以病人为本的中医药治疗恶性肿瘤现状的多中心横断面研究

Zijing Yang
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摘要

目的:阐明中医药在肿瘤治疗领域的应用与研究现状,为中医药在肿瘤治疗中的合理应用、肿瘤治疗的多学科合作以及中医教育的完善提供参考指导。方法:选取2015年7月至2016年6月在国内四家大型综合性三甲医院肿瘤科就诊的患者。采用电子病案数据库结合问卷调查,获取肿瘤患者的一般临床资料、中医临床应用及认知状况数据,从肿瘤患者的角度探讨中医在肿瘤治疗中的临床应用。结果:接受化疗(含靶向治疗)和中医药治疗的患者比例为28.7%。16.6%的医生担心中药联合化疗可能产生不良反应。20.0%的医生认为他们有足够的知识来回答中医相关的问题。接受中医继续教育的医师比例为22.0%。在治疗过程中,36.5%的患者与医生讨论过中医。44.9%的医生认为中医治疗是有效的。结论:中药应用的目的主要是调节机体免疫力,改善食欲不振、乏力、睡眠障碍等症状,提高放化疗的疗效,降低放化疗的毒性。治疗主要以中药复方和中成药为主。
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A Multi-Center Cross-Sectional Study of the Status of Patient-Oriented Chinese Medicine Treatment of Malignant Tumors
Objective: To clarify the current status of traditional Chinese medicine (TCM) application and research in the field of tumor treatment, and provide reference guidance for the rational application of TCM in the treatment of tumors, multidisciplinary cooperation in tumor treatment, and improvement of TCM education. Methods: From July 2015 to June 2016, the patients in oncology department of four large-scale comprehensive first-class hospitals in China were selected. The general clinical data, clinical application of TCM and cognitive status data of tumor patients were obtained by using electronic medical record database combined with questionnaire to explore the clinical application of TCM in tumor treatment from the perspective of tumor patients. Results: The proportion of patients receiving chemotherapy (including targeted therapy) and TCM treatment was 28.7%. 16.6% of doctors were concerned that TCM combined with chemotherapy might produce adverse reactions. 20.0% of doctors think they have enough knowledge to answer questions related to TCM. 22.0% of doctors have received continuing education in TCM. During the treatment, 36.5% of patients had discussed TCM with their doctors. A total of 44.9% of doctors believe that TCM treatment is effective. Conclusion: The purpose of applying TCM is mainly to regulate the body’s immunity, improve the symptoms such as loss of appetite, fatigue and sleep disorder, increase the effect and reduce toxicity of radiotherapy and chemotherapy. The treatment is mainly based on TCM compounds and proprietary Chinese medicines.
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