[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f6Sg2ZGUl11LXw-qu5nqOHganjN1rsQpw2WDdB6J7zgE":8,"$fCyBW4qbV8riDM0FUEz-hNCkpdvhvKRIKSfmFjMXJqBg":55,"$fzX7IFpDoR527-K1s8NNvrrLrQdEc4kiVKmEbYqamL1A":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},55016,867330,[],"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,"晚期乳腺癌常用药品实用用药指南","","https://ystcdn.venuertc.com/venue/AI/b54b4687-7ba2-4c6e-bd6f-ad0c62b0f4d2.jpg","\u003Cdiv class=\"unique-material-container\">\n    \u003Ch1 id=\"material_title\" class=\"unique-main-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">晚期乳腺癌常用药品实用用药指南\u003C/h1>\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #F7F8FA 40%, #F1EAFC 100%);padding:36px 30px 30px 40px;margin-bottom:32px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">🗝️引言——用药细节决定疗效和安全\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            日常用药中，单是“抗肿瘤药”和“辅助药”这一类，选择和服用方法就让人有些迷茫，无论是维生素B6注射液还是小金胶囊，每一种药品的服用细节都直接影响疗效和副作用。今天，为大家梳理乳腺癌常用的几类药物，总结7大实用用药要点，帮你精准安全用药，远离风险。\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #F2F9F6 20%, #F9F7FA 100%);padding:36px 30px 30px 40px;margin-bottom:32px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-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 抗肿瘤中成药：小金胶囊服用要点\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            \u003Cstrong>剂型和成分：\u003C/strong> 主要为胶囊剂型，含多种中草药成分，如乳香、没药等。\u003Cbr>\n            \u003Cstrong>作用机制：\u003C/strong> 小金胶囊被认为可以通过多途径调节人体免疫功能，辅助对抗异常细胞增殖（Wu et al., 2017）。\u003Cbr>\n            \u003Cstrong>正确用法：\u003C/strong> 口服，推荐用温开水送服。多数情况下建议餐后服用，以减少对胃部的刺激。整粒吞服，不能咀嚼或掰开，避免成分失活或口腔刺激。\u003Cbr>\n            \u003Cstrong>重点提醒：\u003C/strong> 如果定期服用小金胶囊，最好固定时间规律服用，不要漏服。漏服时，如距离下一次服用仍有6小时以上，可及时补服；如果已临近下次服药时间，则跳过，不必加倍服用。\u003Cbr>\n            \u003Cstrong>禁忌事项：\u003C/strong> 对胶囊壳成分或药物内成分过敏者禁用。孕妇、哺乳期女性不建议使用（说明书提示）。\u003Cbr>\n            \u003Cstrong>常见不良反应：\u003C/strong> 偶见轻度胃肠道不适（如恶心），极少数可有皮疹，休息调整后通常缓解。\u003Cbr>\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #FCF7F7 40%, #F8F6F1 100%);padding:36px 30px 30px 40px;margin-bottom:32px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-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 辅助药选择：归脾合剂使用须知\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            \u003Cstrong>剂型特点：\u003C/strong> 归脾合剂为口服液体制剂，适合吞咽困难的患者。\u003Cbr>\n            \u003Cstrong>服用方式：\u003C/strong> 建议餐后口服。使用前摇匀，用量按瓶签建议。喝药前后半小时尽量不要进食辛辣、刺激性食物。\u003Cbr>\n            \u003Cstrong>正确做法：\u003C/strong> 服药前可用温水漱口，减少口腔不适。非必要不自行加量或缩短给药间隔。\u003Cbr>\n            \u003Cstrong>储存方式：\u003C/strong> 避光、密封、置阴凉干燥处（一般建议4-25℃）。开封后建议一周内用完，以防变质。若药液出现混浊、沉淀、异味应停止使用。\u003Cbr>\n            \u003Cstrong>禁忌人群：\u003C/strong> 对本品任一成分有过敏史应绝对避免使用。\u003Cbr>\n            \u003Cstrong>药物相互作用：\u003C/strong> 不宜与含有酒精或者强刺激性成分的药品同时服用，以免相互反应减效或增强副作用。\u003Cbr>\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #F2F1FA 40%, #F9F7FA 100%);padding:36px 30px 30px 40px;margin-bottom:32px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-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 注射类药物：维生素B6与葡萄糖注射液的正确使用\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            \u003Cstrong>成分规格：\u003C/strong> 维生素B6注射液常为100mg/支，葡萄糖注射液通常有5%、10%、50%不同浓度规格。\u003Cbr>\n            \u003Cstrong>作用机制（简述）：\u003C/strong> 维生素B6参与体内多种酶促反应，调节氨基酸代谢；葡萄糖注射液补充能量，维持基础代谢（Margerison & Green, 2005）。\u003Cbr>\n            \u003Cstrong>用法要点：\u003C/strong> 两者均需严格由医疗人员操作，采用静脉注射或静脉滴注。输液过程中持续观察输液点，防止渗漏。\u003Cbr>\n            \u003Cstrong>正确做法：\u003C/strong> 输液前，核对浓度与剂量，混合溶液时避免配伍禁忌。使用不同注射药物时应更换输液器及针头，防止交叉污染。\u003Cbr>\n            \u003Cstrong>特殊人群：\u003C/strong> 老年患者、肝肾功能减退者输注剂量应下调，同时需关注血糖波动。\u003Cbr>\n            \u003Cstrong>药物相互作用：\u003C/strong> 葡萄糖注射液不宜与含碳酸氢钠、氨基糖苷类等药同时混合。维生素B6可影响左旋多巴的效果。\u003Cbr>\n            \u003Cstrong>常见不良反应：\u003C/strong> 输液部位红肿、过敏反应（极罕见），静脉滴速过快可致头晕或局部不适。\u003Cbr>\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #EFFAF6 60%, #F6F1F3 100%);padding:36px 30px 30px 40px;margin-bottom:32px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-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 药物相互作用与组合用药\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            多种药物联合使用时，可能发生“药物打架”。例如：\u003Cbr>\n            \u003Cspan class=\"unique-emoji\">⚠️\u003C/span>\n            \u003Cstrong>典型相互作用：\u003C/strong>\n            \u003Cul>\n                \u003Cli>小金胶囊与抗凝药物（如华法林）并用时，可能增强出血风险，应咨询医生后谨慎调整。\u003C/li>\n                \u003Cli>归脾合剂与抗生素、激素类药品联用，可能影响彼此代谢和疗效。\u003C/li>\n                \u003Cli>维生素B6会降低左旋多巴疗效，服用此类药物者需避免同用。\u003C/li>\n                \u003Cli>葡萄糖注射液勿与含钙、碳酸氢钠类药混合。\u003C/li>\n            \u003C/ul>\n            \u003Cstrong>正确做法：\u003C/strong> 如需多种药物同时服用，应将服药时间错开30-60分钟，并告知主治医生所有用药情况（含非处方药和保健品），防止意外反应。\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #FDF7F2 40%, #F2F1FA 100%);padding:36px 30px 30px 40px;margin-bottom:32px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-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 特殊人群用药调整及禁忌\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            \u003Cstrong>老年人：\u003C/strong> 肢体循环慢、肝肾解毒功能减弱，建议由医生根据实际情况下调剂量，并密切随访。\u003Cbr>\n            \u003Cstrong>孕妇、哺乳期女性：\u003C/strong> 小金胶囊、归脾合剂均不建议用。葡萄糖注射液、维生素B6需医生评估利弊后决定使用。\u003Cbr>\n            \u003Cstrong>肝肾功能受损者：\u003C/strong> 注射类药物由肝脏、肾脏代谢排除速度降低，应遵医嘱调整剂量频率。\u003Cbr>\n            \u003Cstrong>过敏体质：\u003C/strong> 对药物任一成分有过敏史者须避免使用同类药品，并随身携带既往的过敏记录卡。\u003Cbr>\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #F6F1F3 70%, #EFFAF6 100%);padding:36px 30px 30px 40px;margin-bottom:32px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-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 不良反应识别与处理建议\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            \u003Cstrong>常见不良反应：\u003C/strong>\n            \u003Cul>\n                \u003Cli>小金胶囊：偶有胃肠不适，个别人皮疹，通常无需特殊干预。\u003C/li>\n                \u003Cli>归脾合剂：过量可能致消化道反应，轻微不适一般自行缓解。\u003C/li>\n                \u003Cli>维生素B6注射液：极少数出现局部红肿或头晕。\u003C/li>\n                \u003Cli>葡萄糖注射液：输注速度过快可致局部浮肿、轻度头晕。\u003C/li>\n            \u003C/ul>\n            \u003Cstrong>处理方式：\u003C/strong> 轻度反应可先暂停用药，症状缓解后酌情重启。出现皮疹、呼吸困难等严重过敏表现，应立即停药并就医。自行处理无效时，建议随时就近就诊。\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #F2F1FA 40%, #FDF7F2 100%);padding:36px 30px 30px 40px;margin-bottom:32px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-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 储存条件与用药过量补救\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            \u003Cstrong>正确储存：\u003C/strong>\n            \u003Cul>\n                \u003Cli>小金胶囊、归脾合剂：密封、防潮、避光，开封后一周用完。\u003C/li>\n                \u003Cli>注射类药物：需冷藏存放于2-8℃，使用前切勿暴露在强光和高温环境。\u003C/li>\n            \u003C/ul>\n            \u003Cstrong>有效期把控：\u003C/strong> 切勿服用过期药品，如果药液变色、浑浊、胶囊软化、出现异味等，应立即丢弃。\n            \u003Cbr>\n            \u003Cspan class=\"unique-emoji\">👀\u003C/span>\n            \u003Cstrong>漏服与过量处理：\u003C/strong>\n            \u003Cul>\n                \u003Cli>漏服一般无需加倍补服，继续下次用药即可。\u003C/li>\n                \u003Cli>一次性大量服用应尽快去医院寻求帮助，不建议自行催吐。\u003C/li>\n            \u003C/ul>\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #FCF7F7 60%, #F7F8FA 100%);padding:36px 30px 30px 40px;margin-bottom:36px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">🔬临床用药案例集锦\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            \u003Cul>\n                \u003Cli>有位患者在规律服用小金胶囊时，因漏服一次未及时补服，未见不良反应，之后继续按时服药，疗程顺利结束。\u003C/li>\n                \u003Cli>临床上将葡萄糖注射液与其他注射药分开使用，防止药物间发生配伍不良，避免输液器堵塞。\u003C/li>\n                \u003Cli>一位高龄患者根据医生建议下调维生素B6注射液剂量后，未出现头晕与血糖波动，整个用药过程平稳。\u003C/li>\n            \u003C/ul>\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section\" style=\"background: linear-gradient(90deg, #F7F8FA 60%, #FCF7F7 100%);padding:36px 30px 30px 40px;margin-bottom:36px;border-radius:20px;\">\n        \u003Ch2 class=\"unique-sub-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">🌟结语与用药建议\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            科学用药绝不是“照本宣科”，而是将药品特性和自身实际巧妙结合。抗肿瘤中成药、辅助口服液、注射类药物等各有侧重，每一种都需注重剂型、服用技巧和不良反应监测。务必告知医生你所有的用药情况，任何不适及时寻医。\u003Cbr>\n            \u003Cstrong>牢记：\u003C/strong> 不随意增减剂量，储存按说明，注意漏服补救，联用药物要避开相互作用风险——这是用药安全的基础。让药品疗效最大化，风险最小化，是每个人都值得关注的生活常识。\n        \u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"unique-section unique-reference-section\" style=\"background:#F7FAFC;padding:28px 24px 20px 30px;margin-bottom:16px;border-radius:18px;\">\n        \u003Ch2 class=\"unique-sub-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">📚参考文献\u003C/h2>\n        \u003Cdiv class=\"unique-content\">\n            \u003Cul class=\"unique-reference-list\">\n                \u003Cli>\n                    Margerison, C., & Green, T. J. (2005). Dietary vitamin B6 intake and plasma pyridoxal 5'-phosphate concentration in humans. \u003Cem>Nutrition Research Reviews\u003C/em>, 18(2), 429-438.\n                \u003C/li>\n                \u003Cli>\n                    Wu, F., Wang, X., Wu, J., et al. (2017). Multicomponent herbal products in the prevention and development of cancer: Mechanisms of action and bioactive compounds. \u003Cem>Frontiers in Pharmacology\u003C/em>, 8, 515.\n                \u003C/li>\n                \u003Cli>\n                    Siegel, R.L., Miller, K.D., & Jemal, A. (2020). Cancer statistics, 2020. \u003Cem>CA: A Cancer Journal for Clinicians\u003C/em>, 70(1), 7-30.\n                \u003C/li>\n                \u003Cli>\n                    American Cancer Society. (2023). Cancer Facts & Figures 2023. Atlanta: American Cancer Society. \u003Ca href=\"https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2023/cancer-facts-and-figures-2023.pdf\" target=\"_blank\">PDF\u003C/a>\n                \u003C/li>\n            \u003C/ul>\n        \u003C/div>\n    \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.unique-material-container {\n    max-width: 900px;\n    margin: 0 auto;\n    font-family: \"Helvetica Neue\", Helvetica, Arial, \"PingFang SC\", \"Microsoft YaHei\", sans-serif;\n    color: #323232;\n    background: #fff;\n    border-radius: 24px;\n    box-shadow: 0px 6px 44px 0 #e7e9ef55;\n    padding: 36px 18px;\n    line-height: 1.8;\n    font-size: 18px;\n}\n.unique-main-title {\n    font-size: 2.4em;\n    color: #6C2EB2;\n    text-align: left;\n    font-weight: 700;\n    line-height: 1.2;\n    margin-bottom: 36px;\n    letter-spacing: 1px;\n}\n.unique-sub-title {\n    font-size: 1.36em;\n    color: #53318C;\n    font-weight: 600;\n    margin-bottom: 18px;\n    margin-top: 0;\n    letter-spacing: 0.5px;\n}\n.unique-section {\n    margin-bottom: 30px;\n}\n.unique-content {\n    font-size: 1em;\n    color: #333452;\n    padding-left: 5px;\n}\n.unique-content ul {\n    margin: 10px 0 18px 22px;\n    padding-left: 0;\n}\n.unique-content li {\n    margin-bottom: 10px;\n}\n.unique-emoji {\n    font-size: 1.2em;\n    margin-right: 7px;\n}\n.unique-reference-section {\n    border-left: 5px solid #A585DC;\n    background: #F7FAFC !important;\n}\n.unique-reference-list {\n    font-size: 0.98em;\n    color: #666681;\n    padding-left: 28px;\n    line-height: 1.6;\n    margin-bottom: 0;\n}\n@media (max-width: 650px) {\n    .unique-material-container {\n        padding: 14px 3%;\n    }\n    .unique-main-title {font-size: 1.2em;}\n    .unique-section {\n        padding: 22px 9px 15px 9px !important;\n    }\n}\n\u003C/style>\n\n","\u003Cdiv class=\"unique-material-container\">\n    \u003Ch1 id=\"material_title\" class=\"unique-main-title\" style=",537,"2025-08-01 18:25:02","晚期乳腺癌, 用药指南, 抗肿瘤药, 辅助药, 药物相互作用, 维生素B6注射液, 小金胶囊, 药品不良反应","了解晚期乳腺癌常用药品的正确用法和注意事项，提升用药安全性与疗效，确保科学用药，特别适合患者及家属阅读。","2025-08-06 09:36:00",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},[],[]]