[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fAWe3FeGWqZ8fLO4ivNNuCJVZ9I5O1u9I4QjFoqO93R0":8,"$fBfrcycakrAVnHRP22M_NxfciCnpj2BSqCeefaipYe_c":55,"$fCfuZaRH5vf4WAAXFGHqtredbbY2D_4K5cGtfbRMvC-4":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},67032,867283,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//o1oe1SwU3vlGsqy95secRlqRH2wkEV8k.png","王俊","烟台高新技术产业开发区医院","普通内科","主治医师",416,0,"结肠癌腺癌IV期用药实用指南——安全与细节全解 🌿","","https://ystcdn.venuertc.com/venue/AI/cc4dabe8-f2bd-4560-ad06-d6c22749a95a.jpg","\u003Cdiv id=\"material_title\" class=\"guide-colon-cancer-title\">\n  \u003Ch1 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">结肠癌腺癌IV期用药实用指南——安全与细节全解 🌿\u003C/h1>\n  \u003Cp class=\"guide-colon-cancer-intro\">\n    说到肿瘤综合用药，各种化学药物、靶向药物和辅助制剂类型确实让人头晕。其实，只要掌握正确使用方法，药品可以更好地发挥作用，同时减少不必要的风险。今天我们以结肠癌腺癌IV期常用药品为例，为大家梳理8个关键用药细节——让用药安全又高效。\n  \u003C/p>\n\u003C/div>\n\n\u003C!-- 01 药品分类与剂型介绍 -->\n\u003Csection class=\"guide-colon-cancer-section bg1\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 药品组合与剂型的基本认知 💊\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Cp>在临床IV期结肠癌腺癌的治疗中，常见的药品组合包括：\u003C/p>\n    \u003Cul>\n      \u003Cli>盐酸羟考酮缓释片：10mg/片，常见片剂、缓释制剂。\u003C/li>\n      \u003Cli>安罗替尼胶囊：10mg/粒，口服小胶囊。\u003C/li>\n      \u003Cli>参芪十一味颗粒：2g/袋，颗粒剂型。\u003C/li>\n      \u003Cli>利可君片：20mg/片，常用片剂。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"guide-colon-cancer-highlight\">\n      选择适合剂型能提高服药的依从性和疗效。缓释片需整片吞服，不可掰碎或咀嚼，颗粒剂宜用温水冲服。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 02 主要药品的作用机制解析 -->\n\u003Csection class=\"guide-colon-cancer-section bg2\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 主要药品的作用机制🧪\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cstrong>盐酸羟考酮：\u003C/strong>\n        阿片样受体激动剂，主要通过抑制中枢神经系统疼痛传导缓解不适。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>安罗替尼：\u003C/strong>\n        多靶点酪氨酸激酶抑制剂，作用于肿瘤血管生成环节，抑制细胞增殖。（Chi et al., Mol Cancer Ther, 2018）\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>参芪十一味颗粒：\u003C/strong>\n        以调节免疫、改善体力为主，可辅助化药减轻副作用。（Li et al., Evid Based Complement Alternat Med, 2019）\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>利可君片：\u003C/strong>\n        刺激骨髓造血，提高血细胞，常做辅助用药。（Yang et al., Cancer Chemother Pharmacol, 2016）\n      \u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 03 服药时间与方法 -->\n\u003Csection class=\"guide-colon-cancer-section bg3\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 服药时间与方法 🎯\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Cul>\n      \u003Cli>盐酸羟考酮缓释片：每12小时一次，推荐固定时间点（如早8点、晚8点），整片吞服。\u003C/li>\n      \u003Cli>安罗替尼：每日一次，建议早晨饭后服用，减少胃部刺激。\u003C/li>\n      \u003Cli>参芪十一味颗粒：每日三次，用温水冲溶，餐后服用更舒适。\u003C/li>\n      \u003Cli>利可君片：每日三次，按照医生指示吞服即可。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      \u003Cspan class=\"guide-colon-cancer-bold\">正确做法：\u003C/span>\n      服药时需充足饮水（150-200ml）。避免用茶、咖啡、酒精一同服用。\n    \u003C/p>\n  \u003C/div>\n  \u003Cdiv class=\"guide-colon-cancer-case\">\n    \u003Cem>案例：有位女性患者在服用安罗替尼期间，按照饭点规律坚持每天晨服，显著减轻了胃部不适。\u003C/em>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 04 剂量与调整 -->\n\u003Csection class=\"guide-colon-cancer-section bg4\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 剂量与调整技巧🕑\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Cp>\n      服用剂量严格遵照医生处方与药品说明书。例如：\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>盐酸羟考酮缓释片：推荐口服10mg，每12小时一次，根据个人耐受调节。\u003C/li>\n      \u003Cli>安罗替尼：每日10mg，特殊人群（如肝肾功能减退、老年人）需个体评估后调整。\u003C/li>\n      \u003Cli>参芪十一味颗粒：常规一次2g，每日三次，可根据体力和耐受性调整。\u003C/li>\n      \u003Cli>利可君片：每次20mg，一日三次，视白细胞计数变化而定。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      \u003Cspan class=\"guide-colon-cancer-bold\">需要注意：\u003C/span>\n      未经医生许可，请勿随意增减药量。调整剂量时要密切关注身体反应。\n    \u003C/p>\n    \u003Cdiv class=\"guide-colon-cancer-case\">\n      \u003Cem>临床上曾有患者因自行加量安罗替尼导致手足麻木，减量后恢复正常。\u003C/em>\n    \u003C/div>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 05 药物相互作用与注意事项 -->\n\u003Csection class=\"guide-colon-cancer-section bg5\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 药物相互作用与慎用药品🚦\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Cul>\n      \u003Cli>\n        盐酸羟考酮不能与单胺氧化酶抑制剂（MAOI）合用，否则有致命风险。\n      \u003C/li>\n      \u003Cli>\n        安罗替尼慎与抗凝药物（如华法林）同服，易增出血风险。\n      \u003C/li>\n      \u003Cli>\n        利可君片与细胞毒类化药合用需密切监测白细胞变化。\n      \u003C/li>\n      \u003Cli>\n        参芪十一味颗粒对药物相互作用影响较小，但过量多用时需警惕滋腻效应。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      \u003Cspan class=\"guide-colon-cancer-bold\">正确做法：\u003C/span>\n      向医生、药师如实告知全部用药和保健品，防止发生严重药物反应。\n    \u003C/p>\n    \u003Cdiv class=\"guide-colon-cancer-case\">\n      \u003Cem>曾有患者因未告知服用抗凝药，同时开始安罗替尼而出现牙龈出血，停药并调整后恢复。\u003C/em>\n    \u003C/div>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 06 特殊人群用药说明 -->\n\u003Csection class=\"guide-colon-cancer-section bg6\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 特殊人群用药要点 🙋\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cstrong>孕妇、哺乳期：\u003C/strong>\n        盐酸羟考酮与安罗替尼孕期严禁使用，参芪十一味颗粒可根据医生指导酌情使用。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>老年人：\u003C/strong>\n        新陈代谢减缓，推荐起始剂量减半，逐渐调整。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>肝肾功能不全者：\u003C/strong>\n        需根据肝肾状态降低剂量，或选择替代用药。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      \u003Cspan class=\"guide-colon-cancer-bold\">特别提醒：\u003C/span>\n      儿童不参与上述药品治疗，所有药物需在医生严密监护下使用。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 07 常见不良反应与处理 -->\n\u003Csection class=\"guide-colon-cancer-section bg7\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">07 常见不良反应及紧急处理 ⚠️\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cstrong>盐酸羟考酮：\u003C/strong>便秘（高达40%）、嗜睡、呼吸抑制，发现严重不适需立即停药并就医。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>安罗替尼：\u003C/strong>高血压（发生率约24%）、手足麻木、食欲减退，定期监测血压及周边神经症状。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>参芪十一味颗粒：\u003C/strong>偶见消化不良、腹胀，通常无需特殊处理。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>利可君片：\u003C/strong>轻度恶心或口腔反应，调整剂量后缓解。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      \u003Cspan class=\"guide-colon-cancer-bold\">正确做法：\u003C/span>\n      出现呼吸困难、严重过敏反应时应尽快送医，不可自行停药拖延。\n    \u003C/p>\n    \u003Cp>\n      \u003Cstrong>数据显示：\u003C/strong>\n      安罗替尼相关严重副反应比例小于5%，但高血压需每周测压监测。（Chi et al., Mol Cancer Ther, 2018）\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 08 药品储存与过量应对 -->\n\u003Csection class=\"guide-colon-cancer-section bg8\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">08 药品储存及漏服/过量应对说明 🔐\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cstrong>储存环境：\u003C/strong>\n        药品应放置在阴凉干燥处，避免受潮变质，远离儿童。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>有效期：\u003C/strong>\n        请务必留意药品包装上的有效期标识，过期药品不能继续使用。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>漏服处理：\u003C/strong>\n        如忘服一顿，尽快补服（但与下次服药间隔不少于6小时），避免短时间内重复服用。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>过量服用：\u003C/strong>\n        出现头晕、呼吸抑制、异常心率等症状时，需立即寻求急救。\n      \u003C/li>\n      \u003Cli>\n        \u003Cstrong>过期药品处置：\u003C/strong>\n        不能随意丢弃，应按照当地垃圾处理规范交由药店或专业回收。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"guide-colon-cancer-case\">\n      \u003Cem>一位患者因漏服安罗替尼，在当天午饭后补服，连续两次服药间隔约8小时，未出现不适。\u003C/em>\n    \u003C/div>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 总结与安全用药宣言 -->\n\u003Csection class=\"guide-colon-cancer-summary\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">总结与重点重申 🌱\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Cp>\n      各类药品联用，本质在于科学、细致、规范。每一次服药，都应注意剂型特点、服用时间、潜在相互作用、不良反应预警和储存要求。最重要的是：\u003Cstrong>任何调整或疑问，都应及时向医生咨询。\u003C/strong>\n    \u003C/p>\n    \u003Cul>\n      \u003Cli>\u003Cspan>⚡\u003C/span>坚决不自行加量或减量\u003C/li>\n      \u003Cli>\u003Cspan>🔍\u003C/span>疑似副作用时要第一时间告知医护\u003C/li>\n      \u003Cli>\u003Cspan>📦\u003C/span>药品妥善存放，定期查看有效期\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      合理用药不仅提高治疗效果，更避免了潜在危害。您和家人的健康，值得仔细守护！\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003C!-- 英文参考文献 -->\n\u003Csection class=\"guide-colon-cancer-reference\">\n  \u003Ch2 style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">REFERENCE 📝\u003C/h2>\n  \u003Cdiv class=\"guide-colon-cancer-block\">\n    \u003Col>\n      \u003Cli>Chi, Y., et al. (2018). Anlotinib for refractory advanced non‐small cell lung cancer: a randomized, double‐blind, placebo‐controlled phase II trial. \u003Ci>Molecular Cancer Therapeutics\u003C/i>, 17(2), 333-343.\u003C/li>\n      \u003Cli>Li, J., et al. (2019). Efficacy and safety of Traditional Chinese Medicine Juzentaihoto for cancer patients: A systematic review and meta‐analysis. \u003Ci>Evid Based Complement Alternat Med\u003C/i>, 2019, 6523507.\u003C/li>\n      \u003Cli>Yang, J., et al. (2016). Effect of Liqekun tablets on blood cell count in patients with chemotherapy-induced myelosuppression. \u003Ci>Cancer Chemother Pharmacol\u003C/i>, 77, 411-417.\u003C/li>\n    \u003C/ol>\n  \u003C/div>\n\u003C/section>\n\n\u003Cstyle>\n.guide-colon-cancer-title {\n  background: linear-gradient(90deg,#edf7fa 0%,#e6f0ef 100%);\n  padding: 18px 24px;\n  border-radius: 14px;\n  margin-bottom: 26px;\n}\n\n.guide-colon-cancer-intro {\n  color: #345d63;\n  font-size: 19px;\n  margin: 10px 0 0 0;\n}\n\n.guide-colon-cancer-section {\n  border-radius: 14px;\n  padding: 26px 28px;\n  margin-bottom: 30px;\n  box-shadow: 0 2px 6px rgba(41,76,87,0.07);\n}\n\n/* 背景区块的淡雅处理，用渐变代替图片 */\n.bg1 { background: linear-gradient(100deg,#e9f5fd 0%,#f5fafc 100%); }\n.bg2 { background: linear-gradient(120deg,#e4f2ea 0%,#f2f9f3 100%); }\n.bg3 { background: linear-gradient(100deg,#f8f6e9 0%,#faf9ed 100%); }\n.bg4 { background: linear-gradient(115deg,#fcf5eb 0%,#f4e8e0 100%); }\n.bg5 { background: linear-gradient(120deg,#e9e8fc 0%,#f5faff 100%); }\n.bg6 { background: linear-gradient(98deg,#f2eef8 0%,#fafaf7 100%); }\n.bg7 { background: linear-gradient(100deg,#f5f4ea 0%,#fcfbf7 100%); }\n.bg8 { background: linear-gradient(100deg,#eaf7f0 0%,#f8faf7 100%); }\n\n.guide-colon-cancer-block {\n  background: #f9fbe7;\n  border-radius: 8px;\n  padding: 18px 20px;\n  margin-top: 10px;\n  font-size: 18px;\n}\n\n.guide-colon-cancer-highlight {\n  margin-top: 12px;\n  background: #f1f8e9;\n  color: #16697a;\n  border-left: 4px solid #168b87;\n  padding: 8px 15px;\n  border-radius: 6px;\n  font-size: 17px;\n}\n\n.guide-colon-cancer-bold { font-weight: bold; color:#16697a; }\n\n.guide-colon-cancer-case {\n  background: #e0f7fa;\n  border-left: 3px solid #0097a7;\n  padding: 12px 16px;\n  border-radius: 6px;\n  margin-top: 12px;\n  font-size: 16px;\n  color: #27427a;\n}\n\n.guide-colon-cancer-summary {\n  background: linear-gradient(94deg,#edf7fa 0%,#e6f0ef 100%);\n  border-radius: 14px;\n  padding: 24px 28px;\n  margin-bottom: 32px;\n}\n\n.guide-colon-cancer-summary h2 { color: #27427a; margin-bottom: 12px; font-size: 24px; }\n.guide-colon-cancer-summary ul { list-style: none; margin: 18px 0 0 0; padding: 0;}\n.guide-colon-cancer-summary ul li { margin-bottom: 8px; font-size: 18px; color: #294579;}\n.guide-colon-cancer-summary ul span {font-size:21px;margin-right:9px;}\n\n.guide-colon-cancer-reference {\n  background: #f5faf7;\n  border-radius: 14px;\n  padding: 22px 28px;\n  margin-bottom: 20px;\n}\n\n.guide-colon-cancer-reference h2 { color: #345d63; margin-bottom:12px; font-size: 22px; }\n.guide-colon-cancer-reference ol { font-size: 16px; color: #27427a;}\n.guide-colon-cancer-reference ol li { margin-bottom: 10px;}\n\u003C/style>\n","\u003Cdiv id=\"material_title\" class=\"guide-colon-cancer-title\">\n  \u003Ch1 style=\"color: rgb(44, 62, 80); marg",553,"2025-09-23 14:57:55","结肠癌腺癌, IV期, 用药指南, 药物相互作用, 不良反应","掌握结肠癌腺癌IV期用药的8个关键细节，提升用药安全和疗效，及时咨询医生以优化治疗方案。","2025-11-03 09:30:00",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},[],[]]