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针灸防治乳腺癌术后疲劳专家共识(2025年版)
中国抗癌协会针灸专业委员会, 杨添淞1, 刘通2
1.黑龙江中医药大学附属第一医院, 哈尔滨 150040;2.哈尔滨医科大学附属肿瘤医院, 哈尔滨 150081
摘要:
根据2022年全球癌症统计数据,在所有女性恶性肿瘤病例中,乳腺癌的新发病例数约占总体比例的11.6%。术后癌因性疲乏(CRF)是乳腺癌手术后常见的并发症,严重影响患者的生活质量。如何改善CRF患者的症状成为亟待解决的科学问题和临床问题。针灸是改善乳腺癌术后疲劳的重要治疗方法,但目前高质量的临床证据有限,该领域尚无系统的针灸治疗指南。共识结合文献定性、定量研究和全国专家意见,推荐中医适宜技术应用于CRF的适应范围和具体方法,旨在规范中医适宜技术治疗CRF的临床实践。
关键词:  乳腺癌术后疲劳  针灸  专家共识
DOI:10.11656/j.issn.1672-1519.2026.01.06
分类号:R737.9
基金项目:2025 年度黑龙江省中医药标准化(孵化)项目(ZYD2025-012);北京市中医药科技发展资金项目(BJZYQN-2023-34)。
Acupuncture and moxibustion for prevention and treatment of postoperative fatigue in breast cancer(2025 edition)
China Anti-Cancer Association Acupuncture Professional Committee, YANG Tiansong1, LIU Tong2
1.The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China;2.Harbin Medical University Cancer Hospital, Harbin 150081, China
Abstract:
According to the global cancer statistics 2022 report,breast cancer accounted for 11.6% of all new cancer cases among women worldwide in 2022. Postoperative cancer-related fatigue(CRF)is a common complication following breast cancer surgery and significantly impacts patients’quality of life. Improving CRF symptoms has become an urgent scientific and clinical issue. Acupuncture is an important intervention for managing postoperative fatigue in breast cancer patients;however,high-quality clinical evidence remains limited,and no systematic guidelines for acupuncture treatment in this field are currently available. This consensus integrates qualitative and quantitative literature analysis with nationwide expert opinions to recommend the appropriate application and specific methodologies of traditional Chinese medicine techniques,including acupuncture,for CRF management. It aims to standardize clinical practices in the use of traditional Chinese medicine therapies for CRF.
Key words:  postoperative fatigue in breast cancer  acupuncture  expert consensus
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