中国全科医学2025，Vol.28Issue(27)：3345-3358,14.DOI:10.12114/j.issn.1007-9572.2025.0134
癌因性疲乏中西医结合诊疗指南
Clinical Practice Guideline for the Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Cancer-related Fatigue
摘要
Abstract
Cancer-related fatigue(CRF)is a painful,persistent,subjective,physical,emotional or cognitive feeling of fatigue caused by multiple factors related to cancer or cancer treatment,which does not match the amount of recent activity and seriously affects the quality of life of tumor patients.However,there are no approved Western medicine indications specifically for CRF,and treatment recommendations are mostly symptomatic and supportive.In contrast,traditional Chinese medicine(TCM)has demonstrated better clinical efficacy through syndrome differentiation and treatment.The"Clinical Practice Guideline for the Cancer-related Fatigue with Integrated Traditional Chinese and Western Medicine"still remains a blank slate.To better guide the clinical practice of integrated traditional Chinese and Western medicine in the management of CRF,the guideline working group,in collaboration with domestic experts in the field of oncology,conducted discussions based on evidence-based medicine.Ultimately,the"Clinical Practice Guideline for the Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Cancer-related Fatigue"was formulated.This guideline introduces the epidemiological characteristics and pathogenesis of CRF,elaborates on the diagnostic criteria and evaluation methods from both traditional Chinese and Western medicine perspectives,and provides a detailed discussion of the integrated traditional Chinese and Western medicine treatment strategies.These strategies include TCM treatment,external TCM therapies,Western medicine treatment,psychological therapy,exercise,and dietary management.And the guideline offers recommendations for post-treatment assessment and preventive care to guide clinical treatment and improve patients'quality of life,with the aim of more formally,comprehensively,and integratively guiding and regulating the clinical diagnosis and treatment of CRF.关键词
癌因性疲乏/疲劳/中西医结合/诊疗指南Key words
Cancer-related fatigue/Fatigue/Integrated traditional Chinese medicine and western medicine/Diagnostic and treatment guideline分类
医药卫生引用本文复制引用
崔译元,闫逸婧,王颖,孟祥聚,张庆林,刘丽星,李思聪,冯利,癌因性疲乏中西医结合诊疗指南工作组..癌因性疲乏中西医结合诊疗指南[J].中国全科医学,2025,28(27):3345-3358,14.基金项目
国家重点研发计划"中医药现代化"重点专项(2023YFC3503200,2023YFC3503203) （2023YFC3503200,2023YFC3503203）
2023年北京市重大疑难疾病中西医协同攻关项目(2023BJSZDYNJBXTGG-004) （2023BJSZDYNJBXTGG-004）
首都卫生发展专项(首发2024-2-4028) （首发2024-2-4028）
中华中医药学会(CACMRE2023-A-07) （CACMRE2023-A-07）
