摘要
《转移性结直肠癌中医诊疗指南》是我国首部转移性结直肠癌的中医诊疗指南,相较于传统西医诊疗指南,着重规范了中医药在转移性结直肠癌诊疗中的应用,凸显了转移性结直肠癌的中医药特色治疗方案。本指南由中国中医科学院西苑医院肿瘤诊疗部牵头,联合北京大学肿瘤医院等全国15家医院,参与指南起草的18名相关代表共同制定,于2022年7月28日在中华中医药学会正式发布。参与指南起草的肿瘤专家对转移性结直肠癌中医诊疗提出了4条共识性推荐意见,主张在转移性结直肠癌治疗的全过程中充分发挥中医诊疗的优势和特色,同时根据患者具体的病理分期、基因分型、发展趋势,以最新国际临床指南为参照,以中医理论为指导,根据疾病发展的不同阶段,结合患者实际情况和临床需求,采用中西医相结合的方法,有计划地、合理地将西医常规治疗与临床验证有效的中医各种治疗方法相结合,以降低西医常规治疗的不良反应,改善患者生命质量,延长患者的生存期,最大限度地提高患者的获益。本指南对转移性结直肠癌的辨证分型、改善生命质量的中医药、延长生存期的中医药、中医药治疗后疗效评价等4个方面进行了规范,旨在提高当前转移性结直肠癌中医诊疗能力,并为从事中医诊疗转移性结直肠癌的医务人员提供推荐意见及指导。
The Guidelines for Traditional Chinese Medicine Diagnosis and Treatment of Metastatic Colorectal Cancer is the first guidelines in this field in China.Compared with the western medicine diagnosis and treatment guidelines,it standardizes the application of traditional Chinese medicine(TCM)in the diagnosis and treatment of metastatic colorectal cancer,highlighting the unique TCM therapies for this disease.The Guidelines was developed by the Cancer Diagnosis and Treatment Center of Xiyuan Hospital Affiliated to China Academy of Chinese Medical Sciences in collaboration with 15 hospitals including Beijing Cancer Hospital.It was drafted by a total of 18 experts and officially released by the China Association of Chinese Medicine on July 28,2022.The tumor experts participating in the drafting of the Guidelines proposed four consensus recommendations for the TCM diagnosis and treatment of metastatic colorectal cancer.They advocate fully utilizing the advantages and characteristics of TCM diagnosis and treatment throughout the entire process of treatment.According to the specific pathological stages,genetic typing,and development trends of patients,doctors can develop the treatment schemes under the guidance of the latest international clinical guidelines and TCM theory.TCM therapies proved to be effective in clinical practice can be combined with conventional western medicine therapies with consideration to different stages of disease development and the actual situation and clinical needs of patients,which can reduce the adverse reactions caused by conventional western medicine treatment,improve the quality of life,and extend the survival,thus maximizing patients′benefits.The Guidelines standardizes the differentiation and typing of metastatic colorectal cancer,the TCM therapies for improving the quality of life and prolonging the survival,and the evaluation of TCM treatment efficacy.It aims to improve the current diagnostic and treatment capability of TCM for metastatic colorectal cancer and provide recommendations and guidance for medical personnel engaged in TCM diagnosis and treatment of this disease.
作者
王磊
顾知恩
翟嘉威
陈悦
徐钰莹
张彤
杨宇飞
WANG Lei;GU Zhi′en;ZHAI Jiawei;CHEN Yue;XU Yuying;ZHANG Tong;YANG Yufei(Cancer Diagnosis and Treatment Center,Xiyuan Hospital Affiliated to China Academy of Chinese Medical Sciences,Beijing 100091,China;Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《世界中医药》
CAS
2023年第11期1509-1515,共7页
World Chinese Medicine
基金
国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者:杨宇飞,(国中医药人教函〔2018〕288)
国家中医药管理局——2019年重大疑难疾病中西医临床协作能力建设项目(结直肠癌)[国中医药办医政函(2018)275]。
关键词
转移性结直肠癌
中医诊疗
临床指南
典型病例
Metastatic colorectal cancer
Traditional Chinese medicine diagnosis and treatment
Clinical guidelines
Typical cases
