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肿瘤药物治疗相关恶心呕吐防治中国专家共识(2019年版)

2019-11-20 中国抗癌协会肿瘤临床化疗专业委员会 中国医学前沿杂志(电子版). 2019,11(11):16-26.

近年来,尽管在肿瘤药物治疗相关恶心呕吐的机制研究和新药研发方面取得了长足进展,但仍然存在诸多尚未解决的问题,如暴发性呕吐和难治性呕吐的治疗、恶心的机制及其治疗等。规范恶心、呕吐风险评估和预防处理,能够提高恶性肿瘤患者的治疗依从性和耐受性,改善生活质量,从而有望延长其生存时间。中国抗癌协会肿瘤临床化疗专业委员会和肿瘤支持治疗专业委员会组织国内肿瘤内科、放疗、妇科、护理、流行病学等领域的权威专家共同制

中文标题:

肿瘤药物治疗相关恶心呕吐防治中国专家共识(2019年版)

发布日期:

2019-11-20

简要介绍:

近年来,尽管在肿瘤药物治疗相关恶心呕吐的机制研究和新药研发方面取得了长足进展,但仍然存在诸多尚未解决的问题,如暴发性呕吐和难治性呕吐的治疗、恶心的机制及其治疗等。规范恶心、呕吐风险评估和预防处理,能够提高恶性肿瘤患者的治疗依从性和耐受性,改善生活质量,从而有望延长其生存时间。中国抗癌协会肿瘤临床化疗专业委员会和肿瘤支持治疗专业委员会组织国内肿瘤内科、放疗、妇科、护理、流行病学等领域的权威专家共同制定了本共识。本共识基于国内外最新研究进展并结合国内现状,对抗肿瘤药物治疗所致恶心呕吐的病理生理、分类分级、影响因素、预防和治疗原则进行阐述,并给予恶心呕吐预防和处理用药推荐,期待为广大医务工作者的临床实践提供指引。本共识适用于接受抗肿瘤药物治疗的成年患者。

 

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[AttachmentFileName(sort=100, fileName=肿瘤药物治疗相关恶心呕吐防治中国专家共识(2019年版))] GetToolGuiderByIdResponse(projectId=1, id=29d401c00183a114, title=肿瘤药物治疗相关恶心呕吐防治中国专家共识(2019年版), enTitle=, guiderFrom=中国医学前沿杂志(电子版). 2019,11(11):16-26., authorId=null, author=, summary=近年来,尽管在肿瘤药物治疗相关恶心呕吐的机制研究和新药研发方面取得了长足进展,但仍然存在诸多尚未解决的问题,如暴发性呕吐和难治性呕吐的治疗、恶心的机制及其治疗等。规范恶心、呕吐风险评估和预防处理,能够提高恶性肿瘤患者的治疗依从性和耐受性,改善生活质量,从而有望延长其生存时间。中国抗癌协会肿瘤临床化疗专业委员会和肿瘤支持治疗专业委员会组织国内肿瘤内科、放疗、妇科、护理、流行病学等领域的权威专家共同制, cover=, journalId=null, articlesId=null, associationId=897, associationName=中国抗癌协会肿瘤临床化疗专业委员会, associationIntro=null, copyright=0, guiderPublishedTime=Wed Nov 20 00:00:00 CST 2019, originalUrl=, linkOutUrl=, content=<P>近年来,尽管在肿瘤药物治疗相关恶心呕吐的机制研究和新药研发方面取得了长足进展,但仍然存在诸多尚未解决的问题,如暴发性呕吐和难治性呕吐的治疗、恶心的机制及其治疗等。规范恶心、呕吐风险评估和预防处理,能够提高恶性肿瘤患者的治疗依从性和耐受性,改善生活质量,从而有望延长其生存时间。中国抗癌协会肿瘤临床化疗专业委员会和肿瘤支持治疗专业委员会组织国内肿瘤内科、放疗、妇科、护理、流行病学等领域的权威专家共同制定了本共识。本共识基于国内外最新研究进展并结合国内现状,对抗肿瘤药物治疗所致恶心呕吐的病理生理、分类分级、影响因素、预防和治疗原则进行阐述,并给予恶心呕吐预防和处理用药推荐,期待为广大医务工作者的临床实践提供指引。本共识适用于接受抗肿瘤药物治疗的成年患者。 </P> <P> </P>拓展指南:<strong>与<font color=red>呕吐</font>相关指南:</strong><br><ul><li><a href="//m.capotfarm.com/guideline/show_article.do?id=1130a1c001e01a28" title="2019 临床实践指南:儿科患者化疗急性呕吐的分类" target=_blank>2019 临床实践指南:儿科患者化疗急性呕吐的分类</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=985891c001690672" title="化疗所致恶心呕吐全程管理上海专家共识(2018年版)" target=_blank>化疗所致恶心呕吐全程管理上海专家共识(2018年版)</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=140061c00153934e" title="2018 ACOG实践简报:妊娠期恶心呕吐(No.189)" target=_blank>2018 ACOG实践简报:妊娠期恶心呕吐(No.189)</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=dcacd1c001a248ab" title="2017 POGO指南:儿科肿瘤患者急性化疗引起的恶心呕吐的预防(更新版)" target=_blank>2017 POGO指南:儿科肿瘤患者急性化疗引起的恶心呕吐的预防(更新版)</a></li> <li><a href="//m.capotfarm.com/guideline/show_article.do?id=5fa401c001390957" title="2016 RCOG指南:妊娠期恶心呕吐以及妊娠剧吐的管理(No.69)(中文版)" target=_blank>2016 RCOG指南:妊娠期恶心呕吐以及妊娠剧吐的管理(No.69)(中文版)</a></li> 更多信息请点击:<a href="//m.capotfarm.com/guideline/list.do?q=%E5%91%95%E5%90%90" target=_blank>有关呕吐更多指南</a></ul>, tagList=[TagDto(tagId=97239, tagName=肿瘤药物治疗相关恶心呕吐)], categoryList=[CategoryDto(categoryId=4, categoryName=消化, tenant=100), CategoryDto(categoryId=5, categoryName=肿瘤科, tenant=100), CategoryDto(categoryId=20620, categoryName=肿瘤医学网, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=8426, appHits=738, showAppHits=14, pcHits=4650, showPcHits=4747, likes=86, shares=134, comments=4, approvalStatus=1, publishedTime=Thu Nov 28 22:24:44 CST 2019, publishedTimeString=2019-11-20, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=qiushida2, createdTime=Thu Nov 28 22:24:44 CST 2019, updatedBy=null, updatedName=null, updatedTime=Fri Jan 05 17:15:28 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=肿瘤药物治疗相关恶心呕吐防治中国专家共识(2019年版))])
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  1. [GetPortalCommentsPageByObjectIdResponse(id=1195936, encodeId=bb2211959360c, content=加油!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=85e91537175, createdName=RENYUQIONG200798, createdTime=Tue Feb 22 03:40:04 CST 2022, time=2022-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975388, encodeId=8b9d9e5388f3, content=需要积分。好难呀, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b3e5482490, createdName=ms8000000944682705, createdTime=Mon Jun 21 11:10:38 CST 2021, time=2021-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806455, encodeId=a0e880645517, content=现在需要积分了,但是不够。有攻略吗?, beContent=null, objectType=guider, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKoPAFGBEoyU5Cyia7hfC1G61ibK0EBRicibiaWLfBhrksdCtiamGrFz4pPYcnB6pPEaGibYEEr9pujFLSSQ/132, createdBy=2c0a2541152, createdName=自挂东南枝, createdTime=Thu Aug 06 09:39:54 CST 2020, time=2020-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806454, encodeId=8075806454ff, content=一个评论多少积分→_→, beContent=null, objectType=guider, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKoPAFGBEoyU5Cyia7hfC1G61ibK0EBRicibiaWLfBhrksdCtiamGrFz4pPYcnB6pPEaGibYEEr9pujFLSSQ/132, createdBy=2c0a2541152, createdName=自挂东南枝, createdTime=Thu Aug 06 09:38:00 CST 2020, time=2020-08-06, status=1, ipAttribution=)]
    2022-02-22 RENYUQIONG200798

    加油!

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1195936, encodeId=bb2211959360c, content=加油!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=85e91537175, createdName=RENYUQIONG200798, createdTime=Tue Feb 22 03:40:04 CST 2022, time=2022-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975388, encodeId=8b9d9e5388f3, content=需要积分。好难呀, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b3e5482490, createdName=ms8000000944682705, createdTime=Mon Jun 21 11:10:38 CST 2021, time=2021-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806455, encodeId=a0e880645517, content=现在需要积分了,但是不够。有攻略吗?, beContent=null, objectType=guider, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKoPAFGBEoyU5Cyia7hfC1G61ibK0EBRicibiaWLfBhrksdCtiamGrFz4pPYcnB6pPEaGibYEEr9pujFLSSQ/132, createdBy=2c0a2541152, createdName=自挂东南枝, createdTime=Thu Aug 06 09:39:54 CST 2020, time=2020-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806454, encodeId=8075806454ff, content=一个评论多少积分→_→, beContent=null, objectType=guider, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKoPAFGBEoyU5Cyia7hfC1G61ibK0EBRicibiaWLfBhrksdCtiamGrFz4pPYcnB6pPEaGibYEEr9pujFLSSQ/132, createdBy=2c0a2541152, createdName=自挂东南枝, createdTime=Thu Aug 06 09:38:00 CST 2020, time=2020-08-06, status=1, ipAttribution=)]
    2021-06-21 ms8000000944682705

    需要积分。好难呀

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1195936, encodeId=bb2211959360c, content=加油!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=85e91537175, createdName=RENYUQIONG200798, createdTime=Tue Feb 22 03:40:04 CST 2022, time=2022-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975388, encodeId=8b9d9e5388f3, content=需要积分。好难呀, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b3e5482490, createdName=ms8000000944682705, createdTime=Mon Jun 21 11:10:38 CST 2021, time=2021-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806455, encodeId=a0e880645517, content=现在需要积分了,但是不够。有攻略吗?, beContent=null, objectType=guider, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKoPAFGBEoyU5Cyia7hfC1G61ibK0EBRicibiaWLfBhrksdCtiamGrFz4pPYcnB6pPEaGibYEEr9pujFLSSQ/132, createdBy=2c0a2541152, createdName=自挂东南枝, createdTime=Thu Aug 06 09:39:54 CST 2020, time=2020-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806454, encodeId=8075806454ff, content=一个评论多少积分→_→, beContent=null, objectType=guider, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKoPAFGBEoyU5Cyia7hfC1G61ibK0EBRicibiaWLfBhrksdCtiamGrFz4pPYcnB6pPEaGibYEEr9pujFLSSQ/132, createdBy=2c0a2541152, createdName=自挂东南枝, createdTime=Thu Aug 06 09:38:00 CST 2020, time=2020-08-06, status=1, ipAttribution=)]
    2020-08-06 自挂东南枝

    现在需要积分了,但是不够。有攻略吗?

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1195936, encodeId=bb2211959360c, content=加油!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=85e91537175, createdName=RENYUQIONG200798, createdTime=Tue Feb 22 03:40:04 CST 2022, time=2022-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975388, encodeId=8b9d9e5388f3, content=需要积分。好难呀, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4b3e5482490, createdName=ms8000000944682705, createdTime=Mon Jun 21 11:10:38 CST 2021, time=2021-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806455, encodeId=a0e880645517, content=现在需要积分了,但是不够。有攻略吗?, beContent=null, objectType=guider, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKoPAFGBEoyU5Cyia7hfC1G61ibK0EBRicibiaWLfBhrksdCtiamGrFz4pPYcnB6pPEaGibYEEr9pujFLSSQ/132, createdBy=2c0a2541152, createdName=自挂东南枝, createdTime=Thu Aug 06 09:39:54 CST 2020, time=2020-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806454, encodeId=8075806454ff, content=一个评论多少积分→_→, beContent=null, objectType=guider, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKoPAFGBEoyU5Cyia7hfC1G61ibK0EBRicibiaWLfBhrksdCtiamGrFz4pPYcnB6pPEaGibYEEr9pujFLSSQ/132, createdBy=2c0a2541152, createdName=自挂东南枝, createdTime=Thu Aug 06 09:38:00 CST 2020, time=2020-08-06, status=1, ipAttribution=)]
    2020-08-06 自挂东南枝

    一个评论多少积分→_→

    0

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