[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fk-s02ZziZKbZyey4y3q-CgTUOeUJgGs3owaJn5eTbdY":3,"$fg8Wopfq8Wn1hU5l7w8RxC91Qy8alNzis1Q_SsdiSGrE":11,"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":17,"$fX5rhoYQEYd_LQAubJ9q5ZusQDhI4N6ZrnL4taGmjnt0":21,"$fFH4wSXbdi2p43G816WSh7YM8yyHNYij4DDF8lQUNC1g":69},{"code":4,"msg":5,"message":6,"data":7,"success":10},200,"操作成功",null,{"authors":8,"appraiseDimensionScoresVos":9},[],[],true,{"code":4,"msg":5,"message":6,"data":12,"success":10},{"pageNo":13,"pageSize":14,"result":15,"totalSize":16},1,10,[],0,{"code":18,"msg":19,"message":6,"data":6,"success":20},401,"认证失败，无法访问系统资源",false,{"code":4,"msg":5,"message":6,"data":22,"success":10},{"id":23,"specialistId":24,"specialistAssistants":25,"profilePhoto":26,"specialistName":27,"roleType":16,"adept":28,"hospital":29,"department":30,"postsTitle":31,"materialTotal":32,"videoTotal":33,"isConcern":20,"title":34,"coverVertical":35,"coverAcross":36,"directionMarker":37,"description":38,"vid":39,"time":40,"mediaType":13,"views":41,"likes":16,"isThumbsUp":20,"isCollection":20,"collections":16,"createTime":42,"seoTitle":34,"seoKeywords":43,"seoDescription":44,"shelvesTime":45,"menus":46,"menuId":48,"type":37,"quality":66,"commentCount":16,"isComment":13,"deviceType":67,"url":68},37719,950501,[],"https://ystcdn.venuertc.com/venue/app/47166/2026-06-09/1f2d44cc-270f-430d-ae43-cb7c4c10c675.png","王国栋","肿瘤综合治疗及肿瘤放射治疗","诸暨市人民医院","肿瘤科","主任医师",8,9,"直肠癌放疗期间的对症干预原则","https://ystcdn.venuertc.com/venue/ai-cover/qwen-debug/cover_vertical/4cc420d1-14d9-4b9c-a7bf-46cfcf616dd4.png","https://ystcdn.venuertc.com/venue/ai-cover/qwen-debug/cover_horizontal/f7c0e43e-1434-4448-89e1-fca21194cd79.png",2,"\u003Cdiv style=\"--bg-card: #f8fafc; --border-card: #e2e8f0; padding: 20px; border-radius: 12px; margin-bottom: 16px; background-color: var(--bg-card); border: 1px solid var(--border-card);\">\n  \u003Ch1 id=\"material_title\" style=\"font-size: 22px; font-weight: 700; color: #1e293b; margin: 0; line-height: 1.4;\">直肠癌放疗期间的对症干预原则\u003C/h1>\n\u003C/div>\n\n\u003Cdiv style=\"--bg-card: #f0f7ff; --border-card: #cce4ff; padding: 20px; border-radius: 12px; margin-bottom: 16px; background-color: var(--bg-card); border: 1px solid var(--border-card);\">\n  我是诸暨市人民医院肿瘤科的王国栋医生，日常接诊大量老年直肠癌患者，不少人放疗期间出现不适就全部归因为肿瘤本身，忽略了规范对症支持调整的重要性。\n\u003C/div>\n\n\u003Cdiv style=\"--bg-card: #f8faf9; --border-card: #e6f0eb; padding: 20px; border-radius: 12px; margin-bottom: 16px; background-color: var(--bg-card); border: 1px solid var(--border-card);\">\n  此前接诊一位81岁老年女性，合并2型糖尿病、冠状动脉粥样硬化性心脏病等基础病，确诊直肠癌1月余来院。她最初反复排便不尽、便意频繁，自行服用止泻药无效，肛周还出现轻度不适。我们先排查痔疮发作、慢性直肠炎、肠道菌群紊乱等可引发里急后重的常见病因，完善肠镜、全腹增强CT和病理活检，最终确诊局部进展期直肠癌，制定盆腔调强放疗联合护胃、营养支持的对症方案。经12天住院治疗，她的里急后重感明显缓解，目前仍在规律随访。\n\u003C/div>\n\n\u003Cdiv style=\"--bg-card: #fefaf5; --border-card: #fff1e0; padding: 20px; border-radius: 12px; margin-bottom: 16px; background-color: var(--bg-card); border: 1px solid var(--border-card);\">\n  直肠癌放疗过程中，患者常出现不同程度的排便习惯改变、胃纳减退、白细胞降低等表现。这些症状并非全部由放疗直接引发：比如里急后重感，除了放疗导致的直肠黏膜水肿外，也可能是直肠肿瘤本身刺激肠壁，或是合并肛周炎症引起；胃纳欠佳既可能是放疗引发的消化道反应，也可能是化疗药物影响、或是合并慢性胃炎导致。临床需结合患者基础疾病逐一甄别，不能直接全部归为放疗副作用就自行调整治疗方案，具体干预方案需管床医生结合检查结果综合判断。\n\u003C/div>\n\n\u003Cdiv style=\"--bg-card: #faf5ff; --border-card: #f3e8ff; padding: 20px; border-radius: 12px; margin-bottom: 16px; background-color: var(--bg-card); border: 1px solid var(--border-card);\">\n  居家护理可参考以下建议：日常饮食保证每日蛋白质摄入充足，避免进食粗硬、辛辣刺激食物，减少肠道负担；每周完成至少150分钟低强度日常活动，比如慢走、床边舒展肢体等[1]，避免长时间卧床引发血栓风险；放疗期间每周复查1次血常规，若白细胞低于3.0×10^9/L，第一时间联系肿瘤科就诊调整方案；合并糖尿病的患者要把空腹血糖维持在4.4-7.0mmol/L的合理区间[2]，减少血糖波动对治疗耐受性的影响。\n\u003C/div>\n\n\u003Cdiv style=\"--bg-card: #f0fdf4; --border-card: #dcfce7; padding: 20px; border-radius: 12px; margin-bottom: 16px; background-color: var(--bg-card); border: 1px solid var(--border-card);\">\n  放疗期间做好规范对症支持干预，多数患者都可平稳完成整个治疗疗程，获得更好的预后效果。\n\u003C/div>\n\n\u003Csection class=\"refs\" style=\"margin-top:24px;padding-top:12px;border-top:1px solid #e5e5e5;font-size:13px;color:#666;line-height:1.6;\">\n  \u003Cdiv style=\"font-weight:600;margin-bottom:6px;\">参考文献\u003C/div>\n  \u003Cdiv>[1] 世界卫生组织. WHO身体活动与久坐行为指南（2020）.\u003C/div>\n  \u003Cdiv>[2] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南（2020年版）.\u003C/div>\n\u003C/section>\n\n\u003Cstyle>\n  * {\n    box-sizing: border-box;\n    font-family: system-ui, -apple-system, \"PingFang SC\", sans-serif;\n  }\n\u003C/style>","v0247cg10004dbm97o27dlddqdempnr0",197,803,"2026-11-05 22:31:05","直肠癌, 放疗, 对症干预, 老年患者, 症状缓解","了解直肠癌放疗期间的对症支持调整策略，帮助患者缓解症状，提高生活质量，实现更好的治疗效果。","2026-11-06 00:20:00",[47],{"menuId":48,"menuName":49,"parentId":16,"orderNum":50,"path":51,"component":52,"isFrame":53,"isCache":54,"menuType":55,"visible":13,"status":16,"createDept":6,"remark":56,"createTime":57,"children":58,"columnImage":59,"columnLogo":60,"uncheckedLogo":6,"checkedLogo":6,"isHot":16,"isHome":16,"forceLogin":16,"color":6,"seoTitle":61,"seoKeywords":62,"seoDescription":63,"contentNum":6,"promotionalPoster":64,"menuFrame":20,"innerLink":20,"parentView":20,"routeName":65,"routerPath":51,"componentInfo":52},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video","癌症肿瘤",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/950501/edf952aa-2f4d-4438-a342-b8145c6e209e.mp4?a=0&auth_key=1796529916-4e8f326d44f3401680e42fbb55834427-0-dc4332e2e1dc6f6e5981cd52fdfca549&br=2513&bt=2513&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004dbm97o27dlddqdempnr0&er=0&l=20261106020154239E76B2285069737731&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3FwZ2dvOnI8ZTczNGY3M0ApdXNodGdnNTpwZzMzajo1eWdvbWJuYWEvNGphLS1kNC9zcy1ramFhaTRsNl8xLS5gMS06Yw%3D%3D&vl=&vr=",{"code":4,"msg":68,"message":6,"data":6,"success":10}]