[1]徐忆芳,邹银水,李成银.中医治疗癌因性疲乏的方法特点分析[J].医学信息,2022,35(21):22-25.[doi:10.3969/j.issn.1006-1959.2022.21.005]
 XU Yi-fang,ZOU Yin-shui,LI Cheng-yin.Analysis on Characteristics of Traditional Chinese Medicine Treatment for Cancer-related Fatigue[J].Journal of Medical Information,2022,35(21):22-25.[doi:10.3969/j.issn.1006-1959.2022.21.005]
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中医治疗癌因性疲乏的方法特点分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年21期
页码:
22-25
栏目:
医学数据科学
出版日期:
2022-11-01

文章信息/Info

Title:
Analysis on Characteristics of Traditional Chinese Medicine Treatment for Cancer-related Fatigue
文章编号:
1006-1959(2022)21-0022-04
作者:
徐忆芳邹银水李成银
(湖北省中医院肿瘤科,湖北 武汉 430065)
Author(s):
XU Yi-fangZOU Yin-shuiLI Cheng-yin
(Department of Oncology,Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430065,Hubei,China)
关键词:
癌因性疲乏中药注射液针灸
Keywords:
Cancer-related fatigueChinese medicine injectionAcupuncture
分类号:
R273
DOI:
10.3969/j.issn.1006-1959.2022.21.005
文献标志码:
A
摘要:
目的 分析中医治疗癌因性疲乏的特点规律,以期为癌因性疲乏的治疗提供参考。方法 计算机检索中文及英文数据库建库至2020年10月关于中医治疗癌因性疲乏的随机对照临床研究,从中医治疗癌因性疲乏的方法、中药内服治疗癌因性疲乏的治法、中药注射液治疗癌因性疲乏、针灸治疗癌因性疲乏的常用穴位、常用经脉等方面探讨其规律。结果 共纳入135篇相关文献。①中医治疗癌因性疲乏的方法中最常用的是中药内服法,其余占比较高的是灸法、中药注射液、针刺;②中药内服治法中占比最高的是健脾益气法,其余占比由高到低依次是益气养阴法、扶正抗癌法、化瘀消积法、温补脾肾法;③中药注射液中使用最多的是参芪扶正注射液,其余由高到低依次是参麦注射液、艾迪注射液、康艾注射液、复方苦参注射液;④针刺治疗癌因性疲乏常用腧穴27个,频次共137次,选穴上使用频率较高的前3个穴位是足三里、气海、关元。针刺治疗共涉及经脉11条,使用频次最高的是任脉,其余依次是足阳明胃经、足少阴肾经、足太阴脾经、督脉、足厥阴肝经。结论 中医手段治疗癌因性疲乏有一定的疗效,其治疗方法多样,其中以中药内服最多;治疗原则上以补益为主,其中尤其注重对肝、脾、肾的调理。但中医治疗癌因性疲乏也存在辨证分型不一、疲乏评估不准、证据级别较低等问题,因此需要建立癌因性疲乏中医证候量表、开展癌因性疲乏疗效评估体系研究、开展高水平的临床研究,以提高循证证据级别。
Abstract:
Objective To analyze the characteristics and laws of traditional Chinese medicine in the treatment of cancer-related fatigue, in order to provide reference for the treatment of cancer-related fatigue.Methods The randomized controlled clinical study of traditional Chinese medicine in the treatment of cancer-related fatigue was searched by computer from the establishment of Chinese and English databases to October 2020. The methods of traditional Chinese medicine in the treatment of cancer-related fatigue, the treatment of cancer-related fatigue by oral administration of traditional Chinese medicine, the treatment of cancer-related fatigue by traditional Chinese medicine injection, the common acupoints and meridians of acupuncture and moxibustion in the treatment of cancer-related fatigue were analyzed and discussed.Results A total of 135 related literatures were included. ①The most commonly used method of traditional Chinese medicine treatment for cancer-related fatigue was the oral administration of traditional Chinese medicine, and the rest were moxibustion, Chinese medicine injection, and acupuncture; ②In the traditional Chinese medicine, the highest proportion was the method of strengthening the spleen and nourishing qi, and the remaining proportions from high to low were the method of nourishing qi and nourishing yin, the method of strengthening the body and anti-cancer, the method of removing blood stasis and eliminating accumulation, and the method of warming the spleen and kidney; ③Among the traditional Chinese medicine injections, Shenqi Fuzheng injection was the most used, and the rest were Shenmai injection, Aidi injection, Kangai injection and Fufang Kushen injection in descending order; ④Acupuncture and moxibustion commonly used 27 acupoints in the treatment of cancer-related fatigue, with a frequency of 137 times. Acupuncture treatment involves a total of 11 meridians, the most frequently used was the Ren meridian, followed by the stomach meridian of Foot Yangming, the Kidney Meridian of Foot Shaoyin, the Spleen Meridian of Foot Taiyin, the Governor Vessel, and the Liver Meridian of Foot Jueyin.Conclusion Traditional Chinese medicine treatment of cancer-related fatigue has a certain effect, its treatment methods are diverse, of which the most oral Chinese medicine; treatment in principle tonic-based, with particular emphasis on liver, spleen, kidney conditioning. However, there are also some problems in the treatment of cancer-related fatigue by traditional Chinese medicine, such as different syndrome differentiation, inaccurate fatigue evaluation and low level of evidence. Therefore, it is necessary to establish a traditional Chinese medicine syndrome scale for cancer-related fatigue, carry out research on the evaluation system of cancer-related fatigue, and carry out high-level clinical research to improve the level of evidence-based evidence.

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更新日期/Last Update: 1900-01-01