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| 癌症相关认知障碍中西医诊疗专家共识（2025年版） |
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中国抗癌协会针灸专业委员会1, 闫世艳2,3, 胡一斌4, 刘婷兰4, 陈瑛4, 冯楚微4, 李雨萌4
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1. 天津中医药大学第一附属医院, 天津 300381;2.天津中医药大学第一附属医院, 天津 300381;3.中医国家临床医学研究中心, 天津 300381;4.北京中医药大学, 北京 102488
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| 摘要: |
| 近年来，随着癌症诊疗水平的进步，患者生存率显著提升，其长期生存质量及社会功能恢复日益受到重视。癌症相关认知障碍（CRCI）作为常见但尚未被充分认识的远期并发症，严重影响患者的日常生活、职业能力及社会参与。目前，关于CRCI的流行病学特征、影响因素、评估标准及干预策略等方面仍缺乏基于大规模调查的高质量证据，临床诊断与治疗亦缺乏统一规范的指导。为提升临床对CRCI的认知，规范其诊断、评估与治疗，共识工作组在中国抗癌协会针灸专业委员会的支持下，结合现有证据与全国多位中医专家的临床经验，制定该共识。共识系统梳理了CRCI的流行病学特征、病因机制、中西医诊断评估方法及干预策略，并针对常见中医证候提出中药与针灸等中医特色疗法的建议，旨在促进中西医结合诊疗在CRCI患者中的合理应用，为临床实践提供参考。 |
| 关键词: 癌症相关认知障碍 中西医结合 专家共识 |
| DOI：10.11656/j.issn.1672-1519.2026.04.04 |
| 分类号:R730.6 |
| 基金项目:北京市自然科学基金项目（7252224）；北京中医药大学基本科研经费揭榜挂帅项目（2023-JYB-JBZD-022） |
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| Expert consensus statement on the integrated traditional Chinese and Western medicine diagnosis and treatment of cancer-related cognitive impairment（2025 edition） |
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China Anti-Cancer Association Acupuncture Professional Committee1, YAN Shiyan2,3, HU Yibin4, LIU Tinglan4, CHEN Ying4, FENG Chuwei4, LI Yumeng4
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1. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China;2.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China;3.National Clinical Research Center for Chinese Medicine, Tianjing 300381, China;4.Beijing University of Chinese Medicine, Beijing 102488, China
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| Abstract: |
| With advances in cancer diagnosis and treatment，patient survival has improved markedly，and long-term quality of life and social reintegration have become increasingly important. Cancer-related cognitive impairment（CRCI） is a common but underrecognized late complication that can substantially interfere with daily functioning，occupational performance，and social participation. At present，high-quality，large-scale evidence is still lacking on the epidemiology，risk factors，assessment standards，and intervention strategies for CRCI，and there is no unified guidance for clinical diagnosis and management. To enhance clinical awareness and to standardize the diagnosis，assessment，and treatment of CRCI，consensus working group supported by the China Anti-Cancer Association Acupuncture Professional Committee，which has developed this consensus by integrating the available scientific evidence with the clinical experience of traditional Chinese medicine（TCM） experts from across China. The consensus provides a systematic review of CRCI’s epidemiology，pathophysiology，and evaluation methods from both Western and traditional Chinese medicine perspectives，and summarizes intervention strategies. For common TCM syndrome patterns it offers recommendations on herbal prescriptions and acupuncture-based therapies，with the aim of promoting rational integrative care for CRCI patients and offering practical guidance for clinical practice. |
| Key words: cancer-related cognitive impairment integrated traditional Chinese and Western medicine expert consensus |
