中国癌症杂志 ›› 2021, Vol. 31 ›› Issue (9): 852-872.doi: 10.19401/j.cnki.1007-3639.2021.09.012

• 指南与共识 • 上一篇    

中国癌症相关性疲乏临床实践诊疗指南(2021年版)

中华医学会肿瘤学分会肿瘤支持康复治疗学组   

  • 出版日期:2021-09-30 发布日期:2021-10-08

Clinical practice guidelines for cancer-related fatigue in China (2021 edition)

Tumor Support and Rehabilitation Therapy Group, the Oncology Committee of Chinese Medical Association   

  • Published:2021-09-30 Online:2021-10-08

摘要: 癌症已成为严重威胁中国人群健康的主要公共卫生问题之一。研究发现,癌症与疲乏关系密切,癌症相关性疲乏是癌症患者最为常见的伴随症状。癌症相关性疲乏严重影响癌症患者的工作、社会关系、情绪、日常活动和生活质量,可导致部分患者治疗中断,甚至影响癌症患者的生存时间。但目前中国尚无相关的指南可用于指导癌症相关性疲乏的临床诊治,中华医学会肿瘤学分会肿瘤支持康复治疗学组专家对癌症相关性疲乏的研究进展进行归纳总结,旨在及时传递重要信息,指导临床实践。本指南主要涵盖癌症相关性疲乏的定义、流行病学、临床表现、发病机制、影响因素、中医证候类型、筛查、临床评估及中西医结合治疗等方面,为癌症相关性疲乏临床诊疗提供参考依据,将有助于临床医师对癌症相关性疲乏患者进行规范化治疗,改善中国癌症相关性疲乏患者的临床结局。

关键词: 癌症相关性疲乏, 临床实践, 诊疗, 指南

Abstract: Cancer has become one of the most important public issues which seriously influence the health condition of Chinese population. The cancer-related fatigue has drawn great attention. Studies have reported that cancer-related fatigue is the most common concomitant symptom of cancer. Cancer-related fatigue could negatively affect the work, social relationship, emotions, daily activities and quality of life of cancer patients, leading to discontinuation of the treatment and even influencing the time of survival in cancer patients. However, there is no relevant guideline to instruct the clinical diagnosis and treatment of cancer-related fatigue in China. Experts and scholars from the Tumor Support and Rehabilitation Therapy Group, the Oncology Committee of Chinese Medical Association summarized the research progress of cancer-related fatigue so as to transmit important information and guide clinical practice timely. This guideline mainly covers the definition, epidemiology, clinical manifestations, pathogenesis, interfering factors, types of Traditional Chinese Medicine syndrome, screening, clinical evaluation and integrative Traditional Chinese Medicine and Western medicine treatment, aiming to provide suggestions for the clinical diagnosis and treatment of cancer-related fatigue, to facilitate the promotion of standardized treatment for patients with cancer-related fatigue, and to improve the clinical prognosis of patients with cancer-related fatigue.

Key words: Cancer-related fatigue, Clinical practice, Diagnosis and treatment, Guideline