肺癌的最佳支持治疗

Optimal supportive treatment in lung cancer

肺癌是一个有高流失率和高症状负荷的常见恶性肿瘤,其最佳治疗不仅是疾病本身的治疗,还有对症处理和确定额外所需要的支持治疗。针对晚期肺癌患者给予以缓解症状、改善生活质量为目标的支持治疗尤为重要,不仅能缓解晚期肺癌患者的痛苦,而且还避免了因过度治疗所致的痛苦,同时还能合理利用有限的医疗资源。本文着眼于肺癌患者4个主要症状(呼吸困难、咳嗽和咳血、厌食和消瘦、乏力)及精神心理困扰和实际需求的综合治疗进行讨论。

Lung cancer is a common malignancy with a high attrition rate and a high symptom burden. Optimal care involves not only treatment of the disease, but also symptom management and identification of additional supportive care needs. Supportive treatment is very important for patients with lung cancer in the advanced stages to relieve the symptoms, improve quality of life, and avoid excessive treatment.