肿瘤善于制造“绝望”，但咱们善于“绝处逢生”丨汇你我力量·点期盼之光
<img src="https://mmbiz.qpic.cn/mmbiz_gif/Oic1ISJQh4wGfFSBNxW3OwXRPY9KLOlA3Zxl1zDK6JiczmwAfL12uSwUdo4JojAQVWFRibUmicib8VAlI6zlwsXFWtg/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">点击下方关注，抗癌知识不<span style="color: black;">错失</span>~</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">作者：Tony</p><span style="color: black;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">与癌共舞论坛倡导：</strong></p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">医学的进步<span style="color: black;">不该</span>该<span style="color: black;">仅有</span>冷冰冰的科技感，<span style="color: black;">亦</span>应该更加人文和人性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一颗新药的<span style="color: black;">显现</span>，离不开临床<span style="color: black;">实验</span>。而当前强调的“以<span style="color: black;">病人</span>为中心”临床<span style="color: black;">实验</span>，还<span style="color: black;">必须</span>更好地敞开“<span style="color: black;">前门</span>”，以让<span style="color: black;">病人</span>充分<span style="color: black;">认识</span>、参与并<span style="color: black;">守护</span>好<span style="color: black;">自己</span>权益。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“同情用药”等临床<span style="color: black;">实验</span>实践，让更广泛的<span style="color: black;">病人</span>群体<span style="color: black;">即时</span>享受到了医学进步带来的获益，<span style="color: black;">亦</span>印证了“以<span style="color: black;">病人</span>为中心”的强大力度。<span style="color: black;">药物</span>上市的<span style="color: black;">基本</span>目的是<span style="color: black;">处理</span><span style="color: black;">病人</span>需求，<span style="color: black;">因此</span>，<span style="color: black;">病人</span>的声音应该缭绕在<span style="color: black;">全部</span>临床<span style="color: black;">实验</span>全周期。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在临床<span style="color: black;">实验</span>中，<span style="color: black;">病人</span>被命名为“<span style="color: black;">科研</span>参与者”，你的发声<span style="color: black;">一样</span><span style="color: black;">要紧</span>，将汇聚成川，在肿瘤新药<span style="color: black;">开发</span>的浪潮中，注入新的活力，带来<span style="color: black;">更加多</span><span style="color: black;">期盼</span>！</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/dFkdDX0DErHoPfSb32Ge6jEetvUziaHJC8lUtl5xYiagoOVNDjk2k3apKLCfxy8OULcIZar3HAgymicj1Ce6TDYWg/640?wx_fmt=jpeg&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;">照片</span><span style="color: black;">源自</span>：摄图网</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">“你吃个橘子好不啦？”</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在电影《我不是药神》中，癌症<span style="color: black;">病人</span>吕受益<span style="color: black;">第1</span>次见到程勇时，递给他一个橘子套近乎，后来橘子在这部电影中又<span style="color: black;">显现</span>了多次。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/dFkdDX0DErHoPfSb32Ge6jEetvUziaHJCQCQZ5sErACr0AzaBT4ZOeViaicq6vfGGW85SiaicsJK8ibpHX4Jvz6tibC2w/640?wx_fmt=jpeg&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;">照片</span><span style="color: black;">源自</span>：摄图网</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不少病友都偏爱橘子，<span style="color: black;">由于</span>它的橙色使人平静，病人很<span style="color: black;">必须</span>这种充满生命力却又不突兀的颜色，<span style="color: black;">况且</span>它有皮，又清香又安全，还是<span style="color: black;">食品</span>中最便宜的维生素<span style="color: black;">源自</span>之一。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">橘子，<span style="color: black;">能够</span>说是吕受益对<span style="color: black;">疾患</span>保持<span style="color: black;">阳光</span>，对生命充满<span style="color: black;">期盼</span>的隐喻。</span></strong>而在数百年前，橘子真的在人类与当时的“夺命瘟神”战斗中立过大功。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">用柑橘类<span style="color: black;">果蔬</span>破解“坏血病”</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">人类历史上<span style="color: black;">第1</span>次临床<span style="color: black;">实验</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在16至18世纪的大航海时代，坏血病<span style="color: black;">作为</span>横行船舱的“夺命瘟神”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这种<span style="color: black;">疾患</span>由维生素C<span style="color: black;">长时间</span>缺乏<span style="color: black;">导致</span>，<span style="color: black;">引起</span>船员们肌肉<span style="color: black;">病痛</span>、牙龈<span style="color: black;">流血</span>、关节肿胀乃至死亡。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">尽管之前有些零星的观察指出<span style="color: black;">鲜嫩</span><span style="color: black;">果蔬</span>和蔬菜可能有助于缓解症状，但<span style="color: black;">无</span>系统的科学证据支持这一观点。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1747年5月20日，时任英国皇家海军外科<span style="color: black;">大夫</span>的詹姆斯·林德随船出海，见识过坏血病恐怖的他，在船上设计了一个前所未有的临床<span style="color: black;">实验</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">林德<span style="color: black;">选择</span>了12名病情<span style="color: black;">类似</span>的坏血病<span style="color: black;">病人</span>，将<span style="color: black;">她们</span>分成六组，每组2人。除常规<span style="color: black;">膳食</span>外，给每组病人分配了不同的辅食治疗，<span style="color: black;">包含</span>醋、海水、橘子和柠檬、硫酸钠等，旨在直接对比不同疗法的效果。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">仅仅几天后，吃橘子和柠檬组的两位<span style="color: black;">病人</span>，其中一位就<span style="color: black;">已然</span>恢复工作能力，另一位<span style="color: black;">亦</span>基本<span style="color: black;">恢复</span>。而其他组的<span style="color: black;">病人</span>则病情依旧<span style="color: black;">乃至</span><span style="color: black;">出现</span>恶化。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">林德<span style="color: black;">认识</span>到，柑橘类<span style="color: black;">果蔬</span>中含有一种对抗坏血病的<span style="color: black;">重要</span><span style="color: black;">成份</span>，尽管那时他并不<span style="color: black;">晓得</span>那<span style="color: black;">便是</span>维生素C。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">后来又经历了<span style="color: black;">有些</span>周折，40<span style="color: black;">数年</span>后，英国海军才采纳了林德的<span style="color: black;">意见</span>，<span style="color: black;">需求</span>所有远航船只携带并分配柠檬或柠檬汁给船员。效果立竿见影，坏血病病例数量大幅减少。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">而林德的工作<strong style="color: blue;"><span style="color: black;">如一盏明灯，照亮了后人</span></strong>，后代<span style="color: black;">专家</span>们进一步<span style="color: black;">科研</span>并<span style="color: black;">最后</span>在20世纪初确认了维生素C的存在及其对坏血病的<span style="color: black;">功效</span>，今天，坏血病<span style="color: black;">已然</span>退出了历史舞台。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">林德的坏血病<span style="color: black;">实验</span>是人类历史上<span style="color: black;">第1</span>次系统的、有对照的临床<span style="color: black;">实验</span>，真正<span style="color: black;">道理</span>上走出了神农尝百草时代证实<span style="color: black;">药品</span>疗效的困境。<span style="color: black;">由于</span>这一<span style="color: black;">实验</span>的<span style="color: black;">道理</span>非凡，为此将5月20日，即林德随船出海的那一天，设立为“国际临床<span style="color: black;">实验</span>日”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">“520”谐音爱的告白</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">“20岁的她”更<span style="color: black;">必须</span>认同感</strong></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;">今天是第20个“5·20”国际临床<span style="color: black;">实验</span>日，口号是“汇你我力量 点<span style="color: black;">期盼</span>之光”。这一天不仅适合爱的告白，更托举着生命的<span style="color: black;">期盼</span>和人间大爱。</strong></span></p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/dFkdDX0DErHoPfSb32Ge6jEetvUziaHJCcZrL7ptK4ZEHgf92Pr8Cepjmm1zKLsvxZiagnia6mj5alSmIOCb6XjcQ/640?wx_fmt=png&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;">由于</span>有了临床<span style="color: black;">实验</span>，人类才有了“降魔”的法宝，生命之花才如此绚丽。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">日前</span>所有新的医疗健康知识及<span style="color: black;">药物</span>的产生，都是<span style="color: black;">经过</span>临床<span style="color: black;">实验</span><span style="color: black;">得到</span>验证并得以应用的。</span></strong>据统计，NCCN<span style="color: black;">颁布</span>的第5版非小细胞肺癌治疗指南中有208个临床<span style="color: black;">实验</span>的数据支持，这一数字<span style="color: black;">暗地里</span>，是<span style="color: black;">研究</span>人员、<span style="color: black;">大夫</span>和<span style="color: black;">病人</span>的<span style="color: black;">一起</span><span style="color: black;">奋斗</span>，是临床<span style="color: black;">实验</span>不可或缺的证明。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">临床<span style="color: black;">实验</span>对<span style="color: black;">咱们</span>的<span style="color: black;">要紧</span><span style="color: black;">功效</span>还<span style="color: black;">表现</span>在：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"> 新药和新疗法的<span style="color: black;">研发</span>：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">临床<span style="color: black;">实验</span>是新<span style="color: black;">药品</span>从理论到<span style="color: black;">实质</span>应用的必经之路，能够<span style="color: black;">评定</span>新药的安全性、有效性以及<span style="color: black;">得到</span>最佳剂量等<span style="color: black;">重要</span>信息。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">改进治疗<span style="color: black;">办法</span>及推进个体化医疗：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">经过</span>对比新旧疗法，<span style="color: black;">能够</span><span style="color: black;">发掘</span>更加有效或副<span style="color: black;">功效</span>更少的治疗<span style="color: black;">方法</span>；<span style="color: black;">同期</span>，随着<span style="color: black;">精细</span>医疗发展，有助于<span style="color: black;">研发</span>出更适合<span style="color: black;">病人</span>的个性化治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">3</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">医疗设备和预防<span style="color: black;">办法</span>的<span style="color: black;">评定</span>：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除了<span style="color: black;">药品</span>和治疗<span style="color: black;">办法</span>，临床<span style="color: black;">实验</span>还用于<span style="color: black;">评定</span>医疗设备和预防<span style="color: black;">办法</span>的有效性和安全性，如疫苗、手术技术等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">4</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">推动<span style="color: black;">全世界</span>医学互通与进步：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">临床<span style="color: black;">实验</span><span style="color: black;">常常</span><span style="color: black;">触及</span><span style="color: black;">跨境</span>合作，其结果为<span style="color: black;">全世界</span>医学知识库贡献了宝贵信息，<span style="color: black;">加强</span>人类总体医疗水平，<span style="color: black;">同期</span>，还能为应对<span style="color: black;">全世界</span>性卫生问题，<span style="color: black;">供给</span>科学依据和应对<span style="color: black;">办法</span>。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/dFkdDX0DErHoPfSb32Ge6jEetvUziaHJC6qiaHqM5ibemp7icDnVvyzlN6WXzI1tBhsBhRsFgusZ2hbRbrNpOWVUEw/640?wx_fmt=jpeg&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;">照片</span><span style="color: black;">源自</span>：摄图网</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">3</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">站在现代医学的最前沿</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">照到生命的曙光</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肿瘤之<span style="color: black;">因此</span>让<span style="color: black;">咱们</span>感到恐惧，源于它治疗结果好坏的“不确定性”和治疗花费巨大的“确定性”，人财两空的<span style="color: black;">结果</span>给太多家庭的<span style="color: black;">将来</span>留下了一条<span style="color: black;">暗中</span>的道路。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">那样</span>，有<span style="color: black;">无</span>一种<span style="color: black;">办法</span>，让<span style="color: black;">病人</span>不需要经历漫长的等待，又不<span style="color: black;">必须</span>背负沉重的经济<span style="color: black;">包袱</span>，就能站在现代医学的前沿照到生命的曙光？</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">参加临床<span style="color: black;">实验</span>确实是一种办法，NCCN<span style="color: black;">亦</span>在其指南中<span style="color: black;">说到</span>：治疗<span style="color: black;">选取</span>之一<span style="color: black;">便是</span>参加临床<span style="color: black;">实验</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">况且</span><span style="color: black;">非常多</span>临床<span style="color: black;">实验</span>会为<span style="color: black;">病人</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">供给</span>免费<span style="color: black;">药物</span>以及<span style="color: black;">关联</span>免费的<span style="color: black;">检测</span>，或是减免<span style="color: black;">病人</span>一部分的治疗<span style="color: black;">花费</span>，</span></strong><span style="color: black;">病人</span>不会有太重的经济压力。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">然则</span>，鉴于临床<span style="color: black;">实验</span>的特殊性，<span style="color: black;">实验</span>中仍然存在<span style="color: black;">有些</span><span style="color: black;">危害</span>，例如新的治疗<span style="color: black;">方法</span>不<span style="color: black;">必定</span>优于标准治疗，<span style="color: black;">亦</span>不是所有的临床<span style="color: black;">实验</span>都能够<span style="color: black;">保准</span><span style="color: black;">病人</span>获益。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">对此，与癌共舞论坛超级版主——“鹰版”认为，病友们<span style="color: black;">是不是</span><span style="color: black;">选取</span>参加临床<span style="color: black;">实验</span>，<span style="color: black;">首要</span>要结合<span style="color: black;">自己</span>病情的<span style="color: black;">实质</span><span style="color: black;">状况</span>，<span style="color: black;">倘若</span>指南中的治疗<span style="color: black;">方法</span>很成熟，<span style="color: black;">况且</span>疗效很好的话，那<span style="color: black;">根据</span>成熟<span style="color: black;">方法</span>进行治疗<span style="color: black;">就可</span>；<span style="color: black;">倘若</span>确实经济<span style="color: black;">包袱</span>大，或现行<span style="color: black;">无</span>合适的治疗<span style="color: black;">方法</span>，<span style="color: black;">能够</span><span style="color: black;">思虑</span>参加临床<span style="color: black;">实验</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">选取</span>临床<span style="color: black;">实验</span>时，鹰版<span style="color: black;">意见</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">根据</span>以下优先级来<span style="color: black;">评估</span>：</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.国外<span style="color: black;">已然</span>上市的新药，<span style="color: black;">弥补</span>针对国内人群临床数据的临床实验为最优级；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.在国内外<span style="color: black;">已然</span><span style="color: black;">获准</span>的新药，新开适应症的临床实验为次优级，<span style="color: black;">例如</span><span style="color: black;">非常多</span>PD-1单抗在上市时<span style="color: black;">获准</span>适应症是淋巴瘤，之后扩充NSCLC适应症时的临床<span style="color: black;">实验</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3.新<span style="color: black;">开发</span><span style="color: black;">药品</span>有<span style="color: black;">知道</span>的已上市对标<span style="color: black;">药品</span>的Ⅱ期、Ⅲ期临床实验，<span style="color: black;">例如</span>国内药厂<span style="color: black;">根据</span>me too或me better思路<span style="color: black;">开发</span>的EGFR三代药、ALK二代药等开展的Ⅱ期、Ⅲ期临床<span style="color: black;">实验</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4.<span style="color: black;">倘若</span><span style="color: black;">病人</span>是罕见突变，<span style="color: black;">或</span>多线治疗后耐药，现有指南中<span style="color: black;">日前</span><span style="color: black;">无</span>成熟治疗<span style="color: black;">方法</span>，<span style="color: black;">能够</span>参加针对这种<span style="color: black;">状况</span>的新药临床实验。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">总而言之，<span style="color: black;">是不是</span>参加临床<span style="color: black;">实验</span>，<span style="color: black;">病人</span>和家属<span style="color: black;">必须</span>结合<span style="color: black;">自己</span><span style="color: black;">实质</span><span style="color: black;">状况</span>，综合<span style="color: black;">思虑</span>。愿生命的曙光，终能照耀到每一位病友的前行之路。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/dFkdDX0DErHoPfSb32Ge6jEetvUziaHJCXgvKYPk3xnpWJtfW8LJRbWFbNEovMZcmWI7Zsn60U1uy0dNKGP4U6Q/640?wx_fmt=jpeg&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;">照片</span><span style="color: black;">源自</span>：摄图网</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">4</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">临床<span style="color: black;">实验</span>应多“倾听<span style="color: black;">病人</span>声音”</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">保证</span><span style="color: black;">病人</span><span style="color: black;">不仅</span>“同意”<span style="color: black;">况且</span>“真正知情”</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2022年8月，国家药监局<span style="color: black;">药物</span>审评中心<span style="color: black;">（CDE）</span>三连发“以<span style="color: black;">病人</span>为中心”的临床<span style="color: black;">实验</span><span style="color: black;">指点</span>原则，强调新药<span style="color: black;">开发</span><span style="color: black;">必须</span>更<span style="color: black;">注意</span>“倾听<span style="color: black;">病人</span>的声音”。不少临床专家在谈及临床<span style="color: black;">实验</span>贡献时<span style="color: black;">亦</span>呼吁， “<span style="color: black;">期盼</span><span style="color: black;">经过</span><span style="color: black;">媒介</span>等途径强化宣传<span style="color: black;">怎样</span><span style="color: black;">守护</span>受试者权益，<span style="color: black;">持续</span><span style="color: black;">加强</span><span style="color: black;">大夫</span>对<span style="color: black;">病人</span>的人文关怀。”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由于</span>政策和患教推动，临床<span style="color: black;">实验</span>的价值近年来<span style="color: black;">持续</span>被认可，但<span style="color: black;">病人</span>的参与度却仍<span style="color: black;">处在</span>较低水平。究其<span style="color: black;">原由</span>，<span style="color: black;">病人</span><span style="color: black;">认识</span><span style="color: black;">途径</span>窄、真实诉求难触达以及额外的诊疗<span style="color: black;">包袱</span>等是其<span style="color: black;">重点</span><span style="color: black;">原由</span>，<span style="color: black;">同期</span>各项社会<span style="color: black;">保证</span>配套政策缺乏，<span style="color: black;">亦</span>为<span style="color: black;">病人</span><span style="color: black;">认识</span>、参与临床<span style="color: black;">实验</span>制造了<span style="color: black;">阻碍</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">今年，与癌共舞论坛开展了《临床<span style="color: black;">实验</span>你<span style="color: black;">怎样</span>看》问卷调研，共收集863份有效问卷，其中113份参与过临床<span style="color: black;">实验</span>，750份则未参与过。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">经过</span>对比数据分析<span style="color: black;">发掘</span>，<span style="color: black;">没</span>论<span style="color: black;">是不是</span>参与过临床<span style="color: black;">实验</span>的答复，都有过半<span style="color: black;">病人</span>或家属表达出“不太理解临床<span style="color: black;">实验</span><span style="color: black;">针对</span>患者的<span style="color: black;">道理</span>”，对其获益和<span style="color: black;">危害</span><span style="color: black;">处在</span>一知半解的状态。<span style="color: black;">然则</span>，在参与过临床<span style="color: black;">实验</span>的113份答卷中，又有60%的答复<span style="color: black;">暗示</span>，在入组临床<span style="color: black;">实验</span>时，有专业人员<span style="color: black;">诠释</span><strong style="color: blue;"><span style="color: black;">“<span style="color: black;">病人</span>知情同意书”</span></strong>，并且<span style="color: black;">能够</span>听懂。这似乎有些前后矛盾。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_png/dFkdDX0DErHoPfSb32Ge6jEetvUziaHJClQoKPWf6Fymib9aEEMcaOtcaWIAzky61KqMHsPmvOmcGZmEjzJg18Kg/640?wx_fmt=png&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;">其实，在临床入组招募过程中，<span style="color: black;">倘若</span>能用通俗易懂的语言给<span style="color: black;">病人</span>和家属科普<span style="color: black;">药品</span><span style="color: black;">功效</span>机理和<span style="color: black;">危害</span>，会有效改变<span style="color: black;">日前</span>临床入组时<span style="color: black;">病人</span>“同意”但其实“并不完全知情”的<span style="color: black;">状况</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">这<span style="color: black;">亦</span>是<span style="color: black;">为何</span>有60%的入组<span style="color: black;">病人</span>说听懂了专业人员的<span style="color: black;">诠释</span>，但<span style="color: black;">仅有</span><span style="color: black;">少许</span><span style="color: black;">病人</span>对临床<span style="color: black;">实验</span>完全<span style="color: black;">认识</span>，<span style="color: black;">晓得</span>可能面对的<span style="color: black;">危害</span>。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">病人</span>和家属有一个永恒不变的追求——有质量的延长<span style="color: black;">存活</span>期。</span></strong>而其他的需求则会随着时代的发展而<span style="color: black;">出现</span>变化。<span style="color: black;">例如</span>从2018年<span style="color: black;">起始</span><span style="color: black;">非常多</span>抗癌药<span style="color: black;">持续</span>纳入<span style="color: black;">医疗保险</span>后，以往参加临床<span style="color: black;">实验</span>为了降低治疗经济<span style="color: black;">包袱</span>的需求变<span style="color: black;">成为了</span>次要<span style="color: black;">原由</span>，<span style="color: black;">得到</span>更先进的治疗机会则是驱动<span style="color: black;">病人</span>参加临床<span style="color: black;">实验</span>的首选。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此呢</span>，<span style="color: black;">做为</span><span style="color: black;">病人</span>组织，<strong style="color: blue;"><span style="color: black;">与癌共舞论坛<span style="color: black;">期盼</span>依托于<span style="color: black;">病人</span>的真实发声和需求，与<span style="color: black;">科研</span>者、医疗工作者以及医药<span style="color: black;">公司</span><span style="color: black;">一起</span>推进“以<span style="color: black;">病人</span>为中心”临床<span style="color: black;">实验</span>更好落地</span></strong>，<span style="color: black;">提高</span><span style="color: black;">病人</span><span style="color: black;">做为</span>“<span style="color: black;">科研</span>参与者”的参与度和<span style="color: black;">协同</span>度，推进临床<span style="color: black;">实验</span>进程：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在临床前<span style="color: black;">周期</span>，<span style="color: black;">经过</span><span style="color: black;">病人</span>群、病友会等方式，让<span style="color: black;">病人</span>声音传递到临床<span style="color: black;">实验</span>的设计中，不仅<span style="color: black;">能够</span><span style="color: black;">帮助</span><span style="color: black;">科研</span>者收集到足够的<span style="color: black;">目的</span>病例，还能更大程度的满足<span style="color: black;">病人</span>需求，支持<span style="color: black;">实验</span>设计更全面。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在临床<span style="color: black;">实验</span>设计过程中，基于<span style="color: black;">病人</span>的真实诉求，一方面，支持宣传话术设计，<span style="color: black;">保证</span><span style="color: black;">病人</span>的知悉途径和<span style="color: black;">认识</span>程度，<span style="color: black;">提高</span>招募效率；另一方面，<span style="color: black;">帮助</span><span style="color: black;">科研</span>者确定合适的临床终点，更<span style="color: black;">恰当</span>地<span style="color: black;">评定</span>治疗可能产生的影响。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在临床<span style="color: black;">实验</span>过程中，<span style="color: black;">帮助</span><span style="color: black;">病人</span>更全面<span style="color: black;">认识</span>和<span style="color: black;">评定</span>治疗收益和<span style="color: black;">危害</span>影响，<span style="color: black;">包含</span>所享受的权利和应该履行的义务，加速打通临床<span style="color: black;">实验</span>的“医、研、企、患”链条，<span style="color: black;">提高</span><span style="color: black;">开发</span>质效。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">药品</span><span style="color: black;">评估</span>过程中，来自于<span style="color: black;">病人</span>视角的意见，<span style="color: black;">亦</span>将<span style="color: black;">作为</span><span style="color: black;">科研</span>者以及监管<span style="color: black;">分部</span>的决策参考。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最后，<span style="color: black;">倘若</span>您对参加临床<span style="color: black;">实验</span>有其他看法和<span style="color: black;">意见</span>，欢迎留言，或添加小助手<span style="color: black;">微X</span>沟通！</p>
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