中国全科医学2025，Vol.28Issue(30)：3729-3740,12.DOI:10.12114/j.issn.1007-9572.2025.0146
癌性疼痛中西医结合诊疗指南
Guidelines on the Diagnosis and Treatment of Cancer Pain by Integrated Traditional Chinese and Western Medicine
摘要
Abstract
Cancer pain refered to the pain experienced by cancer patients,including chronic cancer pain and cancer outbreak pain.The study showed that 59%of patients receiving antitumor therapy and 64%of patients with advanced tumors experienced cancer pain,and the incidence was related to the tumor site.The incidence of pain in patients with pancreatic cancer was approximately 95%,and that in patients with advanced lung cancer was about 80%.Cancer pain was associated with survival time and quality of life.Traditional Chinese medicine(TCM)treatment could effectively alleviate cancer pain and reduced the adverse reactions caused by Western medicine in treating cancer pain.The combination of traditional Chinese and Western medicine would help patients improve their quality of life and prolong their survival period.Therefore,the diagnosis of cancer pain and the standardized treatment of traditional Chinese and Western medicine were of great significance.This guide was led by Cancer Hospital of Chinese Academy of Medical Sciences,together with experts from 22 hospitals in China,including China-Japan Friendship Hospital,Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Guang'anmen Hospital Affiliated to China Academy of Chinese Medical Sciences,Beijing Hospital of Chinese Medicine Affiliated to Capital Medical University,based on the current diagnosis and treatment practice of cancer pain combined with traditional Chinese and Western medicine at home and abroad,through a review of literature evidence,and formed after extensive discussion.This guideline summarized and concluded the definitions,causes,diagnostic and assessment methods,as well as treatment approaches of cancer pain from the perspective of integrating traditional Chinese and Western medicine,provided decision-making basis for the diagnosis of cancer pain and the treatment plan of integrated Chinese and Western medicine,so as to guide clinical practice.关键词
恶性肿瘤/癌性疼痛/诊断/中西医结合Key words
Malignancy/Cancer pain/Diagnosis/Integrated traditional Chinese medicine&Western medicine分类
医药卫生引用本文复制引用
李淏,李沛瑾,刘婷婷,崔译元,李思聪,刘丽星,冯利,癌性疼痛中西医结合诊疗指南工作组..癌性疼痛中西医结合诊疗指南[J].中国全科医学,2025,28(30):3729-3740,12.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）
首都卫生发展科研专项项目(首发2024-2-4028,首发2020-2-4026) （首发2024-2-4028,首发2020-2-4026）
2023年北京市重大疑难疾病中西医协同攻关项目(2023BJSZDYNJBXTGG-004) （2023BJSZDYNJBXTGG-004）
中华中医药学会(CACMRE2023-A-07) （CACMRE2023-A-07）
