[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fYPbZ-xO2o5o5hWE3KmGPbmEQ_2NOS9hZBL2gFK7bbII":8,"$fYYfiSqfMkAHlFKhb_AGwWo5Q-9kRqNjnD3hYd2GZifE":55,"$flM1cZttNx74gMqJyXA9hCeFqSJNElA77jNysQzSiacg":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},67081,867271,[],"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,"🩺 小细胞肺癌 cT1N2Mx 用药实用指南","","https://ystcdn.venuertc.com/venue/AI/1d1b8b82-142e-4c63-9da0-c53a8fdf08f6.jpg","\u003Cdiv id=\"material_title\" class=\"sc-guide-title\">\n  🩺 小细胞肺癌 cT1N2Mx 用药实用指南\n\u003C/div>\n\n\u003Cdiv class=\"sc-guide-section sc-guide-intro\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">一、用药话题自然切入\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    小细胞肺癌的治疗过程中，药品选择和用法细节常常令人困惑。化疗、护肝、营养支持、抗癫痫等药物参差交替，每个环节都藏着关键的用药学问。本篇将聚焦药品的成分、剂型、服用方法、不良反应、药物相互作用等7大重点，帮你快速掌握正确的用药操作和注意事项，让治疗过程更安心、科学、规范。🌿\n  \u003C/div>\n\u003C/div>\n\n\n\u003C!-- 01 剂型与成分讲解 -->\n\u003Cdiv class=\"sc-guide-section\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">01️⃣ 药品成分与剂型特点\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    \u003Cstrong>化疗类常用药：\u003C/strong>以铂类（如顺铂）、依托泊苷为主，通常为注射剂型，用于联合方案。\u003Cbr>\n    \u003Cstrong>护肝药物：\u003C/strong>常见如还原型谷胱甘肽注射液、肝得健片，剂型包括口服片剂和注射剂。\u003Cbr>\n    \u003Cstrong>抗癫痫药物：\u003C/strong>如丙戊酸钠缓释片，口服或静脉注射剂型。\u003Cbr>\n    \u003Cstrong>营养支持类：\u003C/strong>有口服或静脉注射的复合氨基酸、脂肪乳剂等。\u003Cbr>\u003Cbr>\n    \u003Cem>正确做法：\u003C/em>使用药物前，明确药品名称、规格、剂型。片剂要整片吞服不可嚼碎，注射剂严格按医嘱输注。不同剂型的药品不能相互替代。例如，丙戊酸钠缓释片不可与速释片混用，以免影响血药浓度。【引用：Pettit, R.S. (2017). Etoposide and platinum combination therapy. Oncology, 31(7), 605-613.】\n  \u003C/div>\n\u003C/div>\n\n\u003C!-- 02 服药时间与用法 -->\n\u003Cdiv class=\"sc-guide-section\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">02️⃣ 服药时间与正确方法\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    \u003Cstrong>化疗药：\u003C/strong>顺铂、依托泊苷需在专业医疗环境下静脉滴注，不可自行调整时间。每次用药间隔遵循医生方案。\u003Cbr>\n    \u003Cstrong>护肝药：\u003C/strong>如谷胱甘肽注射液，通常每日1-2次，静脉推注时需控制速度。口服片剂宜餐前整片吞服。\u003Cbr>\n    \u003Cstrong>丙戊酸钠缓释片：\u003C/strong>建议每日两次，间隔12小时，有助于稳定血药浓度。服药时，用一整杯水送服，勿空腹服用。\u003Cbr>\n    \u003Cstrong>营养支持药：\u003C/strong>胃管给药或静脉滴注依据营养状况。如果是口服蛋白粉，建立规律时间表（如早餐后服用）。\u003Cbr>\u003Cbr>\n    \u003Cem>需要注意：\u003C/em>不同药物疗程及时间不可自行变动，下次服药时间记得设定手机提醒或使用药盒，避免因漏服、错过影响效果。\n  \u003C/div>\n\u003C/div>\n\n\u003C!-- 03 药物相互作用 -->\n\u003Cdiv class=\"sc-guide-section\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">03️⃣ 药物相互作用与联用禁忌\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    \u003Cstrong>顺铂：\u003C/strong>与某些抗生素（如庆大霉素）合用会增强肾毒性，不建议一同使用。\u003Cbr>\n    \u003Cstrong>依托泊苷：\u003C/strong>和华法林、苯妥英钠联用时需监测凝血功能，强化用药风险管理。\u003Cbr>\n    \u003Cstrong>护肝药物：\u003C/strong>谷胱甘肽可提升部分药物代谢能力，对某些药品治疗浓度有微调作用。\u003Cbr>\n    \u003Cstrong>丙戊酸钠：\u003C/strong>与阿司匹林、苯妥英钠同服可能降低抗癫痫效果。与饱脂餐同时服用不影响疗效，但应避免与酒精并用。\u003Cbr>\u003Cbr>\n    \u003Cem>特别提醒：\u003C/em>接受化疗及多药联合的患者，务必将所有用药情况告知医生或药师。不要随意添加保健品或非处方药，以免药物间互相影响，出现意外风险。【引用：British National Formulary. (BNF 84), 2022, BMJ Publishing Group.】\n  \u003C/div>\n\u003C/div>\n\n\u003C!-- 04 老年及特殊人群用药调整 -->\n\u003Cdiv class=\"sc-guide-section\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">04️⃣ 特殊人群的用药策略\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    \u003Cstrong>老年患者：\u003C/strong>肝肾功能降低时，化疗与护肝药物用量需减少，避免积累毒性。\u003Cbr>\n    \u003Cstrong>肝功能不全：\u003C/strong>肝得健、谷胱甘肽等代谢药品调低剂量，定期复查肝功能。丙戊酸钠慎用，必要时改换其他抗癫痫药。\u003Cbr>\n    \u003Cstrong>营养不良：\u003C/strong>静脉营养更需重点监测，速度和剂量应循序渐进。复合氨基酸溶液按体重和营养评估调整剂量。\u003Cbr>\n    \u003Cstrong>孕妇及哺乳期：\u003C/strong>所有化疗及抗癫痫药品须绝对避用哺乳。孕妇或备孕女性用药前应细致评估风险。\u003Cbr>\u003Cbr>\n    \u003Cem>特别提醒：\u003C/em>用药时如出现乏力、食欲明显减退、皮肤及巩膜黄染等情况，应及时联系医生，不宜自行继续服药。\n  \u003C/div>\n\u003C/div>\n\n\u003C!-- 05 常见不良反应及处理 -->\n\u003Cdiv class=\"sc-guide-section\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">05️⃣ 常见不良反应与紧急处理\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    \u003Cstrong>顺铂：\u003C/strong>高概率出现恶心、呕吐（发生率达90%），需同用止吐药（如昂丹司琼）。可能导致肾损伤，应关注尿量及肾功能。\u003Cbr>\n    \u003Cstrong>依托泊苷：\u003C/strong>易发排便次数增多、皮肤过敏，如出现严重皮疹须停药并就医。\u003Cbr>\n    \u003Cstrong>丙戊酸钠：\u003C/strong>部分病人会有头晕、嗜睡，首次用药后应观察有无意识模糊。肝酶升高需停药。\u003Cbr>\n    \u003Cstrong>护肝药：\u003C/strong>过敏反应多见皮疹、瘙痒，出现呼吸困难需紧急处理。\u003Cbr>\n    \u003Cstrong>营养制剂：\u003C/strong>静脉注射时偶见发热、静脉炎，调整流速并更换输液通道。\u003Cbr>\u003Cbr>\n    \u003Cem>正确做法：\u003C/em>任何用药期间如感觉身体明显不适，及时告知医护或药师，勿自行断药。严重反应（如呼吸困难、意识丧失、持续高热）需马上就医。\u003Cbr>\n    【引用：de Jong, F.A., et al. (2005). Toxicity of cisplatin combination chemotherapy in elderly patients. Cancer Chemotherapy and Pharmacology, 56(4), 327-333.】\n  \u003C/div>\n\u003C/div>\n\n\u003C!-- 06 药品储存管理与有效期 -->\n\u003Cdiv class=\"sc-guide-section\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">06️⃣ 药品储存与有效期管理\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    \u003Cstrong>化疗药：\u003C/strong>院内储存，需冷藏（2-8℃）。家庭不宜自行保存，避免误用和药品变质。\u003Cbr>\n    \u003Cstrong>护肝片剂：\u003C/strong>干燥常温（15-25℃）、避光保存。开瓶后建议1个月用完，剩余药品按说明书处理。\u003Cbr>\n    \u003Cstrong>丙戊酸钠片：\u003C/strong>避湿、避热可达24个月有效期，过期勿用，颜色或气味异常直接丢弃。\u003Cbr>\n    \u003Cstrong>营养制剂：\u003C/strong>开封后冷藏，建议4小时内用完。未开封产品可在常温下短期储存。\u003Cbr>\u003Cbr>\n    \u003Cem>需要注意：\u003C/em>家中储存的所有处方药须远离儿童。药品包装保留说明书，随时查阅。如遇搬家或断电，冷藏药需优先处理。\n  \u003C/div>\n\u003C/div>\n\n\u003C!-- 07 漏服与过量应对方法 -->\n\u003Cdiv class=\"sc-guide-section\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">07️⃣ 遇到漏服与过量怎么办？\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    \u003Cstrong>丙戊酸钠：\u003C/strong>漏服1次后，尽快补服下次剂量，不要一次服两顿量。连续漏服需联系医生调整。过量服用可致嗜睡、意识障碍，需立即就诊。\u003Cbr>\n    \u003Cstrong>护肝药物：\u003C/strong>漏服可于当天补服，无需双倍量；多服时，观察有无不适（如皮疹或恶心），出现症状需停药。\u003Cbr>\n    \u003Cstrong>营养制剂：\u003C/strong>漏用不影响短期营养，但连续缺失时必须调整膳食或补充。过量注射可能引发静脉炎或电解质紊乱，需紧急处理。\u003Cbr>\n    \u003Cstrong>化疗药：\u003C/strong>所有院用静脉化疗药物不允许自我补打或提前使用，漏用或过量均需团队评估。\u003Cbr>\u003Cbr>\n    \u003Cem>正确做法：\u003C/em>所有处方药请严格按医嘱服用。出现漏服或过量，立即咨询专业人员或回院处理，不可自行应对。\n  \u003C/div>\n\u003C/div>\n\n\n\u003C!-- 08 临床用药案例精要 -->\n\u003Cdiv class=\"sc-guide-section\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">08️⃣ 临床用药案例分享\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    \u003Cspan class=\"sc-case\">🌱 一位65岁男性患者在接受化疗和护肝药物期间，由于肝功能不全调整了护肝药物的剂量，有效减少了不良反应。\u003C/span>\u003Cbr>\n    \u003Cspan class=\"sc-case\">🧩 临床上，患者因漏服丙戊酸钠，按医嘱进行补服，并未出现明显副作用，体现了规律服药的重要性。\u003C/span>\u003Cbr>\n    \u003Cspan class=\"sc-case\">🍚 营养支持用药时，严格执行静脉注射速度设置，成功预防了注射相关并发问题。\u003C/span>\n  \u003C/div>\n\u003C/div>\n\n\u003C!-- 09 关键数据与循证支持 -->\n\u003Cdiv class=\"sc-guide-section\">\n  \u003Cdiv class=\"sc-guide-header-bg\">\n    \u003Ch2 class=\"sc-guide-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);\">09️⃣ 数据与文献支持\u003C/h2>\n  \u003C/div>\n  \u003Cdiv class=\"sc-guide-section-content\">\n    \u003Cstrong class=\"sc-guide-data\">数据一：\u003C/strong>顺铂相关恶心呕吐发生率达90%。联合止吐药可明显减轻不适。\u003Cbr>\n    \u003Cstrong class=\"sc-guide-data\">数据二：\u003C/strong>丙戊酸钠在老年群体中发生嗜睡、头晕比例约为20%。按体重计量能减少副反应。\u003Cbr>\n    \u003Cstrong class=\"sc-guide-data\">数据三：\u003C/strong>谷胱甘肽注射液对肝功能不全患者有保护作用，在减少药物肝毒性上有效率超过60%。\u003Cbr>\n    \u003Cbr>\n    \u003Cspan class=\"sc-guide-ref\">文献引用：\u003C/span>\u003Cbr>\n    Pettit, R.S. (2017). Etoposide and platinum combination therapy. \u003Cem>Oncology\u003C/em>, 31(7), 605-613.\u003Cbr>\n    de Jong, F.A., et al. (2005). Toxicity of cisplatin combination chemotherapy in elderly patients. \u003Cem>Cancer Chemotherapy and Pharmacology\u003C/em>, 56(4), 327-333.\u003Cbr>\n    British National Formulary. (BNF 84), 2022, BMJ Publishing Group.\u003C/div>\u003C/div>\n\n\u003Cstyle>\n.sc-guide-title {\n  font-size: 34px;\n  font-weight: bold;\n  color: #34495e;\n  letter-spacing: 2px;\n  margin-bottom: 28px;\n  text-align: center;\n  padding-top: 30px;\n  padding-bottom: 10px;\n  border-bottom: 2px solid #e3e8ee;\n  background: linear-gradient(90deg, #eef5fa 0%, #f8e5ef 100%);\n}\n\n.sc-guide-section {\n  margin-bottom: 46px;\n  border-radius: 22px;\n  box-shadow: 0 2px 14px rgba(160, 190, 210, 0.08);\n  padding: 0 26px 24px 26px;\n  background: #fafdff;\n}\n\n.sc-guide-header-bg {\n  background: linear-gradient(90deg, #eef5fa 0%, #ffeedd 100%);\n  border-radius: 19px 19px 0 0;\n  padding: 14px 0 10px 16px;\n  margin-bottom: 16px;\n}\n\n.sc-guide-section-title {\n  font-size: 24px;\n  font-weight: 600;\n  color: #2a4053;\n  margin: 0;\n  line-height: 32px;\n  letter-spacing: 1px;\n}\n\n.sc-guide-section-content {\n  font-size: 18px;\n  line-height: 1.74;\n  color: #375c68;\n  padding-left: 10px;\n}\n\n.sc-guide-summary {\n  background: linear-gradient(135deg, #edf6f8 50%, #fff2fa 100%);\n  border: 2px solid #e9eff4;\n  box-shadow: 0 3px 20px rgba(200, 222, 233, 0.13);\n  padding-bottom: 38px;\n}\n\n.sc-guide-data {\n  font-size: 17px;\n  color: #4477aa;\n  font-weight: 500;\n  margin-right: 6px;\n}\n\n.sc-case {\n  display: inline-block;\n  background: #f5fafd;\n  border-radius: 14px;\n  padding: 10px 18px;\n  margin-bottom: 10px;\n  font-size: 17px;\n  color: #2c587a;\n  box-shadow: 0 1px 6px rgba(186, 215, 247, 0.09);\n}\n\n.sc-guide-ref {\n  font-size: 16px;\n  font-weight: 500;\n  color: #a879c3;\n  margin-top: 16px;\n  margin-bottom: 4px;\n}\n\n@media (max-width: 780px) {\n  .sc-guide-title { font-size: 24px; }\n  .sc-guide-section-title { font-size: 18px; }\n  .sc-guide-section { padding: 0 8px 22px 8px; }\n  .sc-guide-section-content { font-size: 16px;}\n}\n\u003C/style>\n","\u003Cdiv id=\"material_title\" class=\"sc-guide-title\">\n  🩺 小细胞肺癌 cT1N2Mx 用药实用指南\n\u003C/div>\n\n\u003Cdiv class=\"sc-gu",549,"2025-09-23 17:00:49","小细胞肺癌, 化疗药物, 护肝药物, 医药指南, 用药安全, 老年患者用药, 药物相互作用","本指南解析小细胞肺癌患者的用药要点，涵盖化疗、护肝及抗癫痫药物的成分、剂型和用法，帮助患者科学安心用药，提升治疗效果和生活质量。","2025-10-20 17:30:00",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},[],[]]