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消化道恶性肿瘤合理用药指南

2017-09-30 国家卫生计生委合理用药专家委员会 《中国合理用药探索》杂志.2017.14(9):5-54.

消化道恶性肿瘤合理用药

消化道恶性肿瘤是全球肿瘤发病率、病死率的重要部分。根据WHO 公布的数据，2012 年全球消化道恶性肿瘤发病人数为276 万，发病率为35.2/10 万，因消化道恶性肿瘤死亡人数达182 万，病死率为22.3/10 万。在我国，消化道恶性肿瘤发病人数每年已超过200 万，消化道恶性肿瘤死亡人数为160 万，居我国恶性肿瘤发病率、病死率的首位，并呈逐年上升趋势。与此同时，随着近年来医学技术的飞速发展

中文标题：

消化道恶性肿瘤合理用药指南

发布机构：

国家卫生计生委合理用药专家委员会

发布日期：

2017-09-30

简要介绍：

消化道恶性肿瘤是全球肿瘤发病率、病死率的重要部分。根据WHO 公布的数据，2012 年全球消化道恶性肿瘤发病人数为276 万，发病率为35.2/10 万，因消化道恶性肿瘤死亡人数达182 万，病死率为22.3/10 万。在我国，消化道恶性肿瘤发病人数每年已超过200 万，消化道恶性肿瘤死亡人数为160 万，居我国恶性肿瘤发病率、病死率的首位，并呈逐年上升趋势。与此同时，随着近年来医学技术的飞速发展，胃肠道肿瘤的治疗手段也日新月异，各种治疗方法层出不穷。外科手术日臻完善，腹腔镜和微创治疗也得到了有效推广。放射治疗在机制研究、设备和疗效方面均有明显进步。在药物治疗方面，近半个世纪来，无论是目前广泛使用的细胞毒性化疗药物，还是新兴的分子靶向药物，都取得了很多重大成果，是消化道恶性肿瘤综合治疗中不可缺少的重要手段。然而我国医疗卫生水平存在城乡差异、地区差异、医院间差异以及各医师水平间的差异，因此要降低包括消化道恶性肿瘤在内的各种恶性肿瘤的病死率，消除上述差异，推广标准的药物治疗方案成为当务之急。这既是惠国利民的系统工程，也是临床医师继续教育的重要内容。

 

拓展指南：与肿瘤相关指南：

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消化道恶性肿瘤合理用药指南
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    2017-11-12 thlabcde

    好资料学习了!

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=260846, encodeId=6aa9260846fe, content=好资料学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Sun Nov 12 21:10:06 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259791, encodeId=7897259e9172, content=好资料学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Wed Nov 08 21:09:07 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259747, encodeId=cfcc259e47ea, content=谢谢分享.已经下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/31/336654fd3011b8b7bea05920e78968a6.jpg, createdBy=57f12186076, createdName=小雨的大侠, createdTime=Wed Nov 08 15:50:28 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259746, encodeId=ad87259e461c, content=谢谢分享已下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/31/336654fd3011b8b7bea05920e78968a6.jpg, createdBy=57f12186076, createdName=小雨的大侠, createdTime=Wed Nov 08 15:50:16 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259745, encodeId=a16b259e45ba, content=学习学习了解了解, beContent=null, objectType=guider, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/31/336654fd3011b8b7bea05920e78968a6.jpg, createdBy=57f12186076, createdName=小雨的大侠, createdTime=Wed Nov 08 15:48:43 CST 2017, time=2017-11-08, status=1, ipAttribution=)]
    2017-11-08 thlabcde

    好资料学习了!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=260846, encodeId=6aa9260846fe, content=好资料学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Sun Nov 12 21:10:06 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259791, encodeId=7897259e9172, content=好资料学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Wed Nov 08 21:09:07 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259747, encodeId=cfcc259e47ea, content=谢谢分享.已经下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/31/336654fd3011b8b7bea05920e78968a6.jpg, createdBy=57f12186076, createdName=小雨的大侠, createdTime=Wed Nov 08 15:50:28 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259746, encodeId=ad87259e461c, content=谢谢分享已下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/31/336654fd3011b8b7bea05920e78968a6.jpg, createdBy=57f12186076, createdName=小雨的大侠, createdTime=Wed Nov 08 15:50:16 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259745, encodeId=a16b259e45ba, content=学习学习了解了解, beContent=null, objectType=guider, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/31/336654fd3011b8b7bea05920e78968a6.jpg, createdBy=57f12186076, createdName=小雨的大侠, createdTime=Wed Nov 08 15:48:43 CST 2017, time=2017-11-08, status=1, ipAttribution=)]
    2017-11-08 小雨的大侠

    谢谢分享.已经下载

    0

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    2017-11-08 小雨的大侠

    谢谢分享已下载

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=260846, encodeId=6aa9260846fe, content=好资料学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Sun Nov 12 21:10:06 CST 2017, time=2017-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259791, encodeId=7897259e9172, content=好资料学习了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Wed Nov 08 21:09:07 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259747, encodeId=cfcc259e47ea, content=谢谢分享.已经下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/31/336654fd3011b8b7bea05920e78968a6.jpg, createdBy=57f12186076, createdName=小雨的大侠, createdTime=Wed Nov 08 15:50:28 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259746, encodeId=ad87259e461c, content=谢谢分享已下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/31/336654fd3011b8b7bea05920e78968a6.jpg, createdBy=57f12186076, createdName=小雨的大侠, createdTime=Wed Nov 08 15:50:16 CST 2017, time=2017-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=259745, encodeId=a16b259e45ba, content=学习学习了解了解, beContent=null, objectType=guider, channel=null, level=null, likeNumber=135, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/31/336654fd3011b8b7bea05920e78968a6.jpg, createdBy=57f12186076, createdName=小雨的大侠, createdTime=Wed Nov 08 15:48:43 CST 2017, time=2017-11-08, status=1, ipAttribution=)]
    2017-11-08 小雨的大侠

    学习学习了解了解

    0

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