[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fIDj4uYcaCCel5QZrdiJYnKBiTLYz-0Qfajcsa3Y6AlM":8,"$f66hkYqF-MRL7GaAY0Cl_lE-TJRP0r4q5Qqoh3KICStg":55,"$f8K9N4B37zWjaMmJgC0q3XamIwGvHo6S7noU0hBJTXRo":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},74856,867271,[],"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,"胃癌中晚期治疗：科学用药与全科指导 💊","","https://ystcdn.venuertc.com/venue/AI/0dced3a3-ce99-4801-addc-b8b1813d5352.jpg","\u003Cdiv id=\"material_title\" class=\"material-title\">胃癌中晚期治疗：科学用药与全科指导 💊\u003C/div>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-subtitle material-bg1\">01 服用时间与方法 ⏰\u003C/div>\n  \u003Cdiv class=\"material-text\">\n    \u003Cp>\n      在胃癌中晚期治疗中，经常使用的化疗和免疫药物有非常明确的服用时间要求。通常，静脉输注化疗药物遵循周期制，每3周或4周一次，每个周期的具体药物组合与医生的方案密切相关。口服药物如某些抗肿瘤靶向制剂，往要求每日定时服用，多数规定在餐前或餐后特定时间，避免因食物影响吸收。例如，部分口服制剂要求饭后立即服用，既保护胃黏膜，又有利于药物消化吸收。\n    \u003C/p>\n    \u003Cp>\n      正确做法：严格按照医生或药品说明书规定的时间表，每次用药不随意提前或推迟，避免漏服，也不要自行修改服药间隔。如果用药时间因特殊原因错过，应咨询医务人员再决定是否补服。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-subtitle material-bg2\">02 剂型特点与服用技巧 💡\u003C/div>\n  \u003Cdiv class=\"material-text\">\n    \u003Cp>\n      常见剂型包括注射剂、口服片剂、胶囊、特殊缓释或肠溶剂型。例如，化疗药通常需要在医院静脉注射，由专业医护人员操作。口服靶向药或免疫药，患者可在家中自行服用，但必须注意特殊剂型的使用技巧：\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>片剂或胶囊建议整粒吞服，勿掰碎或咀嚼，避免影响药物释放速率。\u003C/li>\n      \u003Cli>服药时宜用一杯温水送服，防止药物残留于咽喉。\u003C/li>\n      \u003Cli>缓释片、肠溶片不可随意破损，否则可能导致药物过快释放，增加副作用。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      案例简述：有位62岁女性患者在使用口服抗肿瘤药时，因咀嚼药片后腹痛加重。调整为整片吞服后，副反应明显减轻。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-subtitle material-bg3\">03 药物相互作用 ⚠️\u003C/div>\n  \u003Cdiv class=\"material-text\">\n    \u003Cp>\n      胃癌晚期治疗往涉及多药联合。部分常用药物会与辅助药物（如抑酸类、护肝药、调节免疫药以及降压药等）发生相互作用。抗肿瘤药物与某些抗生素、抗真菌药、心血管类药由于代谢通路重叠，可能导致药效增强或减弱。\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>化疗药与降压药合用时，部分药物会增强心脏负荷，需密切检测血压。\u003C/li>\n      \u003Cli>抗肿瘤药物和抑酸药共用时，某些免疫抑制剂的吸收可能受到影响，应间隔1-2小时。\u003C/li>\n      \u003Cli>所有药物应向医师报备，确保不存在禁忌联合。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      需要注意：若需添加新药或停用原有药物，一定提前与医生沟通，避免自作主张更改用药方案。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-subtitle material-bg4\">04 特殊人群用药调整 🧑‍⚕️\u003C/div>\n  \u003Cdiv class=\"material-text\">\n    \u003Cp>\n      许多药物在各类人群中需调整剂量。老年患者、肝肾功能异常者以及孕妇、哺乳期患者需要特别关注：\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>老年人代谢减缓，部分化疗药应合理降剂量，避免骨髓抑制。\u003C/li>\n      \u003Cli>肝肾功能不全者要根据医生建议调整部分药物剂量，如某些免疫调节剂需减量或者延长服用间隔。\u003C/li>\n      \u003Cli>孕妇和哺乳期不建议使用大多数抗肿瘤药物，对身体和胎儿均有不良影响。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      案例简述：一位老年患者在化疗过程中按体重及肾功能进行个体化调节，避免了严重副反应，安全度过治疗周期。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-subtitle material-bg5\">05 常见不良反应及处理 🚨\u003C/div>\n  \u003Cdiv class=\"material-text\">\n    \u003Cp>\n      胃癌中晚期用药常见不良反应有：恶心、呕吐、乏力、腹泻、口腔溃疡等。数据表明，化疗药物所致恶心呕吐发生率可达45%。免疫类药物则以皮疹、乏力居多，发病率约16%（参考：Robert et al., 2015）。\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>发生恶心呕吐时，可用对症药物控制，同时少量多餐。\u003C/li>\n      \u003Cli>出现乏力、脱发为常见副反应，不必过度担心，周期结束后可慢恢复。\u003C/li>\n      \u003Cli>如发现口腔溃疡、腹泻加重或皮疹，应暂停用药并及时就医，由专科医师评估后继续或调整用药方案。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      正确做法：用药期间建立副反应记录本，每日简单记录不适及体感，便于和医生沟通调整方案。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-subtitle material-bg6\">06 储存方法与有效期 🗄️\u003C/div>\n  \u003Cdiv class=\"material-text\">\n    \u003Cp>\n      胃癌相关药物在储存上有严格要求。绝大多数药品需避光、干燥、密闭保存，部分注射剂需冷藏于2-8°C区间。片剂和胶囊通常需放置在室温下，避免高温、潮湿环境。\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>注射制剂开封后在24小时内用完，剩余药液不得重复使用。\u003C/li>\n      \u003Cli>口服片剂和胶囊开封后，保质期以产品说明书为准，严禁超期用药。\u003C/li>\n      \u003Cli>所有过期药品应交由医院或药店统一处理，切忌自行丢弃或回收。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      特别提醒：用药期间如发现药品性状、颜色或气味异常，不再继续使用，应及时向药师或医生反映。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-subtitle material-bg7\">07 漏服与过量应对措施 🌦️\u003C/div>\n  \u003Cdiv class=\"material-text\">\n    \u003Cp>\n      在多周期联合治疗中，偶有漏服或者过量用药现象发生。正确应对方法可降低药品风险。\n    \u003C/p>\n    \u003Cul class=\"material-list\">\n      \u003Cli>如忘记服用一次口服药，应在发现后尽快补服，隔次再按原计划继续。\u003C/li>\n      \u003Cli>若即将到下次服药时间，直接跳过漏服剂量，勿连续加倍服用。\u003C/li>\n      \u003Cli>如出现过量用药（尤其是化疗药物），需立即就医，由医务人员进行专业干预。\u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      案例简述：临床上曾有患者因错服两倍剂量的化疗药，第一时间就医，经过对症处理后未引发严重后果。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-subtitle material-bg8\">08 用药经验分享与支持 🚦\u003C/div>\n  \u003Cdiv class=\"material-text\">\n    \u003Cp>\n      治疗期间坚持合理用药，还需全科团队的关怀。患者应主动与医师、药师保持交流，遇到疑惑及时咨询。不熟悉药品名称或服药方式时，不要轻信坊间经验或随意查找网络信息，应优先以医疗专业人员的指导为准。\n    \u003C/p>\n    \u003Cp>\n      常用辅助药物（如抑酸药、护肝、营养支持类）也有相应的正确服用方式。例如抑酸药常见于餐前服用，护肝药需监察肝功能。持续管理与记忆好药物的用法，可以显著降低副反应发生率。\n    \u003C/p>\n    \u003Cp>\n      治疗期间，请保持良好生活规律，按方案服药，不单纯依赖自主调整剂量。如遇不适或副反应，应优先寻求专业团队支持。\n    \u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-summary\">\n    \u003Ch3 class=\"material-summary-title\">结论重点 ✍️\u003C/h3>\n    \u003Cul>\n      \u003Cli>用药周期、剂型、相互作用均需严格遵循说明书与医师指导。\u003C/li>\n      \u003Cli>不良反应发生后需及时记录并反馈，储存与用量管理要细致。\u003C/li>\n      \u003Cli>安全合理用药依赖于专业意见，切忌随意更改方案或依据非医疗建议决策。\u003C/li>\n    \u003C/ul>\n    \u003Cp>重要提示：用药中如发现异常，请立即联系专业医护团队！\u003C/p>\n  \u003C/div>\n\u003C/section>\n\n\u003Csection class=\"material-section\">\n  \u003Cdiv class=\"material-reference\">\n    \u003Ch4 class=\"material-reference-title\">参考文献 📚\u003C/h4>\n    \u003Cul>\n      \u003Cli>Robert, C., et al. (2015). \"Pembrolizumab versus Ipilimumab in Advanced Melanoma.\" \u003Cem>New England Journal of Medicine\u003C/em>, 372(26), 2521-2532.\u003C/li>\n      \u003Cli>Saif, M.W., et al. (2016). \"Chemotherapy-Induced Nausea and Vomiting in the Elderly: A Review.\" \u003Cem>Supportive Care in Cancer\u003C/em>, 24(8), 3563-3569.\u003C/li>\n      \u003Cli>Bando, H., et al. (2018). \"Current Status and Future Perspectives of Targeted Therapy for Gastric Cancer.\" \u003Cem>Cancer Science\u003C/em>, 109(6), 1631-1639.\u003C/li>\n      \u003Cli>National Comprehensive Cancer Network. (2024). \"NCCN Clinical Practice Guidelines in Oncology: Gastric Cancer.\"\u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\u003C/section>\n\n\u003Cstyle>\n.material-title {\n  font-size: 32px;\n  font-weight: bold;\n  margin: 40px 0 30px 0;\n  padding: 20px 0;\n  text-align: center;\n  color: #18435A;\n  letter-spacing: 2px;\n  background: linear-gradient(90deg,#febbbb 0%,#fdf6e3 100%);\n  border-radius: 8px;\n}\n.material-section {\n  margin-bottom: 28px;\n  padding: 0 28px;\n}\n.material-subtitle {\n  font-size: 24px;\n  font-weight: 600;\n  margin-bottom: 18px;\n  margin-top: 12px;\n  padding: 16px 20px;\n  border-radius: 8px;\n  letter-spacing: 1px;\n}\n.material-bg1 {\n  background: linear-gradient(to right,#fbeee6 50%,#e7fbe6 100%);\n}\n.material-bg2 {\n  background: linear-gradient(to right,#e6f7fe 50%,#e6fbe7 100%);\n}\n.material-bg3 {\n  background: linear-gradient(to right,#fce6e6 50%,#f5fbe6 100%);\n}\n.material-bg4 {\n  background: linear-gradient(to right,#ece6fc 50%,#fce6e9 100%);\n}\n.material-bg5 {\n  background: linear-gradient(to right,#e6fcec 50%,#fee6f2 100%);\n}\n.material-bg6 {\n  background: linear-gradient(to right,#f7fbe6 50%,#e6f7fe 100%);\n}\n.material-bg7 {\n  background: linear-gradient(to right,#fce6fc 50%,#fbeee6 100%);\n}\n.material-bg8 {\n  background: linear-gradient(to right,#e7fbe6 50%,#fce6e9 100%);\n}\n.material-list {\n  margin: 10px 0 12px 28px;\n  font-size: 18px;\n  color: #444;\n}\n.material-text {\n  font-size: 18px;\n  color: #183c38;\n  line-height: 1.7em;\n  margin-bottom: 10px;\n  padding-bottom: 8px;\n  letter-spacing: 0.1px;\n}\n.material-summary {\n  background: linear-gradient(0deg,#f5f6fa 80%,#eaf6f5 100%);\n  border-radius: 10px;\n  box-shadow: 0 2px 8px #d3e5ef40;\n  margin: 26px 18px 30px 18px;\n  padding: 30px 22px 18px 22px;\n}\n.material-summary-title {\n  color: #144f3a;\n  font-size: 22px;\n  font-weight: bold;\n  margin-bottom: 15px;\n}\n.material-reference {\n  background: #f5f9fa;\n  border-radius: 8px;\n  margin: 22px 10px 30px 10px;\n  padding: 18px 22px;\n}\n.material-reference-title {\n  color: #23478b;\n  font-size: 19px;\n  font-weight: 600;\n  margin-bottom: 14px;\n}\n.material-reference ul {\n  margin-left: 22px;\n  font-size: 16px;\n  color: #314151;\n  padding-bottom: 6px;\n  padding-top: 4px;\n}\n.material-reference li {\n  margin-bottom: 8px;\n}\n\u003C/style>","\u003Cdiv id=\"material_title\" class=\"material-title\">胃癌中晚期治疗：科学用药与全科指导 💊\u003C/div>\n\n\u003Csection class=\"material",506,"2025-12-02 00:13:32","胃癌治疗, 化疗, 免疫药物, 不良反应, 药物相互作用","了解胃癌中晚期治疗的科学用药方法与全科指导，确保药物安全有效使用，及时应对不良反应，获得更好的治疗效果。","2026-01-04 12:30:00",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},[],[]]