癌因性疲乏的病因病机探讨

Discuss Cancer-related Fatigue of Etiology and Pathogenesis

医学模式的转变,使得肿瘤的治疗不再单纯追求消灭或缩小肿瘤实体,而是同时改善患者机体及精神症状,提高生存质量。影响肿瘤患者生存质量的因素很多,其中癌因性疲乏(cancer-related fatigue,CRF)是近年来逐渐受到医疗护理界重视的影响因素。CRF是一种痛苦的、持续的、主观的乏力感或疲惫感,与癌症或癌症治疗相关,并常伴有功能障碍。现有研究结果表明造成CRF的原因包括社会、心理、生理等多方面因素,对CRF病理生理机制的研究还处于探索阶段。中医关于证的研究表明,证与全身性的调节网络有关。中医的辨证论治是整体性治疗,用"阴阳五行"解释人、社会、环境之间的关系和生物-心理-社会医学模式观点相合。

Changes in the medical model, making the treatment of cancer is no longer simply seek to eliminate or reduce the tumor entity, meanwhile, improving gredients symptoms in patients with body, spirit, and the quality of life. cancer related fatigue （cancer-related fatigue, CRF）is one of many factors, which impacts on quality of life of cancer patients and is paid more attention by the health care sector in recent years. CRF is a painful, persistent, subjective sense of weakness or fatigue, with cancer or cancer treatment-related, and is often accompanied by dysfunction. The results show that the result of existing causes of CRF, including social, psychological, physiological and other factors, the pathophysiological mechanism of CRF research is still in the exploratory stage. What Chinese medicine research on is showed with the regulation of systemic networks has some relationship. Treatment of Chinese medicine is a holistic treatment, with ＂yin yang wu xing＂ to explain people, society, the relationship between the environment, and biological-psychological-social medical model point of view consistency.