[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fXYgSvjpd7alwh6Yhea2tzoCbewPzo2K4Hi8Ynf3rc78":8,"$fJ5CWeQ_XOUalV2g4mciFGj3o4RhohwW4Aqj9wo4qHdA":89,"$f48-r71EtkfODz-yabsk7kvz67uP5GbZp_gGoq9yktKY":90,"$fDG38HUQ0FjxfF1kg46QnVUeDXKqXUfDEZToJ2GADMN0":94},{"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":88},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":9,"mediaType":29,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":23,"seoKeywords":32,"seoDescription":33,"shelvesTime":34,"menus":35,"menuId":76,"type":26,"quality":86,"commentCount":17,"isComment":29,"deviceType":39,"url":87},29346,1014194,[],"https://ystcdn.venuertc.com/venue/app/39582/2026-07-09/53f1f0e1-da1c-4547-801e-e1722633f372.png","张同超",0,"肿瘤内科治疗","范县人民医院","肿瘤科","主治医师",5,"非小细胞肺癌靶向治疗和化疗怎么选？咱们一起聊清楚","https://ystcdn.venuertc.com/venue/ai-cover/cover_vertical/8d024539-4949-4c6c-9db5-e0404838700b.png","https://ystcdn.venuertc.com/venue/ai-cover/cover_horizontal/551522ad-732b-4045-91dd-2e3684cacd34.png",2,"\u003Ch2 id=\"material_title\">非小细胞肺癌靶向治疗和化疗怎么选？咱们一起聊清楚\u003C/h2>\n\n\u003Cdiv class=\"custom_section\">\n  \u003Cdiv class=\"custom_subtitle\" style=\"background: linear-gradient(90deg,#f3f6fb 0%, #e2ebf5 100%);\">\n    非小细胞肺癌治疗选择经常被忽略的细节 🩺\n  \u003C/div>\n  \u003Cdiv class=\"custom_content\">\n    很多人听说肺癌，脑海里第一反应就是“是不是要化疗啊？”但其实，对于非小细胞肺癌，治疗方式除了传统的化疗，还有靶向治疗这样更“精细”的选择。本期我们就好好聊聊非小细胞肺癌，重点说说靶向治疗和化疗怎么选，别让误区影响了决策。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"custom_section\">\n  \u003Cdiv class=\"custom_subtitle\" style=\"background: linear-gradient(90deg,#f3f6fb 0%, #e2ebf5 100%);\">\n    非小细胞肺癌病例里常见的治疗难点 🏥\n  \u003C/div>\n  \u003Cdiv class=\"custom_content\">\n    我们肿瘤科经常遇到这样的患者：检查发现非小细胞肺癌，家属很着急，问是不是马上要化疗。其实，治疗决策要结合患者的基因检测结果，比如有没有EGFR突变、ALK融合等，这些直接影响是不是可以用靶向药。如果基因检测没有发现合适的突变，那化疗就可能是主要的治疗方式。所以，非小细胞肺癌的治疗不是一刀切，得慢慢根据报告和身体状况细细斟酌。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"custom_section\">\n  \u003Cdiv class=\"custom_subtitle\" style=\"background: linear-gradient(90deg,#f3f6fb 0%, #e2ebf5 100%);\">\n    非小细胞肺癌靶向和化疗选择里不能忽视的三个知识点 📑\n  \u003C/div>\n  \u003Cdiv class=\"custom_content\">\n    \u003Col style=\"padding-left: 16px;\">\n      \u003Cli>\u003Cstrong>基因检测是选择靶向治疗的关键：\u003C/strong>非小细胞肺癌患者要做专门的基因检测，查一查有没有EGFR、ALK等突变。简单说，找到“靶点”，才能考虑用靶向药。有靶点的患者用靶向药往往比单纯化疗副作用小，生活质量高。\u003C/li>\n      \u003Cli>\u003Cstrong>没有合适的基因突变，化疗仍然是主力：\u003C/strong>如果基因检测没有发现能用靶向药的突变，那就要按照传统化疗方案来。虽然化疗副作用略多，但经过细致管理，大部分人也能顺利完成。化疗可以配合放疗、免疫治疗等，多种方式综合提高效果。\u003C/li>\n      \u003Cli>\u003Cstrong>治疗方式不是一次决定，“慢慢调整”很重要：\u003C/strong>非小细胞肺癌随着进展，原来适合的方案可能需要调整，比如靶向治疗后耐药了，医生会重新评估是否要换药或者加化疗等。所以每一步都要定期复查，和医生好好沟通，千万不要一成不变。\u003C/li>\n    \u003C/ol>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"custom_section\">\n  \u003Cdiv class=\"custom_subtitle\" style=\"background: linear-gradient(90deg,#f3f6fb 0%, #e2ebf5 100%);\">\n    非小细胞肺癌患者选择治疗要注意什么 👀\n  \u003C/div>\n  \u003Cdiv class=\"custom_content\">\n    建议所有非小细胞肺癌患者都要做详细的基因检测，有突变的记得及时和医生沟通，问清楚是否适合靶向药。治疗期间一定要定期复查，不适合靶向治疗时该化疗就要化疗，不要盲目抗拒。不要私自停药或者频繁换治疗方式，遇到副作用及时告诉医生，医学团队会调方案。尽量听专业医生的建议，不建议轻信网络偏方或者所谓“特效药”。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"custom_section\">\n  \u003Cdiv class=\"custom_subtitle\" style=\"background: linear-gradient(90deg,#f3f6fb 0%, #e2ebf5 100%);\">\n    总结：非小细胞肺癌治疗决策必须结合基因和身体情况\n  \u003C/div>\n  \u003Cdiv class=\"custom_content\">\n    非小细胞肺癌的靶向治疗和化疗怎么选，主要看有没有基因突变，身体整体情况，可不能一步到位。发现肺结节或诊断非小细胞肺癌，记得详细检查，同时多和医生沟通。如果你或者家人有类似情况，建议做基因检测再决定治疗方案。\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n#material_title {\n  font-size: 24px;\n  font-weight: bold;\n  margin-bottom: 20px;\n  color: #222e47;\n  letter-spacing: 1px;\n}\n.custom_section {\n  margin-bottom: 20px;\n  border-radius: 16px;\n  box-shadow: 0 1px 6px rgba(180, 190, 210, 0.08);\n  background: #fff;\n  padding: 18px 14px;\n}\n.custom_subtitle {\n  font-size: 18px;\n  font-weight: 600;\n  color: #426aa5;\n  padding: 12px 10px;\n  border-radius: 12px;\n  margin-bottom: 10px;\n  display: flex;\n  align-items: center;\n}\n.custom_content {\n  font-size: 15px;\n  color: #293043;\n  line-height: 2.1em;\n  padding-left: 2px;\n}\nol {\n  margin-top: 8px;\n  margin-bottom: 8px;\n  background: #f7f8fc;\n  border-radius: 8px;\n  padding: 8px 16px 8px 24px;\n}\nol li {\n  margin-bottom: 10px;\n}\n@media (max-width: 600px) {\n  #material_title {\n    font-size: 19px;\n    margin-bottom: 14px;\n  }\n  .custom_subtitle {\n    font-size: 15px;\n    padding: 8px 5px;\n    margin-bottom: 7px;\n  }\n  .custom_content {\n    font-size: 14px;\n    line-height: 2em;\n    padding-left: 0;\n  }\n  .custom_section {\n    padding: 12px 6px;\n    border-radius: 12px;\n  }\n  ol {\n    padding: 5px 8px 5px 15px;\n    border-radius: 6px;\n  }\n}\n\u003C/style>","v0247cg10004daf1fc27dldacu7ej6i0",1,983,"2026-08-12 15:08:49","非小细胞肺癌, 靶向治疗, 化疗, EGFR突变, ALK融合, 基因检测, 治疗方案, 患者沟通","非小细胞肺癌的治疗不再是单一化疗，靶向治疗是更精细的选择。了解基因检测和治疗决策，为您和家人选择合适的治疗方案。","2026-09-14 10:30:00",[36,57,75],{"menuId":37,"menuName":38,"parentId":17,"orderNum":39,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":29,"status":17,"createDept":6,"remark":45,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":50,"checkedLogo":51,"isHot":29,"isHome":17,"forceLogin":17,"color":52,"seoTitle":53,"seoKeywords":54,"seoDescription":54,"contentNum":6,"promotionalPoster":55,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":56,"routerPath":40,"componentInfo":41},"1997925012023775234","热门频道",4,"column","/column/tcm_index.html","1","0","T","","2025-12-08 15:03:37",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:18/ef345cdc-bb06-4db5-b74d-6ecfafabe83e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:21/81815950-9711-4b40-8543-421bd7701d0f.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:32/99452289-a401-4ab2-ae91-2a1a1f7442d1.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:29/f52b1198-7225-4f72-89f3-605e6a14f530.png","#42a5f6","sadf","asdf","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:25/cf4f002d-c534-4c28-b405-a2e504dc5188.png","Column",{"menuId":58,"menuName":59,"parentId":37,"orderNum":60,"path":61,"component":62,"isFrame":42,"isCache":43,"menuType":44,"visible":29,"status":17,"createDept":6,"remark":45,"createTime":63,"children":64,"columnImage":65,"columnLogo":66,"uncheckedLogo":67,"checkedLogo":68,"isHot":17,"isHome":17,"forceLogin":17,"color":69,"seoTitle":70,"seoKeywords":71,"seoDescription":72,"contentNum":6,"promotionalPoster":73,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":74,"routerPath":61,"componentInfo":62},"1989172310225670145","公益项目",6,"public","/column/public_index.html","2025-11-14 11:23:30",[],"https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:13/1b7a5e2b-9e7d-4769-851f-1c55c481fa82.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:18/b79a0a5e-411c-4282-8eaf-86fcc7e492bf.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:17/6f411ecf-82d8-4fb5-9371-fa7faba2cb8f.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:16/93f832c4-2264-4094-88fd-6fd80c8d9369.png","#80cbc4","健康科普工公益行——携手共建健康未来","健康,科普,公益行,健康知识,公众健康,社会健康,健康活动,健康意识","健康科普工公益行活动,传播健康知识,提高公众健康意识,共同促进社会健康发展,关注您和家人的健康！","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:12:46/1f2ac83a-c564-4aeb-ad97-5b5c4f09bfa5.png","Public",{"menuId":76,"menuName":77,"parentId":58,"orderNum":60,"path":78,"component":79,"isFrame":42,"isCache":43,"menuType":44,"visible":29,"status":17,"createDept":6,"remark":45,"createTime":80,"children":81,"columnImage":82,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":77,"seoKeywords":83,"seoDescription":84,"contentNum":6,"promotionalPoster":6,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":85,"routerPath":78,"componentInfo":79},"2047224557296840705","“健康中国-医路相伴健康同行”肿瘤领域科普传播计划","publicTFPAPP","/column/public_publicTFPAPP","2026-04-23 16:02:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-04-23-15:59:55/812f101e-9b62-472f-b155-2cb356602a89.png","肿瘤科普、癌症科普、肿瘤防治、科学抗癌、健康中国科普、医路相伴健康同行","响应 \"健康中国 2030\" 战略，\"健康中国 - 医路相伴健康同行\" 肿瘤领域科普传播计划，联合权威医学专家，提供肿瘤预防、筛查、治疗、康复全周期科学科普内容，普及抗癌知识，破除健康误区，助力全民肿瘤防治素养提升。","PublicTFPAPP","癌症肿瘤","https://vod.haohuanjiao.com/huanjiao/specialistVideo/1014194/066e93c0-6106-448a-817b-29cbe4f2185c.tmp?a=0&auth_key=1791983479-ea9200abb1be4146997c8e5e10a813d8-0-6bbca32edd839eba27af3f946b73fd5b&br=678&bt=678&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004daf1fc27dldacu7ej6i0&er=0&l=202609141107549D75DCF24BF3925BB6DD&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=MzloeGRvOmY0ZDczNGY3M0ApbG06ZmdnNWlpZzMzajo1eWdmZzRgYWEvY2NhLS1kNC9zcy0zYnJeaTRgLl4xLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":87,"message":6,"data":6,"success":88},{"code":9,"msg":10,"message":6,"data":91,"success":88},{"pageNo":29,"pageSize":92,"result":93,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":95,"success":88},{"authors":96,"appraiseDimensionScoresVos":97},[],[]]