[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f5U_Np-nqUSmhGJBqnSrTy8Zqz2Lhdo-AWEYsc-WAxB0":8,"$frXZI6l1TQ_JqrRJulgOuLemjYs-HjZ3Tjja-yhlhciE":55,"$fMiZYs8uqV69--Cr4rPijvA5iHw29x54ZggZnHfPN0Qs":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},74331,867607,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//u4Kcsm8J23DFi9vsfDo509m3ezWIOgZe.png","戴振兴","盐城市第一人民医院","肿瘤科","主治医师",129,0,"抗肿瘤药物及辅助用药安全实用指南","","https://ystcdn.venuertc.com/venue/AI/76601200-0a2b-4827-8c54-5992e696e93f.jpg","\u003Cdiv id=\"material_title\">\n  \u003Ch1 style=\"text-align:center; padding:36px 0 18px 0; font-size:38px; background:linear-gradient(90deg,#e6e6f6 0%,#f6fafc 100%); border-radius:18px;\">\n    抗肿瘤药物及辅助用药安全实用指南\n  \u003C/h1>\n\u003C/div>\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:38px 0 32px 0;\">\n  \u003Ch2 style=\"font-size:28px; background:linear-gradient(90deg, #eafcfa 0%, #f3f1fb 100%); padding:18px 0; border-radius:12px; margin-bottom:20px;\">\n    01 服用时间与方法 ⏰\n  \u003C/h2>\n  \u003Cdiv style=\"font-size:19px; line-height:2.1;\">\n    \u003Cp>\n      抗肿瘤药物（如紫杉醇、多西他赛、来曲唑、阿那曲唑等）大多需要按照医嘱的特定周期用药。多数口服制剂应在 \u003Cb>每日固定时间\u003C/b>服用，保证血药浓度稳定\u003Cspan style=\"color:#9b59b6;\">。\u003C/span>\n    \u003C/p>\n    \u003Cul style=\"margin-left:25px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">正确做法：\u003C/span>口服药物建议用温水整片吞服，无特殊医嘱不得嚼碎或打开胶囊。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">需要注意：\u003C/span>静脉注射药物（如紫杉醇、多西他赛）需在具备急救设备的专业机构进行。绝不可自行操作。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      部分辅助药（如护肝药物、止吐药物）应按照症状出现时服用，切勿随意增减用量。\n    \u003C/p>\n    \u003Cp>\n      有位66岁女性患者行抗肿瘤药物后，严格遵循服药时点，有效提高了治疗耐受性。这类经验值得借鉴。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:32px 0;\">\n  \u003Ch2 style=\"font-size:28px; background:linear-gradient(90deg, #f8faff 0%, #e4f8f3 100%); padding:18px 0; border-radius:12px; margin-bottom:20px;\">\n    02 剂型特点与服用技巧 💊\n  \u003C/h2>\n  \u003Cdiv style=\"font-size:19px; line-height:2.1;\">\n    \u003Cp>\n      抗肿瘤药有片剂、胶囊、注射剂等多种剂型。片剂、胶囊类药物必须整片吞服，不要掰开、碾碎或嚼食，以确保药物在体内正确释放。比如来曲唑、阿那曲唑都以片剂形式提供，服用时需直接吞服。\n    \u003C/p>\n    \u003Cul style=\"margin-left:25px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">特殊提醒：\u003C/span>肠溶片不能破碎，否则影响药效并可能导致不良反应。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">正确做法：\u003C/span>服药时建议用200ml以上温水送服，避免用果汁、乳制品等可能影响吸收的饮品。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      注射剂型药物（例如紫杉醇）仅限专业医疗机构静脉使用，家用时应注意护肝和止吐药物常见剂型的区别。部分辅助用药如还原型谷胱甘肽存在片剂和注射剂两种形式，根据医生指导选择恰当剂型。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:32px 0;\">\n  \u003Ch2 style=\"font-size:28px; background:linear-gradient(90deg, #e6eefb 0%, #faf6fa 100%); padding:18px 0; border-radius:12px; margin-bottom:20px;\">\n    03 药物相互作用 ⚡\n  \u003C/h2>\n  \u003Cdiv style=\"font-size:19px; line-height:2.1;\">\n    \u003Cp>\n      抗肿瘤药物间常见相互作用，包括对肝脏酶系统的影响、加重药物毒性和降低疗效。来曲唑、阿那曲唑等药物在合用某些辅助药（如奥美拉唑、酮康唑）时易发生相互作用。\n    \u003C/p>\n    \u003Cul style=\"margin-left:25px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">不能同时使用：\u003C/span>抗肿瘤药与部分免疫抑制剂、广谱抗生素（如红霉素、克拉霉素）须在专业指导下使用，以免增加肝损伤风险。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">需要间隔使用：\u003C/span>如服用护肝药物（还原型谷胱甘肽）时尽量与抗肿瘤药间隔1小时以上，用以减少代谢干扰。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      特别提醒：部分辅助药物如止吐三苯海明，与抗肿瘤药物同用时可能加强镇静作用，服用期间不宜驾车。\n    \u003C/p>\n    \u003Cp>\n      临床研究显示，多西他赛与某些心脏用药（如地高辛）联用时需定期检查药物浓度，避免毒副反应(Sparreboom et al., 1998, Journal of Clinical Oncology)。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:32px 0;\">\n  \u003Ch2 style=\"font-size:28px; background:linear-gradient(90deg, #f8f4fb 0%, #e5f6fa 100%); padding:18px 0; border-radius:12px; margin-bottom:20px;\">\n    04 特殊人群用药调整 👵👶\n  \u003C/h2>\n  \u003Cdiv style=\"font-size:19px; line-height:2.1;\">\n    \u003Cp>\n      老年人、肝肾功能减退者及孕期、哺乳期女性使用抗肿瘤药物时要个性化调整剂量。以66岁女性患者为例，体重较轻时需根据实际情况调整用药剂量，预防毒副作用积累。\n    \u003C/p>\n    \u003Cul style=\"margin-left:25px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">老年人正确做法：\u003C/span>遵医嘱采用最低有效剂量，加强用药期间的肝肾功能监测。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">孕妇哺乳期：\u003C/span>绝大多数抗肿瘤药禁止在孕期和哺乳期使用，如确需用药，必须转由肿瘤专科医生个体化处理。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">肝肾功能异常：\u003C/span>遇到肝脏、肾脏囊肿等状况时，应在监测肝肾功能结果的基础上调整抗肿瘤及辅助药物用量。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      对于辅助用药，如还原型谷胱甘肽，肝功能不全者使用更需谨慎，建议向药师咨询具体剂量。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:32px 0;\">\n  \u003Ch2 style=\"font-size:28px; background:linear-gradient(90deg, #f6fafb 0%, #f0f7ef 100%); padding:18px 0; border-radius:12px; margin-bottom:20px;\">\n    05 常见不良反应与处理方法 🚨\n  \u003C/h2>\n  \u003Cdiv style=\"font-size:19px; line-height:2.1;\">\n    \u003Cp>\n      抗肿瘤和辅助用药不良反应发生率较高，典型表现有消化道反应、肝脏损伤、骨髓抑制、过敏等。\n    \u003C/p>\n    \u003Cul style=\"margin-left:25px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">口服药品常见不良反应：\u003C/span>头痛、关节痛、恶心、肝酶升高。严重者应停药并及时就医。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">静脉药物常见不良反应：\u003C/span>紫杉醇可能引起急性过敏，应用前须进行脱敏处理（如用地塞米松）。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">辅助用药不良反应：\u003C/span>护肝药物和止吐药有低概率导致全身风疹、镇静、眩晕，出现持续症状应停药并报告医生处理。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      说明书提示：紫杉醇引发静脉炎的发生率约1-3%，需定期检查血象及肝肾功能（Markman et al., 1996, Gynecologic Oncology）。\n    \u003C/p>\n    \u003Cp>\n      出现皮疹、明显消化道反应、剧烈头疼时，务必暂停相关药物并寻求专业医疗支持。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:32px 0;\">\n  \u003Ch2 style=\"font-size:28px; background:linear-gradient(90deg, #f5f7fb 0%, #f8f6f2 100%); padding:18px 0; border-radius:12px; margin-bottom:20px;\">\n    06 储存方法与有效期 🗃️\n  \u003C/h2>\n  \u003Cdiv style=\"font-size:19px; line-height:2.1;\">\n    \u003Cp>\n      药品储存需避光、防潮、恒温。多数抗肿瘤口服药应放置于温度15-25℃的干燥环境，避免高温潮湿。注射剂型药品在未开封时需严格冷藏于2~8℃，并禁止冷冻。\n    \u003C/p>\n    \u003Cul style=\"margin-left:25px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">开封后保存：\u003C/span>片剂、胶囊建议在1个月内服用完毕，超过时间需咨询药师是否继续使用。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">过期药品处置：\u003C/span>过期或外观变色、变味、潮湿的药品应及时丢弃，不可自行服用或继续保存。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      护肝和止吐药物同样适用上述条件。如有特殊剂型（如速溶粉剂），应按照说明书温度和湿度要求封闭保存。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:32px 0;\">\n  \u003Ch2 style=\"font-size:28px; background:linear-gradient(90deg, #edf7fc 0%, #faf3fa 100%); padding:18px 0; border-radius:12px; margin-bottom:20px;\">\n    07 漏服与过量处理 🔄\n  \u003C/h2>\n  \u003Cdiv style=\"font-size:19px; line-height:2.1;\">\n    \u003Cp>\n      抗肿瘤药物漏服处理应及时纠正，但不可自行补服双倍剂量。若出现严重过量，应尽快前往医院。\n    \u003C/p>\n    \u003Cul style=\"margin-left:25px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">漏服补救：\u003C/span>如发现漏服药片，尽快补服；但如果即将到下次服药时间，则跳过，不要连续加量。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">过量用药：\u003C/span>发生过量可能会导致明显毒副作用，出现任何异常反应需立即就医，不得等待。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      辅助药（护肝、止吐药）漏服时同样遵循“不可双倍补服”原则。抗肿瘤药物对身体影响较大，切勿自行调整剂量。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:32px 0;\">\n  \u003Ch2 style=\"font-size:28px; background:linear-gradient(90deg, #f7f9fa 0%, #f5fcfb 100%); padding:18px 0; border-radius:12px; margin-bottom:20px;\">\n    08 常见用药辅助品 📦\n  \u003C/h2>\n  \u003Cdiv style=\"font-size:19px; line-height:2.1;\">\n    \u003Cp>\n      抗肿瘤治疗常需配合辅助药品，如护肝药物（还原型谷胱甘肽）、止吐药（恩丹西酮）、抗过敏药（地塞米松）。这些辅助药有助减轻不良反应和保护重要器官，但相互作用不可忽略。\n    \u003C/p>\n    \u003Cul style=\"margin-left:25px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">服药顺序：\u003C/span>多数辅助品在抗肿瘤药物前后服用，须提前告知医师当前所有在用药品名单。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">服用方法：\u003C/span>辅助药通常每日或症状出现时服用，按说明书规定剂量用药。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">注意风险：\u003C/span>辅助品虽不直接治疗肿瘤，但滥用或超量用同样可致严重副反应。不要自行增减或停用。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      一位老年患者用抗肿瘤药的同时配合护肝药，减轻了用药导致的肝酶升高。合理选择和规范使用辅助药品可以提升总体药物安全性。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:36px 0 64px 0;\">\n  \u003Ch2 style=\"font-size:28px; background:linear-gradient(90deg, #eaf7fc 0%, #f9f6fa 100%); padding:18px 0; border-radius:12px; margin-bottom:20px;\">\n    09 总结与安全提示 ☑️\n  \u003C/h2>\n  \u003Cdiv style=\"font-size:19px; line-height:2.1;\">\n    \u003Cp>\n      总结来看，抗肿瘤及辅助药品的用药安全依赖规范服用、注意药物相互作用、定期监测、科学储存和及时调整。每一步都至关重要。浓缩为两点：\n    \u003C/p>\n    \u003Cul style=\"margin-left:25px;\">\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">最重要提醒：\u003C/span>无论何种抗肿瘤药或辅助药品，都要遵医嘱按时按量服用，遇不良反应及时联系专业医生。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan style=\"font-weight:bold;\">不可自行调整：\u003C/span>自行变更剂量、服用方式或停药不仅影响疗效，更可能严重危害身体健康。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      养成用药前查阅说明书、向药师咨询和定期复查习惯，可有效降低用药风险。药品安全是健康管理的重要一环，务必重视！\n    \u003C/p>\n    \u003Cp>\n      \u003Cspan style=\"font-size:21px; font-weight:bold; color:#6c5ce7;\">安全用药，守护生活！\u003C/span>\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"antitumor-section\" style=\"margin:48px 0 180px 0;\">\n  \u003Ch3 style=\"font-size:22px; background:linear-gradient(90deg,#f8fbf9 0%,#f9f6fa 100%); padding:12px 0; border-radius:8px; margin-bottom:8px;\">\n    参考文献\n  \u003C/h3>\n  \u003Cul style=\"font-size:16px; line-height:2;\">\n    \u003Cli>\n      Sparreboom, A., Van Tellingen, O., Nooijen, W. J., & Beijnen, J. H. (1998). Nonlinear pharmacokinetics of paclitaxel and the role of formulation vehicles. Journal of Clinical Oncology, 16(6), 1967-1977. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/9626235/\" target=\"_blank\" style=\"color:#0984e3;\">PubMed\u003C/a>\n    \u003C/li>\n    \u003Cli>\n      Markman, M., Kennedy, A., Webster, K., Peterson, G., Kulp, B., Belinson, J., & Cleeland, C. (1996). Paclitaxel-associated hypersensitivity reactions: experience of the Gynecologic Oncology Program of the Cleveland Clinic Cancer Center. Gynecologic Oncology, 61(3), 345-348. \u003Ca href=\"https://pubmed.ncbi.nlm.nih.gov/8933683/\" target=\"_blank\" style=\"color:#0984e3;\">PubMed\u003C/a>\n    \u003C/li>\n    \u003Cli>\n      National Comprehensive Cancer Network (NCCN) Guidelines. (2023). Breast Cancer, version 5.2023. \u003Ca href=\"https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1419\" target=\"_blank\" style=\"color:#0984e3;\">NCCN\u003C/a>\n    \u003C/li>\n  \u003C/ul>\n\u003C/div>\n\n\u003Cstyle>\n.antitumor-section { max-width:880px; margin-left:auto; margin-right:auto;}\n#material_title h1 { font-family:\"Segoe UI\",Arial,sans-serif; letter-spacing:1.5px;}\n.antitumor-section h2, .antitumor-section h3 { font-family:\"Segoe UI\",Arial,sans-serif; letter-spacing:1.2px;}\n.antitumor-section ul { padding-left:0;}\n.antitumor-section ul li { margin-bottom:9px;}\n.antitumor-section p, .antitumor-section ul { color:#444; }\n.antitumor-section p { margin-bottom:12px;}\n.antitumor-section h3 { margin-top:32px;}\n\u003C/style>","\u003Cdiv id=\"material_title\">\n  \u003Ch1 style=\"text-align:center; padding:36px 0 18px 0; font-size:38px; bac",570,"2025-11-27 00:36:32","抗肿瘤药物, 辅助用药, 用药安全, 药物相互作用, 服用方法, 不良反应, 特殊人群, 医疗指南","本指南提供抗肿瘤药物及辅助药的服用和存储建议，帮助患者正确使用药物，降低不良反应，确保用药安全。","2025-12-16 11:49:35",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},[],[]]