基于德尔菲法中医治疗癌因性疲乏的共识
Consensus on Traditional Chinese Medicine Treatment of Cancer-Related Fatigue Based on Delphi Method
林丽珠 1陆丽明 2关洁珊 3陈汉锐 1曹洋 1方灿途 4田华琴 5李杰 6华海清 7许玲 8陈信义 9陈元 10赵英杰 11贾立群 12贾英杰 13黎丽花 3李阳14
作者信息
- 1. 中医药广东省实验室,广东 珠海 519031;广州中医药大学第一附属医院,广东 广州 510405
- 2. 广州中医药大学,广东 广州 510405
- 3. 广州中医药大学第一附属医院,广东 广州 510405
- 4. 中医药广东省实验室,广东 珠海 519031;中山市中医院,广东 中山 528400
- 5. 佛山市中医院,广东 佛山 528051
- 6. 中国中医科学院广安门医院,北京 100053
- 7. 中国人民解放军东部战区总医院,江苏 南京 210002
- 8. 上海中医药大学附属岳阳中西医结合医院,上海 200080
- 9. 北京中医药大学东直门医院,北京 100010
- 10. 华中科技大学同济医学院附属同济医院,湖北 武汉 430010
- 11. 新加坡中医学院,新加坡 319522
- 12. 北京中日友好医院,北京 100029
- 13. 天津中医药大学第一附属医院,天津 300110
- 14. 广州中医药大学附属宝安中医院,广东 深圳 518133
- 折叠
摘要
目的 为探索更优的癌因性疲乏治疗方案、充分发挥中医优势,世界中医药学会联合会(世中联)癌症姑息治疗研究专业委员会成立中医治疗癌因性疲乏专题小组,对中医药治疗癌因性疲乏的现状进行系统的评述,形成共识.方法 通过检索国内外数据库,筛选、收集中医药治疗癌因性疲乏的文献,采用国际认可的证据级别判定标准GRADE进行评价,并由中医肿瘤学、针灸学、统计学等多学科教授形成专家组,经过两轮德尔菲法调查,达成本共识.结果 本共识形成以下推荐意见:①中药能缓解癌因性疲乏(1B,证据级别中,强推荐);②针刺能改善癌因性疲乏(2B,证据等级中,弱推荐);③艾灸能缓解癌因性疲乏(1B,证据等级中,强推荐);④耳穴治疗能改善癌因性疲乏(2C,证据等级低,弱推荐);⑤中国传统养生功法(太极、气功等)可改善癌因性疲乏(太极:2C,证据等级低,弱推荐;气功:2D,证据等级极低,弱推荐).结论 中医药治疗癌因性疲乏有一定的疗效,安全性较好,本共识可为临床医生提供切实可行、有效的癌因性疲乏中医治疗方法.
Abstract
Objective To explore a better therapeutic regimen for cancer-related fatigue(CRF)and adequately take advantage of traditional Chinese medicine(TCM),the Professional Committee of Cancer Palliative Care Research of World Federation of Chinese Medicine Societies set up a special topic group to systematically review the current status of TCM treatment of CRF and form a consensus.Methods Literature on TCM treatment of CRF was screened and collected by searching domestic and foreign databases,then it was evaluated based on the internationally accreditated GRADE standard.Next,a multi-disciplinary expert group consisting of professors who majored in such as TCM oncology,acupuncture,and statistics was formed.After two rounds of Delphi method survey,the consensus was formed.Results The following recommendations are formed in this consensus:①Chinese herbal medicine can alleviate CRF(1B,moderate evidence level,strongly recommended);②Acupuncture can relieve CRF(2B,moderate evidence level,weakly recommended);③Moxibustion can mitigate CRF(1B,moderate evidence level,strongly recommended);④Auricular acupoint therapy can alleviate CRF(2C,low evidence level,weakly recommended);⑤Traditional Chinese exercise(tai chi,qigong,etc)can relieve CRF(tai chi:2C,low evidence level,weakly recommended;qigong:2D,extremely low evidence level,weakly recommended).Conclusion TCM has a certain therapeutic effect and good safety in treating CRF.This consensus can provide clinicians with practical and effective TCM treatments for CRF.
关键词
癌因性疲乏/中医/德尔菲法Key words
cancer-related fatigue/traditional Chinese medicine/Delphi method引用本文复制引用
基金项目
中医药广东省实验室(横琴实验室)科技研发培植项目(HQL2024PZ017)
广州市科技计划项目(2023A03J0300)
广州中医药大学学科高质量提升项目(A1-2601-24-415-110Z25)
出版年
2024
国家科技期刊平台
NSTL
万方数据