早中期结直肠癌根治术后中西结合心理康复干预指南解读及典型病例

Interpretation and Typical Cases of Guideline for Integrated Traditional Chinese and Western Medicine Psychological Rehabilitation Intervention after Radical Surgery of StageⅠtoⅢColorectal Cancer

我国癌症患者普遍存在着心理康复需求,中医药对其有良好的干预效果。目前已有肿瘤相关西医心理指南及标准治疗方案发表,然而中西医结合及中医干预方案仍有待规范。结直肠癌作为中国高发病率、长生存期的肿瘤,其根治术后的时期作为中西医结合心理康复的良好切入点,前期已有一定基础的研究发表。为规范该类疾病的诊疗及随访,提高中西医结合治疗早中期结直肠癌根治术后心理问题的效果,2022年中华中医药学会发布《早中期结直肠癌根治术后中西医结合心理康复干预指南》,包含12条推荐意见。该指南为结直肠癌领域首个中西医结合心理干预指南,但受限于相关研究的数量与质量,未来尚需要更多高质量研究结果的发表以促进其更新完善。

Cancer patients in China generally require psychological rehabilitation,and traditional Chinese medicine(TCM)has shown good intervention effects in this regard.Currently,there have been published western medicine psychological guidelines and standard treatment plans related to cancer,but the integration of TCM and western medicine and TCM intervention programs still need standardization.Colorectal cancer,as a highly prevalent tumor in China with long-term survival rates,provides a good starting point for integrated TCM and western medicine psychological rehabilitation after radical surgery.Some preliminary research has already been published in this area.In order to standardize the diagnosis,treatment,and follow-up of this disease and to improve the effectiveness of integrated TCM and western medicine in addressing psychological issues after radical surgery for early and middle-stage colorectal cancer,in 2022,the Chinese Association of Chinese Medicine released the Guideline for Integrated Traditional Chinese and Western Medicine Psychological Rehabilitation Intervention after Radical Surgery of StageⅠtoⅢColorectal Cancer,which includes 12 pieces of recommendations.This guideline is the first in the field of colorectal cancer for integrated TCM and western medicine psychological intervention.However,due to the limited quantity and quality of related research,more high-quality research results need to be published in the future to promote its further improvement and updating.