前列腺癌雄激素剥夺治疗后并发症中医诊疗专家共识
Expert Consensus on Traditional Chinese Medicine Diagnosis and Treatment of Complications After Androgen Deprivation Therapy for Prostate Cancer
中国性学会中医性学分会专家共识编写组 中国医师协会中西医结合医师分会泌尿外科专业委员会专家共识编写组
摘要
目前国内对于前列腺癌雄激素剥夺治疗后并发症中医诊疗缺乏共识,为制订前列腺癌雄激素剥夺治疗后并发症中医诊疗策略,根据现有的循证医学证据结合全国多家泌尿外科、男科研究单位的实践经验,中国性学会中医性学分会组织相关临床专家经共识起草、学会审核、专家访谈、共识会议、审稿会等程序充分讨论形成本共识.本共识基于专家临床经验、循证医学证据等综合评估做出前列腺癌雄激素剥夺治疗后并发症中医诊疗规范,为使更多患者在诊疗过程中获益.前列腺癌雄激素剥夺治疗后并发症属于"虚劳""癥瘕"范畴,病因病机主要为药毒致病,导致机体阴阳失衡,脏腑功能失调,为本虚标实之证.治疗主张分期论治、辨证论治,主要治法有中药内服治疗、针灸治疗等,基于中医基础理论可进行中医调护.
Abstract
At present,there is no consensus on the traditional Chinese medicine(TCM)diagnosis and treatment of complications after androgen deprivation therapy for prostate cancer in China.In order to formulate TCM diagnosis and treatment strategies for complications after androgen deprivation therapy for prostate cancer,the existing evidence-based medical evidence and the practical experience of several urology and andrology research units in China were considered.The Branch of the Chinese Sexology Association organized relevant clinical experts to fully discuss and form this consensus through the procedures of consensus drafting,society review,expert interview,consensus meeting,draft review meeting,etc.This consensus was based on the comprehensive evaluation of clinical expert experience and evidence-based medical evidence to make TCM diagnosis and treatment norms for complications after androgen deprivation therapy for prostate cancer,so as to benefit more patients in the diagnosis and treatment process.The complications after androgen deprivation therapy for prostate cancer belong to the category of"consumptive disease"and"abdominal mass",and the etiology and pathogenesis are mainly caused by drug toxicity,resulting in the imbalance of Yin and Yang of the body and the dysfunction of the Zang-Fu organs,which is the syndrome of asthenia in origin and asthenia in superficiality.Treatment by stages and syndrome differentiation are advocated.The main treatment methods include internal administration of TCM,acupuncture and moxibustion treatment,etc.,and TCM care can be carried out based on the basic theory of TCM.
关键词
前列腺癌/雄激素剥夺治疗/并发症/中医/专家共识Key words
prostate cancer/androgen deprivation therapy/complication/traditional Chinese medicine/expert consensus引用本文复制引用
出版年
2025
国家科技期刊平台
NSTL
维普
万方数据