[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fkhiDz3Fc-UojMInE7fflX-q-nCBQCCKNrFNmjYMNvuw":8,"$fDxWC2GLRE7D0lta1oa-CMga8r5LUYpTPCDQBQ--YnQ4":55,"$fpFy-t6L-QDFub-geCMvqoAMdkEkbLXlWI0TRxckJJCk":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},70289,863254,[],"https://ystcdn.venuertc.com/medical/ystApp/Dlmj9URvs7gXdepZpARivDbqwZwkg06p.png","朱永亮","龙口南山养生谷肿瘤医院","放射科","住院医师",397,0,"晚期胃癌常用药物安全指南——用药细节与风险防范","","https://ystcdn.venuertc.com/venue/AI/edaf6d41-1044-46f3-9b20-b65436e681b8.jpg","\u003Cdiv class=\"drugguide-material-container\">\n  \u003Ch1 id=\"material_title\" class=\"drugguide-material-title\">晚期胃癌常用药物安全指南——用药细节与风险防范\u003C/h1>\n  \u003Cdiv class=\"drugguide-material-intro\">\n    \u003Cspan class=\"drugguide-material-intro-emoji\">💊\u003C/span>\n    \u003Cspan>\n      现代医学中，奥沙利铂和替吉奥是晚期相关治疗中常用的药物组合。药物的选择虽由医生决定，但许多用药细节却需患者和家属掌握，包括服用方法、注意事项以及如何管理不良反应。本指南将全面梳理奥沙利铂和替吉奥的7个关键用药注意点，帮助你用好每一剂药，减少风险。  \n    \u003C/span>\n  \u003C/div>\n\n  \u003Csection class=\"drugguide-material-section\" style=\"background: rgba(220,240,255,0.5);\">\n    \u003Ch2 class=\"drugguide-material-subtitle\">01 服用时间与方法：奥沙利铂与替吉奥怎么用？ 🕒\u003C/h2>\n    \u003Cdiv class=\"drugguide-material-point\">\n      \u003Cstrong>奥沙利铂：\u003C/strong>静脉输注，通常每3周一次，用量由医生根据体表面积和身体情况决定，单次输注需2-6小时。家庭无法自行操作，务必在正规医院门诊或住院部进行。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cstrong>替吉奥：\u003C/strong>口服胶囊剂型。每日两次，具体剂量和疗程需遵医嘱。为了确保药效，请饭后30分钟内用温水吞服，避免空腹或与牛奶服用。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-correct\">正确做法：\u003C/span>奥沙利铂仅在医院静脉注射；替吉奥随餐后服用，不建议自行调整服药时间。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-point-emoji\">🔑\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"drugguide-material-section\" style=\"background: rgba(245,235,255,0.3);\">\n    \u003Ch2 class=\"drugguide-material-subtitle\">02 剂型特点与服用技巧：替吉奥胶囊切忌咀嚼 💡\u003C/h2>\n    \u003Cdiv class=\"drugguide-material-point\">\n      替吉奥为胶囊剂型，需要完整吞服。如果咀嚼、掰碎或打开服用，药物可能刺激口腔和食管，还会影响药效发挥。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-correct\">正确做法：\u003C/span>用一整杯温水送服胶囊，避免与热水或冷饮同服，以减轻胃刺激。如果吞咽困难，可咨询医生是否有适合的替代方案。\n      \u003Cbr/>\u003Cbr/>\n      临床案例：有位患者因进食梗阻感，尝试咬碎胶囊，出现口腔不适和药味刺激。正确做法是向医生报告吞咽障碍，寻求专业处理，而不是自行破坏剂型。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-point-emoji\">📦\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"drugguide-material-section\" style=\"background: rgba(255,245,237,0.4);\">\n    \u003Ch2 class=\"drugguide-material-subtitle\">03 药物相互作用：哪些药不能一起用？ 🚫\u003C/h2>\n    \u003Cdiv class=\"drugguide-material-point\">\n      \u003Cstrong>奥沙利铂：\u003C/strong>与含铝或镁的抗酸药、钙通道阻滞剂等存在潜在相互作用，可能影响血药浓度或增加副作用。避免与其他含铂类药同时使用。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cstrong>替吉奥：\u003C/strong>与华法林、苯妥英钠、其他氟嘧啶类药物有相互作用风险。与利福平、苯巴比妥合用需谨慎，可能增强肝毒性。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-correct\">正确做法：\u003C/span>服用新药前，主动告诉医生自己正在使用的所有药品（含中成药、保健品），让医生判断是否安全。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-point-emoji\">⚠️\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"drugguide-material-section\" style=\"background: rgba(240,255,240,0.3);\">\n    \u003Ch2 class=\"drugguide-material-subtitle\">04 特殊人群用药调整：老人、肝肾功能异常怎么办？ 👴👵\u003C/h2>\n    \u003Cdiv class=\"drugguide-material-point\">\n      \u003Cstrong>老年人：\u003C/strong>需要根据身体功能酌情减量。肝肾功能不全影响药物代谢，易导致毒性升高。临床上曾有老年患者因遵医嘱减量替吉奥，胃肠反应明显减轻。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-correct\">正确做法：\u003C/span>老年或肝、肾功能异常时，必须由医生根据检查结果调整用量，切勿自行加减药。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cstrong>孕妇与哺乳期：\u003C/strong>奥沙利铂和替吉奥均不推荐用于孕期或哺乳期。尚缺乏安全性数据。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-point-emoji\">🔬\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"drugguide-material-section\" style=\"background: rgba(231,245,255,0.3);\">\n    \u003Ch2 class=\"drugguide-material-subtitle\">05 常见不良反应及处理方法 🩹\u003C/h2>\n    \u003Cdiv class=\"drugguide-material-point\">\n      \u003Cstrong>奥沙利铂：\u003C/strong>最常见的副作用包括手足麻木、过敏反应（发冷、皮疹）、胃肠道反应等。偶有心律失常和肾毒性。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cstrong>替吉奥：\u003C/strong>可能出现恶心、呕吐、腹泻、口腔溃疡、皮疹、白细胞减少等。长期服用易损伤消化道黏膜。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-correct\">正确做法：\u003C/span>如果出现持续腹泻、严重手脚麻木、皮疹或口腔溃烂等，一定要及时联系医生；不要自行停药或更改方案。\n      \u003Cbr/>\u003Cbr/>\n      数据资料：据全球多中心临床研究，奥沙利铂联合替吉奥方案的不良反应整体发生率约为65%（Chibaudel et al., 2013）。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-point-emoji\">🌡️\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"drugguide-material-section\" style=\"background: rgba(255,245,255,0.25);\">\n    \u003Ch2 class=\"drugguide-material-subtitle\">06 储存条件与药品有效期 🧊\u003C/h2>\n    \u003Cdiv class=\"drugguide-material-point\">\n      \u003Cstrong>奥沙利铂：\u003C/strong>需冷链运输和低于25°C冷藏。避免阳光直射和高温环境，不宜自行储存于家中。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cstrong>替吉奥：\u003C/strong>放在阴凉、干燥处密封保存，避免儿童误服。开瓶后应在3个月内用完，剩余药物不得随意处置，建议交由医院或药店回收。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-correct\">正确做法：\u003C/span>避免将药品放在浴室或厨房等潮湿环境，应选择干燥密闭小抽屉专用药盒。药品过期后坚决不再使用。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-point-emoji\">❄️\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"drugguide-material-section\" style=\"background: rgba(245,255,245,0.24);\">\n    \u003Ch2 class=\"drugguide-material-subtitle\">07 漏服与过量的应急处理 🚑\u003C/h2>\n    \u003Cdiv class=\"drugguide-material-point\">\n      \u003Cstrong>漏服：\u003C/strong>替吉奥如漏服，可在当天尽快补服，不要双倍剂量。若临近下一次服药，直接跳过，无需追加；奥沙利铂如漏用，不自行处理，联系医疗机构。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cstrong>过量：\u003C/strong>大量服用替吉奥可能造成骨髓抑制、消化道损伤，奥沙利铂过量常因静脉操作失误，医院会有专门应急措施。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-correct\">正确做法：\u003C/span>过量或漏服后，需第一时间报告医生，详细说明药品名称、服用时间和剂量，等待专业处理。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-point-emoji\">🆘\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"drugguide-material-section-summary\">\n    \u003Ch2 class=\"drugguide-material-summary-title\">结语：合理用药，风险最小化 📝\u003C/h2>\n    \u003Cdiv class=\"drugguide-material-summary-body\">\n      无论是在医院接受奥沙利铂静脉输注，还是居家口服替吉奥，细节管理至关重要。例如胶囊不能咀嚼、药品需远离潮湿、及时报告不良反应和漏服情况，都能有效降低风险。如有疑问一定要征询医生或药师的专业建议。安全用药，你能做的正是将每一个“小动作”做到位，让治疗效益最大化。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-summary-highlight\">重点提醒：\u003C/span>1. 替吉奥不可掰碎；2. 奥沙利铂仅限医院静脉注射；3. 出现持续不适需立刻就医。\n      \u003Cbr/>\u003Cbr/>\n      \u003Cspan class=\"drugguide-material-summary-emoji\">🌱\u003C/span>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"drugguide-material-section-reference\">\n    \u003Ch2 class=\"drugguide-material-subtitle\">主要参考文献 📚\u003C/h2>\n    \u003Cul class=\"drugguide-material-reference-list\">\n      \u003Cli>\n        Chibaudel, B., Tournigand, C., Bonnetain, F., et al. (2013). \"Toxicity profile of oxaliplatin-based chemotherapy in colorectal and gastric cancer: Results from clinical trials.\" \u003Cem>Annals of Oncology\u003C/em>, 24(12), 3212-3220.\n      \u003C/li>\n      \u003Cli>\n        Van Cutsem, E., et al. (2012). \"Oral fluoropyrimidines in the treatment of colorectal and gastric cancer.\" \u003Cem>Journal of Clinical Oncology\u003C/em>, 30(11), 1226-1238.\n      \u003C/li>\n      \u003Cli>\n        Kondo, K., et al. (2008). \"Safety and efficacy of S-1 in patients with advanced gastrointestinal cancer.\" \u003Cem>Cancer Chemotherapy and Pharmacology\u003C/em>, 61(3), 347-354.\n      \u003C/li>\n    \u003C/ul>\n  \u003C/section>\n\u003C/div>\n\u003Cstyle>\n.drugguide-material-container {\n  font-family: \"PingFang SC\", \"Microsoft YaHei\", Arial, sans-serif;\n  max-width: 800px;\n  margin: 32px auto 32px auto;\n  background: #fff;\n  border-radius: 14px;\n  box-shadow: 0 2px 18px rgba(160,180,208,0.18), 0 0.5px 2px rgba(180,180,200,0.08);\n  padding: 32px 24px 46px 24px;\n  line-height: 1.82;\n  color: #2b3540;\n  overflow: hidden;\n}\n.drugguide-material-title {\n  font-size: 2.15em;\n  line-height: 1.22;\n  letter-spacing: 2px;\n  font-weight: 600;\n  color: #234488;\n  text-align: center;\n  margin-bottom: 22px;\n  margin-top: 10px;\n  position: relative;\n  z-index: 2;\n}\n.drugguide-material-intro {\n  display: flex;\n  align-items: flex-start;\n  background: linear-gradient(90deg,#f5f8ff 65%,#ecf7fc 100%);\n  padding: 18px 22px;\n  border-radius: 8px;\n  font-size: 1.08em;\n  margin-bottom: 22px;\n  box-shadow: 0 2px 6px rgba(180,206,227,0.09);\n}\n.drugguide-material-intro-emoji {\n  font-size: 2.3em;\n  margin-right: 14px;\n  margin-top: -2px;\n}\n.drugguide-material-section {\n  margin-top: 34px;\n  margin-bottom: 30px;\n  padding: 26px 20px 22px 20px;\n  border-radius: 11px;\n  box-shadow: 0 0.5px 6px rgba(192,196,218,0.10);\n  position: relative;\n  z-index: 1;\n}\n.drugguide-material-subtitle {\n  font-size: 1.38em;\n  font-weight: 600;\n  letter-spacing: 1px;\n  color: #2e59a2;\n  margin-bottom: 14px;\n  display: inline-block;\n  padding-left: 4px;\n}\n.drugguide-material-point {\n  font-size: 1.09em;\n  color: #26344d;\n  margin-bottom: 8px;\n  margin-top: 3px;\n}\n.drugguide-material-correct {\n  color: #1c8e3b;\n  font-weight: bold;\n  padding-right: 2px;\n}\n.drugguide-material-point-emoji {\n  font-size: 1.35em;\n  margin-left: 5px;\n  vertical-align: middle;\n}\n.drugguide-material-section-summary {\n  margin-top: 33px;\n  margin-bottom: 38px;\n  background: linear-gradient(90deg,#f8fcff 50%,#e8f6ed 100%);\n  border-radius: 12px;\n  padding: 28px 19px 19px 19px;\n  box-shadow: 0 2px 10px rgba(226,232,255,0.07);\n}\n.drugguide-material-summary-title {\n  font-size: 1.32em;\n  color: #326950;\n  font-weight: 600;\n  margin-bottom: 12px;\n  letter-spacing: 1.5px;\n}\n.drugguide-material-summary-body {\n  font-size: 1.1em;\n  color: #2b384f;\n  margin-bottom: 7px;\n  word-break: break-word;\n}\n.drugguide-material-summary-highlight {\n  color: #1c8b7e;\n  font-weight: bold;\n  font-size: 1.05em;\n  margin-right: 5px;\n}\n.drugguide-material-summary-emoji {\n  font-size: 1.1em;\n  margin-left: 4px;\n  vertical-align: middle;\n}\n\n.drugguide-material-section-reference {\n  margin-top: 30px;\n  background: linear-gradient(90deg,#f3f8ff 70%,#ffeee7 100%);\n  border-radius: 12px;\n  padding: 22px 22px 15px 22px;\n  box-shadow: 0 2px 7px rgba(210,218,245,0.06);\n}\n.drugguide-material-reference-list {\n  color: #4e525d;\n  font-size: 1.01em;\n  padding-left: 17px;\n}\n.drugguide-material-reference-list li {\n  margin-bottom: 7px;\n}\n\u003C/style>","\u003Cdiv class=\"drugguide-material-container\">\n  \u003Ch1 id=\"material_title\" class=\"drugguide-material-title",508,"2025-11-04 01:18:32","晚期胃癌, 奥沙利铂, 替吉奥, 用药注意, 不良反应, 药物相互作用, 老年人用药, 药物储存","本指南提供奥沙利铂和替吉奥的用药注意事项，帮助患者及家属正确用药，避免不良反应，提升治疗效果，切实保障患者安全。","2025-12-18 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",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},[],[]]