他给病人开药掌控在5元上下,真实的原由期盼癌症医生亦懂得
<span style="color: black;"><img src="https://mmbiz.qpic.cn/mmbiz_png/ukgsGc6BID5ORobicmn8sEu4KgO1ic5H1ibEVgC1aXE7OpmGvImnLWBWgo05LGyqbmrjYkWoia2Qm9n7ChV770j1Wg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><strong style="color: blue;"><span style="color: black;">点击下方卡片关注吧</span></strong></span><p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">之前互助君写过一篇</span><span style="color: black;"><span style="color: black;"><a style="color: black;">《<span style="color: black;">每日</span>1片药吃5年可预防乳腺癌,你敢吃吗?》</a>,不少乳腺癌姐妹都说自己不会吃,<span style="color: black;">由于</span>是药三分毒,没人想以身试险。</span><span style="color: black;"><span style="color: black;">然则</span>你们<span style="color: black;">晓得</span>吗?<span style="color: black;">针对</span><span style="color: black;">药品</span>的<span style="color: black;">运用</span>这块,有些<span style="color: black;">大夫</span>的<span style="color: black;">心理</span>其实跟<span style="color: black;">病人</span><span style="color: black;">同样</span>,都是</span><strong style="color: blue;"><span style="color: black;">「能不开药的<span style="color: black;">尽可能</span>都不开药」</span></strong><span style="color: black;">、<strong style="color: blue;"><span style="color: black;">「能用便宜药<span style="color: black;">处理</span>问题就绝<span style="color: black;">不消</span>贵药」</span></strong>,<span style="color: black;">原由</span>在于,<span style="color: black;">她们</span>认为:</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">没</span>论是<span style="color: black;">病人</span>还是<span style="color: black;">大夫</span>,过去都<span style="color: black;">广泛</span>依赖<span style="color: black;">药品</span>、手术等医疗<span style="color: black;">干涉</span>,<span style="color: black;">忽略</span>了人体的主动修复能力……把<strong style="color: blue;">‘运动处方’</strong>加进来以后,其他的<span style="color: black;">干涉</span><span style="color: black;">方法</span><span style="color: black;">能够</span>少用一点……”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">“你们</span><span style="color: black;">(<span style="color: black;">大夫</span>)</span><span style="color: black;"><span style="color: black;">的手一抖,<span style="color: black;">病人</span>大几千块钱就没了。</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">大夫</span><span style="color: black;">不但</span>要有医术,更要有医德</span></strong><span style="color: black;">,<span style="color: black;">这般</span>的医学才有温度和<span style="color: black;">将来</span>。”</span></span></span></p><span style="color: black;">看到<span style="color: black;">这儿</span>,有的乳腺癌姐妹可能就<span style="color: black;">起始</span>好奇:不开药只开「运动处方」<span style="color: black;">是不是</span>真能达到预期疗效?乳腺癌<span style="color: black;">病人</span><span style="color: black;">亦</span>能<span style="color: black;">运用</span>「运动处方」吗?</span><span style="color: black;">别急,且听互助君细细说来。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">01</strong></span></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><strong style="color: blue;">有<span style="color: black;">大夫</span>只给5%的病人开药</strong></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><strong style="color: blue;">且平均药费在5元<span style="color: black;">上下</span>?</strong></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">没错,是真的!这位<span style="color: black;">大夫</span>名为郝跃峰,他还是苏州市立医院的副院长。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">12年来,他开具了上万个「处方」,其中<span style="color: black;">仅有</span>5%<span style="color: black;">上下</span>的病人从他那儿拿到了药,平均药费在5元<span style="color: black;">上下</span>,而其余95%的病人均为「运动处方」<span style="color: black;">(即<span style="color: black;">大夫</span><span style="color: black;">按照</span>医学<span style="color: black;">检测</span>资料、结合<span style="color: black;">病人</span>的既往病史,为<span style="color: black;">病人</span>量身定制的运动<span style="color: black;">指点</span><span style="color: black;">方法</span>,<span style="color: black;">包含</span>运动种类、运动强度、运动时间、运动频率、运动量和运动进度等细节)</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> // </p><img src="https://mmbiz.qpic.cn/sz_mmbiz_gif/ukgsGc6BID7OQtfxLGUyLhZI3BA62FxozGUqUPibQFxTP1ZaOUnz9EUib66x6d6nnHmUmHODh6KyQ2oB2vib3CktQ/640?wx_fmt=gif&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">「运动处方」分为「健身运动处方」和「医疗运动处方」两类,前者以健康人群和慢病<span style="color: black;">危害</span>人群为<span style="color: black;">重点</span>服务对象,后者则<span style="color: black;">重点</span>聚焦慢病人群、运动<span style="color: black;">损害</span>人群和围手术期人群。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">做为</span>一名骨科<span style="color: black;">大夫</span>,在他看来,运动本身是免费的,<span style="color: black;">倘若</span><span style="color: black;">病人</span>依从性好,一次门诊<span style="color: black;">亦</span>许就能有效改善病情。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">话说回来,跟郝<span style="color: black;">大夫</span><span style="color: black;">同样</span>”不愿意“给<span style="color: black;">病人</span>开药的<span style="color: black;">大夫</span>,还有武汉协和医院<span style="color: black;">呼气</span>内科陶晓南教授。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">从医28年,他将<strong style="color: blue;"><span style="color: black;">「不给门诊<span style="color: black;">病人</span>开输液处方」</span></strong><span style="color: black;">做为</span>诊疗红线来坚守,坚守到什么程度呢?曾有记者调取他2015年至2017年底的数千张门诊存档处方,结果<span style="color: black;">表示</span>:3年来,他只开出过一张门诊输液处方。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">那样</span>问题来了,这些<span style="color: black;">大夫</span>为啥不想给<span style="color: black;">病人</span>开药?又<span style="color: black;">为么</span>能做到<span style="color: black;">保持</span>不给<span style="color: black;">病人</span>开药?难道<span style="color: black;">她们</span>所在的科室不会面临经营压力么?</span></p><span style="color: black;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">02</strong></span></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">大夫</span>为啥不想给<span style="color: black;">病人</span>开药?</strong></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">有这两种<span style="color: black;">原由</span></strong></p>
</span>
<span style="color: black;"><strong style="color: blue;"><span style="color: black;">1)避免过度医疗</span></strong></span><span style="color: black;"><span style="color: black;">非常多</span><span style="color: black;">病人</span>是不<span style="color: black;">必须</span>吃药、<span style="color: black;">乃至</span>手术的,郝跃峰指出,大<span style="color: black;">都数</span><span style="color: black;">大夫</span>过度依赖医疗手段来<span style="color: black;">干涉</span>病人,而<span style="color: black;">这儿</span>的「病人」<span style="color: black;">到底</span>是不是真正的病人,是<span style="color: black;">必须</span>打问号的;陶晓南则直言,<span style="color: black;">恰当</span>诊疗是<span style="color: black;">大夫</span>的底线,<span style="color: black;">大夫</span>应具备过硬的临床经验,对<span style="color: black;">病人</span>应有责任心,<span style="color: black;">不可</span>让<span style="color: black;">病人</span>身心脆弱时还得承受<span style="color: black;">没</span>谓的「<span style="color: black;">药品</span>轰炸」。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">对乳腺癌<span style="color: black;">病人</span><span style="color: black;">来讲</span>,比较<span style="color: black;">平常</span>的过度治疗有这些:比方说一位<strong style="color: blue;"><span style="color: black;"><span style="color: black;">初期</span>原位癌的<span style="color: black;">病人</span></span></strong>符合所有保乳<span style="color: black;">前提</span>,但<span style="color: black;">大夫</span><span style="color: black;">保持</span>对她进行全乳房根治术,并且清除腋下淋巴结,最后还做了化疗,这种<span style="color: black;">便是</span>典型的过度治疗;又比方说<strong style="color: blue;"><span style="color: black;">化疗药<span style="color: black;">通常</span>要<span style="color: black;">按照</span><span style="color: black;">病人</span>的身高体重,来限定最大耐受量</span></strong>,若是<span style="color: black;">大夫</span>的化疗<span style="color: black;">方法</span>用药超过耐受量<span style="color: black;">便是</span>过度治疗。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">2)降低<span style="color: black;">病人</span>的治疗<span style="color: black;">花费</span></span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">用陶晓南专家的话说,不滥开输液治疗的一个<span style="color: black;">明显</span>好处,<span style="color: black;">便是</span>直接降低治疗<span style="color: black;">花费</span>减轻<span style="color: black;">病人</span>的<span style="color: black;">看病</span><span style="color: black;">包袱</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">数</span><span style="color: black;">据<span style="color: black;">表示</span></span><span style="color: black;">,早</span><span style="color: black;">在2009年,我国医疗输液104亿瓶,相当于13亿人口<span style="color: black;">每一个</span>人输了8瓶液,远远高于国际上2.5~3.3瓶的水平。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">亦</span>有记者问过郝跃峰,<strong style="color: blue;">这么低的医药费,科室<span style="color: black;">是不是</span>面临过经营压力?</strong>他是这么回答的:医院<span style="color: black;">始终</span>是鼓励这件事的,<span style="color: black;">由于</span>国家<span style="color: black;">注意</span>药占比的考核,而「运动处方」能减少<span style="color: black;">病人</span>医疗花费,优化<span style="color: black;">医疗保险</span>基金<span style="color: black;">运用</span>,让有限的医疗资源得到更加<span style="color: black;">恰当</span>的分配。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> // </p><img src="https://mmbiz.qpic.cn/sz_mmbiz_gif/ukgsGc6BID7OQtfxLGUyLhZI3BA62FxozGUqUPibQFxTP1ZaOUnz9EUib66x6d6nnHmUmHODh6KyQ2oB2vib3CktQ/640?wx_fmt=gif&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">事实上,有心的<span style="color: black;">大夫</span>会最大限度地为<span style="color: black;">病人</span>着想,有心的医院<span style="color: black;">亦</span>会出于以<span style="color: black;">病人</span>价值为核心的政策,比方说:</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">为<span style="color: black;">处理</span><span style="color: black;">病人</span>住院难的问题,上海市第七人民医院推出<strong style="color: blue;"><span style="color: black;">「全院一张床」模式</span></strong><span style="color: black;">,</span></span><span style="color: black;"><span style="color: black;">即床位属于公共资源,<span style="color: black;">再也不</span>归属科室,院区可跨病房收治<span style="color: black;">病人</span>,<span style="color: black;">大夫</span>跟着<span style="color: black;">病人</span>跑</span></span><span style="color: black;">;</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">为<span style="color: black;">处理</span><span style="color: black;">病人</span>挂号难的问题,浙大二院推出<strong style="color: blue;"><span style="color: black;">「候补、加号」功能,</span></strong></span><span style="color: black;"><span style="color: black;">跟买火车票类似,即一旦有<span style="color: black;">病人</span>取消预约号源,后台就会<span style="color: black;">按照</span>排队<span style="color: black;">次序</span>进行自动预约</span>;</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">以及实行<strong style="color: blue;"><span style="color: black;">「3天内免费看报告」</span></strong>的北京大学深圳医院等。</span></p><span style="color: black;"><span style="color: black;">举荐</span>阅读:</span><a style="color: black;"><span style="color: black;">《3天内找<span style="color: black;">大夫</span>看报告免费!乳腺癌需知复查看病新政策!》</span></a><a style="color: black;"><span style="color: black;">《去医院复查的5条“潜规则”,乳腺癌<span style="color: black;">病人</span>不<span style="color: black;">晓得</span>就亏大</span></a>了!》
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;">03</strong></span></span></span></p><span style="color: black;"><strong style="color: blue;">乳腺癌<span style="color: black;">病人</span>能<span style="color: black;">运用</span>「运动处方」吗?</strong></span><span style="color: black;"><span style="color: black;">必要</span>能,《中国恶性肿瘤<span style="color: black;">病人</span>运动治疗专家共识》<span style="color: black;">认识</span>一下。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">共识指出</span><span style="color: black;"></span><span style="color: black;">,恶性肿瘤<span style="color: black;">病人</span>的运动处方,应<span style="color: black;">按照</span><span style="color: black;">病人</span>的<span style="color: black;">自己</span><span style="color: black;">状况</span>,结合学习、工作、生活环境和运动<span style="color: black;">爱好</span>等个体化制订,不同癌种、不同分期的<span style="color: black;">病人</span>功能<span style="color: black;">阻碍</span>异质性很大,<span style="color: black;">日前</span>并<span style="color: black;">无</span><span style="color: black;">按照</span>特定的癌种或治疗<span style="color: black;">方法</span><span style="color: black;">举荐</span>不同的运动处方。</span></span></p><span style="color: black;">《美国人身体活动指南第2版(2018)》<span style="color: black;">亦</span>可<span style="color: black;">认识</span>一下。</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">这份指南中适用于肿瘤<span style="color: black;">病人</span>的<span style="color: black;">意见</span><span style="color: black;">包含</span>但不限于<span style="color: black;"></span>:避免不活动;每周累积<span style="color: black;">最少</span>150~300min的中等强度有氧运动,或75~150min<span style="color: black;">很强</span>强度的有氧运动;每周<span style="color: black;">最少</span>2天进行抗阻运动,在进行有氧运动和阻力运动时,结合平衡能力和柔韧性运动。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">互助君结合国内共识与国外指南,总结出几个乳腺癌<span style="color: black;">病人</span>有效运动的要点:</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">做好运动前后的准备工作</span></strong><span style="color: black;">。</span><span style="color: black;"><span style="color: black;">首要</span>,乳腺癌<span style="color: black;">病人</span>参与上肢运动<span style="color: black;">熬炼</span>前,应进行上臂/肩关节<span style="color: black;">评定</span>;其次,乳腺癌<span style="color: black;">病人</span>在运动前后<span style="color: black;">亦</span>得做好热身和拉伸<span style="color: black;">(这部分时间最好占到<span style="color: black;">所有</span>运动时间的20%)</span>,减少不必要的运动损耗。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">保持适合<span style="color: black;">自己</span>体质的运动强度</span></strong></span><span style="color: black;">。<span style="color: black;">科研</span><span style="color: black;">表示</span>,跑步是对癌症<span style="color: black;">病人</span>最有益的运动,可减少19%的癌症死亡<span style="color: black;">危害</span><span style="color: black;"></span>。<span style="color: black;">必须</span><span style="color: black;">重视</span>的是,这几类乳腺癌<span style="color: black;">病人</span>不适合跑步:刚出院的<span style="color: black;">病人</span>、术后需静养的<span style="color: black;">病人</span>、刚接受完放、化疗的<span style="color: black;">病人</span>、乳腺癌晚期<span style="color: black;">病人</span>等。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">另一</span>,乳腺癌<span style="color: black;">病人</span>想从</span><span style="color: black;">运动中获益,还得讲究<span style="color: black;">长时间</span><span style="color: black;">保持</span><span style="color: black;">,三分钟热度式运动的防癌抗癌<span style="color: black;">道理</span></span></span><span style="color: black;"><span style="color: black;">不</span></span><span style="color: black;"><span style="color: black;">大</span></span><span style="color: black;">,<span style="color: black;">因此</span>姐妹们<span style="color: black;">尽可能</span><span style="color: black;">选取</span>自己<span style="color: black;">爱好</span>的运动方式会更好,<span style="color: black;">更易</span><span style="color: black;">保持</span>下来。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">运动时间<span style="color: black;">重视</span>避开两个时间点</span></strong><span style="color: black;">。即饭后1小时内<span style="color: black;">(容易影响消化)</span>,和睡前1小时内<span style="color: black;">(容易影响<span style="color: black;">睡觉</span>质量)</span>。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">选取</span>适合的运动场所</span></strong><span style="color: black;">。举个例子,乳腺癌姐妹<span style="color: black;">倘若</span>是在户外运动,最好是有人陪同<span style="color: black;">或</span>避开人烟<span style="color: black;">稀疏</span>的<span style="color: black;">地区</span>,<span style="color: black;">以避免</span>身体<span style="color: black;">显现</span>胸闷气短、眩晕等不适症状时,陷入<span style="color: black;">没</span>人可求助的境地。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">选对运动时穿的鞋子</span></strong><span style="color: black;">。<span style="color: black;">科研</span><span style="color: black;">表示</span>,相比于运动鞋,其他鞋类的摔倒<span style="color: black;">危害</span><span style="color: black;">增多</span>了1.3倍<span style="color: black;"></span>。而乳腺癌姐妹本来就容易骨质疏松,可经不起摔。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> // </p><img src="https://mmbiz.qpic.cn/sz_mmbiz_gif/ukgsGc6BID7OQtfxLGUyLhZI3BA62FxozGUqUPibQFxTP1ZaOUnz9EUib66x6d6nnHmUmHODh6KyQ2oB2vib3CktQ/640?wx_fmt=gif&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">做家务≠运动。做家务属于单一部位的重复性活动,<span style="color: black;">损害</span><span style="color: black;">道理</span>大过<span style="color: black;">熬炼</span><span style="color: black;">道理</span>,可能你腰酸背痛、气喘吁吁45分钟,消耗的能量却不及跑步20分钟。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">举荐</span>阅读:</span><span style="color: black;"><a style="color: black;">《10年前确诊乳腺癌,她靠这个运动“甩掉”了癌细胞》</a><a style="color: black;">《运</a>动时间不同效果不同?乳腺癌<span style="color: black;">病人</span>这些时间运动更好!》</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/ukgsGc6BID6NEibdy8yAoGNgaReC4kr00xODXqA79ouv6jzbZTjyBpLwpNubYdVfMthVf0KeDUTTUNmrSqlqyzw/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><span style="color: black;"><strong style="color: blue;">写在最后</strong></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">说到底,吃药只是抗癌的一环,配套的<span style="color: black;">恢复</span>管理<span style="color: black;">亦</span>很<span style="color: black;">要紧</span>。正如两位不愿意给<span style="color: black;">病人</span>开药的<span style="color: black;">大夫</span>所追求的,乳腺癌姐妹应当将运动放到跟<span style="color: black;">药品</span>、手术同等<span style="color: black;">要紧</span>的位置,<span style="color: black;">平常</span>除了<span style="color: black;">重视</span><span style="color: black;">膳食</span>管理,还得<span style="color: black;">注意</span>运动<span style="color: black;">熬炼</span>哈。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">倘若</span>姐妹们就诊的医院有<strong style="color: blue;">好的医疗政策</strong>,<span style="color: black;">或</span>遇到了<strong style="color: blue;">很棒的<span style="color: black;">大夫</span></strong>,欢迎留言区分享,<span style="color: black;">大众</span>的互助经验能让肿瘤治疗变得更有温度<strong style="color: blue;"><span style="color: black;">❤</span></strong>!</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/ukgsGc6BID5ORobicmn8sEu4KgO1ic5H1ibEVgC1aXE7OpmGvImnLWBWgo05LGyqbmrjYkWoia2Qm9n7ChV770j1Wg/640?wx_fmt=png&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><strong style="color: blue;"><span style="color: black;">点击下方卡片关注吧</span></strong></p><span style="color: black;"><strong style="color: blue;"><span style="color: black;">更加多</span></strong></span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">关联</span>好文</strong></span><span style="color: black;">■ <a style="color: black;">内分泌治疗即将停药!我来分享一下乳腺癌用药、肚皮针经验</a></span><span style="color: black;">■ <a style="color: black;">癌细胞完全消失!我的成功经验,你<span style="color: black;">亦</span><span style="color: black;">能够</span>复制!</a></span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">■ <a style="color: black;">它是冬天最<span style="color: black;">瘦身</span>的<span style="color: black;">果蔬</span>,<span style="color: black;">然则</span>乳腺癌<span style="color: black;">病人</span>千万别<span style="color: black;">这般</span>吃……</a></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">温馨提醒:</span><span style="color: black;"><span style="color: black;">文案</span>旨在传递<span style="color: black;">疾患</span>知识,不<span style="color: black;">做为</span>诊疗<span style="color: black;">方法</span><span style="color: black;">举荐</span>及医疗依据。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">封面<span style="color: black;">照片</span><span style="color: black;">源自</span>:摄图网</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">责任编辑:网友投稿</span>觅健十一 </span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">参考<span style="color: black;">源自</span>:</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">https://www.gov.cn/jrzg/2010-12/24/content_1772495.htm</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">石汉平;丛明华;于雷;中国恶性肿瘤<span style="color: black;">病人</span>运动治疗专家共识,《肿瘤代谢与营养电子杂志2022(9)3,(P298-311)</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">Piercy KL, Troiano RP, Ballard RM. The Physical Activity Guidelines for Americans. JAMA. 2018 Nov 20;320(19):2020-2028.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">Watts Eleanor L,Matthews Charles E,Freeman Joshua R. Association of Leisure Time Physical Activity Types and Risks of All-Cause, Cardiovascular, and Cancer Mortality Among Older Adults.. JAMA network open,2022,5(8).</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">Koepsell TD, Wolf ME, Buchner DM. Footwear style and risk of falls in older adults. J Am Geriatr Soc. 2004 Sep;52(9):1495-501.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/ukgsGc6BID5n6n2Qibic8ytAWSUMWJOfGibib1lyRP2FJuLmARGlBhN4ZT9VnVA7dLYdJ7YcmDJB2oubHwe5IhVjiaA/640?wx_fmt=png&from=appmsg&wxfrom=5&wx_lazy=1&wx_co=1&tp=webp" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/ukgsGc6BID5ORobicmn8sEu4KgO1ic5H1ibkHpicKicYZVANOApLuO9ZPgYnwQmaibWlkJx2719UUMotibQr31hz4krcA/640?wx_fmt=gif&wxfrom=5&wx_lazy=1&tp=webp" style="width: 50%; margin-bottom: 20px;"></p>
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