摘要
中医药在改善肿瘤复杂临床症状方面具有独特优势,但症状评价方法的不足严重制约了中医药发挥其优势。本研究在总结现有症状学评价方法的基础上,认为中医肿瘤领域症状评价主要存在以下问题:症状选择缺乏统一标准;症状评价缺乏具体实施规范;多症状量化方法缺乏科学依据;不同治疗阶段缺乏特异性量表;潜在症状指标难以走向临床应用等。针对上述问题,提出建立中医肿瘤症状评价标准与实施规范;深入探索症状群量化方法;重视中医PRO量表的后续考评及验证工作;开发阶段特异性症状量表;挖掘新的症状评价方法等,以期建立兼具科学性和中医诊疗特色的中医肿瘤症状学评价体系。
Traditional Chinese medicine(TCM)has unique advantages in improving complex clinical symptoms of tumors,but the deficiency of symptom evaluation methods seriously restrict TCM advantages.On the basis of summarizing the current specific methods of symptom evaluation,the authors hold that the following problems exist in symptom evaluation of TCM oncology field:lack of unified standard for symptom selection;lack of specific implementation for symptom evaluation;Multi-symptom quantification methods lacks scientific basis;lack of specific symptom scales for different treatment stages;difficult application for potential symptom evaluation index.In view of the above problems,the following recommendations were suggested:to establish the evaluation criteria and implementation norms of TCM oncology symptoms,to explore quantification of symptom clusters;attach importance to the follow-up evaluation and validation for TCM PRO scale;to develop stage-specific symptom scales;to explore new symptom evaluation methods,so as to establish a TCM tumor symptom evaluation system that with both scientificity and TCM characteristics.
作者
王烁
王学谦
王丹丹
曹康迪
张英
侯炜
WANG Shuo;WANG Xueqian;WANG Dandan;CAO Kangdi;ZHANG Ying;HOU Wei(Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China;Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《世界中医药》
CAS
2022年第2期251-254,260,共5页
World Chinese Medicine
基金
国家自然科学基金项目(82074239)。
关键词
肿瘤
中医药
症状评价
现状
问题
对策
Tumor
Traditional Chinese medicine
Symptom assessment
Current situation
Problems
Countermeasure
