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| 针对乳腺癌患者症状群的针灸干预方案思路探讨 |
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崔鑫1,2, 赵天易1,3,4, 赵美丹1,4,5, 任晴晴1,2, 桑加拉1,2, 郭义1,3,4, 潘兴芳1,2,4
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1.天津中医药大学实验针灸学研究中心, 天津 301617;2.天津中医药大学针灸推拿学院, 天津 301617;3.天津中医药大学中医学院, 天津 301617;4.国家中医针灸临床医学研究中心, 天津 300193;5.天津中医药大学医学技术学院, 天津 301617
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| 摘要: |
| 乳腺癌是女性最常见的恶性肿瘤，患者经过不同阶段治疗会引发一系列症状集群，严重影响其生活质量。已有临床研究表明，针灸可有效缓解乳腺癌患者相关不良反应。近几年随着症状群研究的不断深入，对于症状管理领域逐渐由单一症状向症状群转变。因此，文章从不同分期对乳腺癌患者症状群进行了分析、总结，共包括4组症状群：肢体及肌肉骨骼症状群、精神心理症状群、激素相关症状群及胃肠道相关症状群，在此基础上结合本团队前期开展的针灸干预肿瘤术后及放化疗后不良的临床研究思路，参考美国国家癌症研究所（NCI）2017年发布的《针灸的科学机制、临床研究证据以及进一步研究的展望》的会议共识，提出针灸可以分别从以上4组症状群的角度对乳腺癌患者进行管理，以经络辨证为主，在局部腧穴的基础上依据“经络所过、主治所及”的选穴、配穴原则，制定针灸干预方案。 |
| 关键词: 症状群 乳腺癌 针灸 经络辨证 |
| DOI：10.11656/j.issn.1673-9043.2024.03.09 |
| 分类号:R737.9 |
| 基金项目:国家重点研发计划项目（2022YFB4703104）；天津市自然科学基金项目（18JCYBJC94100）。 |
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| Exploring the idea of an acupuncture intervention programme for symptom clusters in breast cancer patients |
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CUI Xin1,2, ZHAO Tianyi1,3,4, ZHAO Meidan1,4,5, REN Qingqing1,2, SANG Jiala1,2, GUO Yi1,3,4, PAN Xingfang1,2,4
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1.Research Center of Experimental Acupuncture Science, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.School of Acupuncture & Moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;3.School of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;4.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300193, China;5.School of Medical Technology, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
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| Abstract: |
| Breast cancer is the most common malignant tumor in women，and patients undergoing different stages of treatment can experience a cluster of symptoms that significantly impact their quality of life. Clinical studies have demonstrated the effectiveness of acupuncture in alleviating the adverse effects associated with breast cancer patients. In recent years，there has been an increasing focus on symptom clusters in research，shifting the field of symptom management from individual symptoms to clusters. Therefore，this paper analyzes and summarizes the symptom groups of breast cancer patients from different stages. Four groups of symptom clusters are identified：limb and musculoskeletal symptom cluster，psycho-social symptom cluster，hormone-related symptom cluster，and gastrointestinal symptom cluster. Based on our team’s previous clinical research on acupuncture interventions for post-operative and post-radiotherapy adverse effects，as well as the consensus reached at the 2017 conference “Scientific Mechanisms of Acupuncture，Evidence from Clinical Research，and Prospects for Further Research” held by the National Cancer Institute （NCI），this paper proposes the utilization of acupuncture to manage breast cancer patients from the perspective of the four identified symptom clusters. Acupuncture intervention protocols are to be developed focusing on meridian differentiation and selecting and matching acupoints along the meridians and local acupoints，guided by the principle of “where the meridians pass，where the main treatment reaches”. |
| Key words: symptom cluster breast cancer acupuncture and moxibustion meridian differentiation |
