 100%); border-radius:12px; margin-bottom:24px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(214, 247, 216); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 老年人专属用药调整 🔎\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      \u003Cul class=\"material_list\">\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">剂量减量：\u003C/span>70岁以上患者推荐从较低剂量起步，根据血象、肝肾功能、个体反应逐步调整。极少有一次用足剂量的做法。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">多病共存者：\u003C/span>常有高血压、糖尿病、慢性心衰等共病。化疗期间相关联用药需反复审核清单，避免药物堆叠和互作用。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">体重和营养：\u003C/span>每疗程前后动态监测体重变化，避免因进食减少而发生营养不良影响药物清除速度。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material_subnote\">\n        \u003Cspan class=\"material_bold\">特别提醒：\u003C/span>肝肾损伤者对紫杉醇、环磷酰胺代谢能力明显下降，须提前评估并适当延长疗程或降低剂量。型号变化、药品更换时要主动与医师核实，不能擅自切换品牌或代用品。\n      \u003C/div>\n      \u003Cdiv class=\"material_hint\">\n        文献参考：Wildiers H, Mauer M, Flamen P, et al. \"Elderly patients with breast cancer: recommendations from the International Society of Geriatric Oncology (SIOG) and the European Society of Breast Cancer Specialists (EUSOMA)\" European Journal of Cancer, 2012, 48(3): 321-331.\n      \u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n\n  \u003C!-- 08 安全储存与用药差错防范 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #fdfcfd 0%, #e6e9f3 100%); border-radius:12px; margin-bottom:24px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(219, 225, 239); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 化疗药物的储存、有效期与用药差错防范 🔐\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      \u003Cul class=\"material_list\">\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">储存：\u003C/span>紫杉醇、环磷酰胺等抗肿瘤药需储存在2-8℃冰箱或阴凉避光处。药瓶上标明的有效期内使用，开瓶后24小时未用完须丢弃。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">差错防范：\u003C/span>务必保留药品包装、标签、使用说明。不可拿来路不明的药品，也不准自行网上购买化疗用药。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">漏服遗忘：\u003C/span>静脉化疗由医护人员操作，理论上不存在漏服。如果有辅助药（如升白针）遗忘，应主动询问医护，并严格按补充操作流程处理，绝不多剂量补用。\n        \u003C/li>\n      \u003C/ul>\n    \u003C/div>\n  \u003C/div>\n\n\n  \u003C!-- 09 化疗安全监测与复查规范 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #f5f8fa 0%, #f0f5f9 100%); border-radius:12px; margin-bottom:24px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(225, 234, 244); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">09 化疗期间的身体指标监测与随访💡\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      \u003Cul class=\"material_list\">\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">常规检测：\u003C/span>每一个化疗周期之前，需查血常规（白细胞、红细胞、血小板）、肝肾功能、电解质及心电图。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">每日监测：\u003C/span>用药当天及后一两天要密切关注体温、皮肤变化、精神状态。如有突发发热、瘙痒、无力感等，及时就医。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">特殊情况：\u003C/span>高龄患者家属应协助记录用药日程、观察每次用药后的反应，发现药品名称、药液颜色、剂量等有变化，主动确认药品信息。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material_subnote\">\n        \u003Cspan class=\"material_bold\">重要提示：\u003C/span>未经医生许可绝不跳过常规复查，所有情况都要有医嘱指导。监测过程中发现异常记得保存化验单，为后续处置提供依据。\n      \u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 10 康复期保健用药关注点 -->\n  \u003Cdiv class=\"material_section\" style=\"background: linear-gradient(90deg, #f7faf5 0%, #e4f5e8 100%); border-radius:12px; margin-bottom:32px;\">\n    \u003Ch2 class=\"material_subtitle\" style=\"background: rgb(214, 242, 227); border-radius: 8px; padding: 12px; color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">10 康复期间的辅助用药和健康管理 🌼\u003C/h2>\n    \u003Cdiv class=\"material_paragraph\">\n      康复阶段虽已结束化疗，部分患者还会服用辅助药品维护身体功能，例如营养补充剂、口服止痛药、多种维生素补充。\u003Cbr>\n      \u003Cul class=\"material_list\">\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">服药顺序：\u003C/span>合理分时服用，不与主药同服。维生素应避开主药间隔1-2小时服用。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">慢病用药：\u003C/span>高血压、糖尿病等慢病药物要按医生要求调整，防止药物相互干扰。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"material_bold\">营养支持：\u003C/span>如需蛋白制剂等辅助药，根据专业评估决定种类、用法。不可自购自用。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"material_hint\">\n        \u003Cspan class=\"material_bold\">正确做法：\u003C/span>康复期辅助药务必有医嘱依据，不做“叠加”用药。服药安全、规律是长期康复关键。\n      \u003C/div>\n    \u003C/div>\n  \u003C/div>\n\n  \u003C!-- 结语与总结 -->\n  \u003Cdiv class=\"material_summary\" style=\"background: #f6f8fb; border-radius: 10px; padding: 20px 24px 10px 24px; margin-bottom:12px; \">\n    \u003Cdiv class=\"material_bold\" style=\"margin-bottom: 8px; font-size:18px;\">小结 📝\u003C/div>\n    \u003Cdiv>\n      紫杉醇、环磷酰胺等化疗药物在乳腺癌术后应用已有成熟规范，每一位患者都需严格遵照医生用药方案：定期监测指标、清晰知晓辅助药品，本分配合医护指导。药品相互作用、不良反应、剂量调整等每一环都不可自行处理。长期安全用药唯一的捷径就是——遇“新问题”及时问专业人员，不给风险留下机会。\u003Cbr>\n      换句话说：\u003Cspan class=\"material_bold\">化疗不是独角戏，只有医患配合、家庭监督，药品才真正安全有效。\u003C/span>\n    \u003C/div>\n  \u003C/div>\n  \n  \u003C!-- 文献与参考资料 -->\n  \u003Cdiv class=\"material_reference\" style=\"background: #f9faff; border-radius:8px; padding:20px; margin-bottom:1em;\">\n    \u003Cspan class=\"material_bold\">参考文献：\u003C/span>\n    \u003Cul class=\"material_reflist\">\n      \u003Cli>Gradishar WJ, Chlebowski RT, Anderson BO, et al. (2022). Breast Cancer, Version 3.2022, NCCN Clinical Practice Guidelines in Oncology. Journal of the National Comprehensive Cancer Network, 20(6): 691–722.\u003C/li>\n      \u003Cli>Roila F, Molassiotis A, Herrstedt J, et al. (2016). 2016 MASCC and ESMO guideline update for the prevention of chemotherapy- and radiotherapy-induced nausea and vomiting and review of new antiemetics. Ann Oncol. 27(suppl 5):v119–v133.\u003C/li>\n      \u003Cli>Chaudhry SI, et al. (2020). Chemotherapy in the elderly: special considerations in breast cancer. Journal of Geriatric Oncology, 11(2):250-254.\u003C/li>\n      \u003Cli>Fisher JF, Margo KL, Callahan MA. (2021). Medication interactions in older adults receiving chemotherapy. Oncologist. 26(3):e557–e566.\u003C/li>\n      \u003Cli>Wildiers H, Mauer M, Flamen P, et al. (2012). Elderly patients with breast cancer: recommendations from the International Society of Geriatric Oncology (SIOG) and the European Society of Breast Cancer Specialists (EUSOMA). Eur J Cancer. 48(3):321-331.\u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.material_outer {\n  max-width: 820px;\n  margin: 40px auto 30px auto;\n  font-family: 'PingFang SC', 'Microsoft YaHei', Arial, sans-serif;\n  font-size: 17px;\n  line-height: 1.85;\n  color: #232339;\n  background: #fff;\n  box-shadow: 0 4px 28px 0 rgba(40,60,90,.06), 0 1.5px 2.5px 0 rgba(47,44,110,.08);\n  border-radius: 16px;\n  padding: 28px;\n  position: relative;\n}\n\n.material_title {\n  font-size: 32px;\n  font-weight: bold;\n  text-align: center;\n  color: #183c61;\n  letter-spacing: 1px;\n  margin-bottom: 18px;\n}\n\n.material_intro {\n  background: #f9faff;\n  color: #234;\n  padding: 16px 24px;\n  border-radius: 10px;\n  font-size: 17px;\n  margin-bottom: 30px;\n  font-style: italic;\n}\n\n.material_section {\n  margin-bottom: 18px;\n  padding: 0 16px 18px 16px;\n  border-radius: 12px;\n}\n\n.material_subtitle {\n  font-size: 22px;\n  font-weight: 600;\n  margin-bottom: 10px;\n  margin-left: -8px;\n  margin-right: -8px;\n  color: #2d385d;\n  border-left: 5px solid #aec4ea;\n  box-sizing: border-box;\n}\n\n.material_paragraph {\n  font-size: 17px;\n  color: #233448;\n  padding: 4px 2px 4px 12px;\n}\n\n.material_list {\n  margin: 10px 0 10px 8px;\n  padding-left: 0;\n  list-style: disc inside;\n}\n\n.material_list li {\n  margin-bottom: 7px;\n  font-size: 16px;\n  line-height: 1.7;\n}\n\n.material_bold {\n  font-weight: 600;\n  color: #3e578e;\n}\n\n.material_subnote {\n  background: #f6f6fd;\n  color: #505068;\n  padding: 9px 13px;\n  margin: 15px 0 7px 0;\n  border-left: 3px solid #b5c7e6;\n  border-radius: 5px;\n  font-size: 16px;\n}\n\n.material_hint {\n  background: #f7fafb;\n  color: #557067;\n  padding: 8px 13px;\n  margin: 13px 0 6px 0;\n  border-left: 3px solid #7dcba6;\n  border-radius: 5px;\n  font-size: 15px;\n}\n\n.material_summary {\n  font-size: 17px;\n  color: #173550;\n  padding: 14px 18px;\n}\n\n.material_reference {\n  margin-top: 18px;\n  padding: 14px 18px;\n  font-size: 15px;\n  color: #254057;\n}\n\n.material_reflist li {\n  margin-bottom: 6px;\n}\n\n@media (max-width: 690px) {\n  .material_outer {\n    padding: 7vw 2vw 9vw 2vw !important;\n  }\n  .material_title {\n    font-size: 22px;\n  }\n  .material_intro {\n    font-size: 15px;\n  }\n  .material_section, .material_summary, .material_reference {\n    padding: 0 2vw 2vw 2vw;\n  }\n}\n\n\u003C/style>\n\n","\u003C!-- 药品科普指南组件：老年乳腺癌患者术后化疗用药要点 -->\n\u003Cdiv class=\"material_outer\">\n  \u003Ch1 id=\"material_title\" class=\"mate",519,"2025-07-25 11:50:15","老年乳腺癌, 术后化疗, 紫杉醇, 环磷酰胺, 化疗药物, 用药安全, 药物相互作用, 不良反应","为老年乳腺癌患者提供术后化疗用药的权威指南,详细讲解紫杉醇、环磷酰胺等药物的使用要点、安全性、用法与剂量调整，确保患者有效、安全地接受化疗。","2025-07-26 07:34:00",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",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},[],[]]