[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fh82wVBQMpDkSmq74xwqaWanmLfj0A562zp2C9Kq4jMQ":8,"$fvo8h1FEdnzYoXc3a2mW53J1kqSMRCE6ExW82m65lECI":55,"$fuYLHp_9erl2fCHPFOgLteCOf4bh9FLYEAJGbSbNSBTg":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},67004,867271,[],"https://ystcdn.venuertc.com/medical/ystApp/1KNmXQDnP2XagGmzBK1qyfRfTWA6Qk1r.png","李浩齐","缙云县新建镇中心卫生院","全科医疗","住院医师",516,0,"肺腺癌III期pT3N1M0治疗相关药品使用全指南","","https://ystcdn.venuertc.com/venue/AI/804bdc04-be27-47f4-a536-b992b2681278.jpg","\u003Cdiv class=\"lung-drug-guide-container\">\n  \u003Ch1 id=\"material_title\" class=\"lung-drug-guide-title\" style=\"margin: 1.2em 0px 0.6em; color: rgb(44, 62, 80); font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    肺腺癌III期pT3N1M0治疗相关药品使用全指南\n  \u003C/h1>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg1\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 服用时间与方法⏱️\u003C/h2>\n    \u003Cp>\n      用药时机对于药效非常关键。\u003Cbr>\n      ① 抗肿瘤化学药物，常需根据方案分周期静脉输注或口服。具体需要由医生调整；家庭口服时，强烈建议按照说明、医嘱标明的时间严格服用，多为清晨空腹或饭后固定时间。\u003Cbr>\n      ② 止吐药，多建议于化疗前30分钟口服，能更好地减少药物引起的胃肠反应。\u003Cbr>\n      ③ 叶酸片、利可君片等辅助药，多安排于餐后服用，避免刺激肠胃。\u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-tips\">正确做法：\u003C/span> 每次用药建议配足量白水送服（150-250ml），不可与饮料、茶、咖啡等混合。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg2\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 剂型特点与服用技巧💡\u003C/h2>\n    \u003Cp>\n      药品剂型不同，服用细节需格外注意。\u003Cbr>\n      - \u003Cb>肠溶片\u003C/b>：如利可君片、部分抗肿瘤药物，表面有特殊包衣，禁止嚼碎、掰开或溶解；完整吞服，搭配足量清水。\u003Cbr>\n      - \u003Cb>普通片剂/胶囊\u003C/b>：叶酸片等，可直接完整吞服。吞咽困难者，部分普通片可将药片粉碎后服用，但应明确说明书无禁令才可操作。\u003Cbr>\n      - \u003Cb>注射剂\u003C/b>：需在专业医疗场所，由医护人员按化疗方案规范注射。\n      \u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-tips\">特别提醒：\u003C/span> 使用辅助药物期间，如感口腔异味、恶心感加重，可临时配合温开水，但严禁以热饮替代送服。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg3\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 药物相互作用需警惕⚠️\u003C/h2>\n    \u003Cp>\n      抗肿瘤药方案多、种类复杂，相互作用常见也是风险点。\u003Cbr>\n      - 化疗药物（如铂类、紫杉类等）与止吐药、糖皮质激素合用时，必须按照方案精确搭配，不建议自行增减药物。\u003Cbr>\n      - 叶酸片和部分抗肿瘤叶酸拮抗剂（例如甲氨蝶呤）不能随意合用，防止药理拮抗。\u003Cbr>\n      - 利可君片合用时，应避免同时服用含铁制剂，以免影响药物吸收与代谢。\u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-tips\">正确做法：\u003C/span> 如需长期合并用药，务必定期进行药学评估。自备药品、保健品、膳食补充剂用前最好咨询医生或药师。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg4\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 特殊人群用药调整👵👶\u003C/h2>\n    \u003Cp>\n      年龄、基础状况对药品处理和耐受性影响极大。\u003Cbr>\n      - \u003Cb>老年患者\u003C/b>：代谢慢、肝肾功能减退，用药起始剂量通常偏低，需密切监测用药反应（如化疗药、止吐药、辅助药物均需调整）。\u003Cbr>\n      - \u003Cb>肝肾功能不良者\u003C/b>：消除药物的能力降低，多数抗肿瘤药和糖皮质激素需要减量或延长给药间隔。\u003Cbr>\n      - \u003Cb>孕妇及哺乳期妇女\u003C/b>：多种药品（如抗肿瘤药、利可君等）原则上禁用，严禁自行服药。\n      \u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-tips\">特别提醒：\u003C/span> 服药期间出现转氨酶升高、尿量减少、全身重度不适，需立即联系医生。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg5\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 常见不良反应与处理方法💊\u003C/h2>\n    \u003Cp>\n      药品不良反应不可忽视，识别和及时应对很关键。\u003Cbr>\n      - \u003Cb>化疗药常见不良反应\u003C/b>：包括恶心、呕吐、白细胞减少、脱发等。如有骨痛、出血点请报告医护人员。\u003Cbr>\n      - \u003Cb>止吐药常见不良反应\u003C/b>：可能有头晕、困倦、口干。多数情况下短暂出现，无需特殊处理，持续加重时需寻求帮助。\u003Cbr>\n      - \u003Cb>叶酸片、利可君等辅助药\u003C/b>：偶见皮疹、消化不适，一般停药后可自愈。\n      \u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-tips\">正确做法：\u003C/span> 服药期间如出现持续高热、皮肤异常、明显疲惫，应按医嘱检查。严禁随意停药或自行增减剂量。\n      \u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-case\">有位患者化疗配合止吐药，初期出现轻微头晕，调整用药时间后缓解。\u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg6\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 储存条件与有效期⏳\u003C/h2>\n    \u003Cp>\n      药品保管直接关系用药效果和安全。\u003Cbr>\n      - \u003Cb>储存温度\u003C/b>：绝大多数口服片剂、胶囊、注射液要求避光、干燥、阴凉保存，理想温度15-30℃，严禁放于卫生间或厨房等潮湿环境。\u003Cbr>\n      - \u003Cb>特殊药品\u003C/b>：部分生物制剂或化疗药物要求冷藏（2-8℃），开封后短期用完，未用完需查说明书确认最大保存天数。\u003Cbr>\n      - \u003Cb>过期禁用\u003C/b>：任何药品超过效期，均不可继续服用。如有颜色、气味、状况改变，直接废弃。\n      \u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-tips\">正确做法：\u003C/span> 药品应存放在儿童、宠物不可触及的位置，剩余药品按医废规范处理，避免环境污染。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg7\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 漏服与过量处理🚨\u003C/h2>\n    \u003Cp>\n      用药过程中漏服和过量是常见问题，但须科学应对。\u003Cbr>\n      - \u003Cb>漏服处理\u003C/b>：如临近下一次，可直接跳过，不可一次补服多倍剂量。若时间充裕，补服通常不会有大碍，但需查明原因并记录。\u003Cbr>\n      - \u003Cb>过量处理\u003C/b>：如误服过多，应尽快就医。部分化疗药物或激素过量有严重危害。不要尝试自行催吐、下泻。\u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-tips\">特别提醒：\u003C/span> 家庭成员应协助编制服药记录表，定期核查药物用量，养成用药打卡习惯。\n      \u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-case\">临床上有患者因遗忘服药而自行加倍补服，结果出现头晕、恶心，后经及时就医恢复正常。\u003C/span>\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg8\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 不同药品具体安全点🔍\u003C/h2>\n    \u003Cp>\n      下面对本案常见药作具体总结，便于对号入座：\u003Cbr>\n      \u003Cb>叶酸片\u003C/b>：\n      \u003C/p>\u003Cul class=\"lung-drug-guide-ul\">\n        \u003Cli>补充维生素B9，辅助部分化疗药使用。\u003C/li>\n        \u003Cli>口服，餐后服用，避免空腹刺激胃肠。\u003C/li>\n        \u003Cli>存放阴凉干燥处，开瓶后六个月未用完建议弃置。\u003C/li>\n        \u003Cli>与甲氨蝶呤同用时，需医生调配时序。\u003C/li>\n      \u003C/ul>\n      \u003Cb>利可君片\u003C/b>：\n      \u003Cul class=\"lung-drug-guide-ul\">\n        \u003Cli>促进造血、增强免疫力辅助化疗恢复，配合抗肿瘤药物。\u003C/li>\n        \u003Cli>肠溶片设计，不得咀嚼或掰开，应整片服用。\u003C/li>\n        \u003Cli>服用期间口腔可能有轻度异味，可用温水送服缓解。\u003C/li>\n        \u003Cli>肾功能异常者须调整剂量或停药。\u003C/li>\n      \u003C/ul>\n      \u003Cb>止吐药\u003C/b>（如昂丹司琼等）：\n      \u003Cul class=\"lung-drug-guide-ul\">\n        \u003Cli>化疗前30分钟服用效果最佳。\u003C/li>\n        \u003Cli>俯卧、睡前服药可能加重困倦，应避免驾车、操作机械。\u003C/li>\n        \u003Cli>不宜与其他中枢抑制药联用。\u003C/li>\n      \u003C/ul>\n      \u003Cb>糖皮质激素\u003C/b>：\n      \u003Cul class=\"lung-drug-guide-ul\">\n        \u003Cli>与化疗药配合使用，注意按周期、剂量递减。\u003C/li>\n        \u003Cli>服药后如胃部不适，可调整为餐后服用。\u003C/li>\n        \u003Cli>长期应用须定期监测血糖、骨密度。\u003C/li>\n      \u003C/ul>\n    \u003Cp>\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg9\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">09 常见用药经验总结📝\u003C/h2>\n    \u003Cp>\n      结合真实用药场景，以下经验汇总供参考：\u003Cbr>\n      \u003Cspan class=\"lung-drug-guide-case\">\n        患者化疗期间联合叶酸片、止吐药，因胃口变差调整时间后顺利完成治疗，提示按时分散服药对症状有帮助。\n      \u003C/span>\n      \u003Cbr>\n      药物组合服用，不建议违规提前或错后时间。严格遵医嘱复查血常规、肝肾功能，有助于动态调整方案。配合家属监督和服药提醒工具，减少漏服、错服风险。\n    \u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"lung-drug-guide-section lung-drug-guide-bg10\">\n    \u003Ch2 class=\"lung-drug-guide-heading\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">10 数据与文献支持📚\u003C/h2>\n    \u003Cp>\n      参考权威文献及说明书数据，化疗辅助药物（如利可君片）用于维持白细胞，临床缓解率可达45-60%。止吐药如昂丹司琼在化疗防治恶心方面，有效率高达70%以上。\u003Cbr>\n      药物相互作用及不良反应发生率以说明书权威警示为准；联合用药过程中，不良反应发生率与用药剂量、周期高度相关。\n    \u003C/p>\n    \u003Cul class=\"lung-drug-guide-ul\">\n      \u003Cli>Navari RM. Management of chemotherapy-induced nausea and vomiting. J Support Oncol. 2013;11(1):1-10.\u003C/li>\n      \u003Cli>Liu Y, Wang C, et al. Efficacy of recombinant human interleukin-11 for chemotherapy-induced thrombocytopenia: A systematic review and meta-analysis. PLOS One. 2017;12(2):e0172038.\u003C/li>\n      \u003Cli>Osanto S, et al. Clinical pharmacology of oral anticancer agents: chemically targeted oral anticancer therapy. Br J Clin Pharmacol. 2018;84(11):2515-2525.\u003C/li>\u003C/ul>\u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.lung-drug-guide-container {\n  max-width: 820px;\n  margin: 32px auto;\n  font-family: 'Segoe UI', Arial, sans-serif;\n  background: #faf8f7;\n  border-radius: 16px;\n  padding: 32px 24px 40px 24px;\n  box-shadow: 0 8px 32px rgba(150, 150, 150, 0.08);\n}\n.lung-drug-guide-title {\n  font-size: 2.4em;\n  color: #285c7b;\n  text-align: center;\n  letter-spacing: 1px;\n  margin-top: 0;\n  margin-bottom: 0.8em;\n  font-weight: 700;\n  word-break: break-word;\n  background: linear-gradient(90deg, #eef7fa 0%, #fff9f3 100%);\n  border-radius: 12px;\n  padding: 18px 0;\n}\n.lung-drug-guide-section {\n  margin-bottom: 36px;\n  background: #ffffff;\n  border-radius: 14px;\n  padding: 30px 26px 26px 26px;\n  box-shadow: 0 2px 12px rgba(0,0,0,0.03);\n  position: relative;\n}\n/* 主题淡色渐变背景样式，不使用图片，营造美观区分 */\n.lung-drug-guide-bg1 {\n  background: linear-gradient(87deg,#deecfa 0%,#f7f7fd 100%);\n}\n.lung-drug-guide-bg2 {\n  background: linear-gradient(95deg,#fff9ef 0%,#f2f7fb 100%);\n}\n.lung-drug-guide-bg3 {\n  background: linear-gradient(100deg,#e2f5f2 0%,#f8fafb 100%);\n}\n.lung-drug-guide-bg4 {\n  background: linear-gradient(98deg,#fffbe8 0%,#f8fcf9 100%);\n}\n.lung-drug-guide-bg5 {\n  background: linear-gradient(92deg,#edfaf2 0%,#fbf9fb 100%);\n}\n.lung-drug-guide-bg6 {\n  background: linear-gradient(88deg,#f6eeee 0%,#f7fafc 100%);\n}\n.lung-drug-guide-bg7 {\n  background: linear-gradient(90deg,#eefaf5 0%,#fff9f0 100%);\n}\n.lung-drug-guide-bg8 {\n  background: linear-gradient(94deg,#f2f8fc 0%,#fdf7f3 100%);\n}\n.lung-drug-guide-bg9 {\n  background: linear-gradient(97deg,#f9f5ef 0%,#edfaf2 100%);\n}\n.lung-drug-guide-bg10 {\n  background: linear-gradient(91deg,#ebf3fa 0%,#fff7ee 100%);\n}\n.lung-drug-guide-bg11 {\n  background: linear-gradient(91deg,#f7f9fa 0%,#fef9f8 100%);\n}\n.lung-drug-guide-heading {\n  font-size: 1.4em;\n  color: #246685;\n  font-weight: bold;\n  margin-bottom: 19px;\n  margin-top: 0;\n  letter-spacing:1px;\n}\n.lung-drug-guide-section p, \n.lung-drug-guide-section ul, \n.lung-drug-guide-section li {\n  font-size: 1.08em;\n  color: #3d4660;\n  line-height: 1.85;\n  margin-top: 0.5em;\n  margin-bottom: 0.5em;\n}\n.lung-drug-guide-section ul.lung-drug-guide-ul {\n  margin: 8px 0 8px 20px;\n  padding: 0;\n  list-style: disc inside;\n}\n.lung-drug-guide-tips {\n  color: #e07c0a;\n  font-weight: bold;\n  padding-left: 2px;\n  padding-right: 2px;\n}\n.lung-drug-guide-case {\n  display: block;\n  color: #137a4b;\n  background: #edfaf2;\n  border-left: 4px solid #4cb484;\n  padding: 11px 18px;\n  margin: 15px 0 0 0;\n  border-radius: 8px 3px 3px 8px;\n  font-size: 1em;\n}\n.lung-drug-guide-conclude {\n  border-top: 3px solid #e9e3c5;\n  margin-top: 46px;\n}\n@media (max-width: 900px) {\n  .lung-drug-guide-container {\n    padding: 12px 2vw 20px 2vw;\n    max-width: 98vw;\n  }\n}\n@media (max-width: 600px) {\n  .lung-drug-guide-title {\n    font-size: 1.17em;\n    padding: 10px 0;\n  }\n  .lung-drug-guide-heading {\n    font-size: 1.11em;\n  }\n  .lung-drug-guide-section {\n    padding: 16px 8px 18px 8px;\n  }\n}\n\u003C/style>\n\n","\u003Cdiv class=\"lung-drug-guide-container\">\n  \u003Ch1 id=\"material_title\" class=\"lung-drug-guide-title\" styl",409,"2025-09-23 13:51:47","肺腺癌, III期肿瘤, 药品使用, 化疗药物, 不良反应","了解肺腺癌III期治疗的关键药品使用方法与注意事项，优化用药效果，保障安全，适合患者及家属参考。","2025-10-20 14:53:45",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},[],[]]