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DSA引导下鞘内镇痛泵植入结合子午流注开穴法用于肿瘤患者癌痛治疗的专家共识

Consensus on the use of DSA-guided intrathecal drug delivery system combined with Zi Wu Liu Zhu Acupoint Therapy for cancer pain management
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摘要 目的探讨DSA引导下鞘内镇痛泵植入结合子午流注开穴法在肿瘤患者癌痛治疗中的应用效果,为临床规范化治疗提供参考。方法通过文献检索、专家小组讨论形成推荐意见,经过专家咨询达成共识。共识内容包括术前评估与准备、手术操作流程、术后管理、中医治疗及个体化治疗方案。结果共识内容全面,涵盖术前评估、手术操作、术后管理、中医治疗及个体化治疗方案。结果显示,该中西医结合方案在有效缓解癌痛、减少阿片类药物使用的同时,显著提高了患者的生活质量,增强了机体免疫功能。术后随访表明,患者对治疗的耐受性良好,未出现严重并发症。结论制订的共识内容全面,可为临床医生应用DSA引导下鞘内镇痛泵植入结合子午流注开穴法提供参考,具有较高的临床应用价值和安全性,值得在临床实践中推广应用。 Objective To explore the efficacy of DSAguided intrathecal drug delivery system combined with Zi Wu Liu Zhu Acupoint Therapy for management of cancer pain and provide reference for its standardized clinical application.Methods and Results Recommendations were formulated based on literature review and expert group discussion,and consensus was reached following expert consultation.The consensus recommendations are comprehensive,covering the entire treatment procedures from preoperative assessment and preparation,surgical operation process,postoperative management and traditional Chinese medicine treatment to individualized treatment planning.The study results showed that the treatment plans combining traditional Chinese with Western medicine effectively alleviated cancer pain,reduced the use of opioid drugs,and significantly improved the quality of life and enhanced immune function of the patients.Postoperative follow-up suggested good treatment tolerance among the patients without serious complications.Conclusion The formulated consensus is comprehensive and can provide reference for clinicians to use DSA-guided intrathecal drug delivery system combined with Zi Wu Liu Zhu Acupoint Therapy.The combined treatment has a high clinical value with a good safety profile for management of cancer pain.
作者 广东省抗癌协会肿瘤麻醉及镇痛治疗专委会 广州市中西医结合学会麻醉学分委会 鲁义 刘存志 耿武军 郑孝振 谢敬敦 张广防 刘超 李云 瞿燕 陈磊 黄希照 田航 黎玉辉 李红新 钟和英 陶荣贵 钟杰 庄越 马钧阳 胡艳 方剑 赵高峰 肖建斌 屠伟峰 孙嘉泽 段玉婷 王保 Committee of Tumor Anesthesia and Analgesic Therapy of the Cancer Society of Guangdong Province;Sub-committee of Anesthesiology of Guangzhou Integrated Traditional Chinese and Western Medicine Society;LU Yi;LIU Cunzhi;GENG Wujun;ZHENG Xiaozhen;XIE Jingdun;ZHANG Guangfang;LIU Chao;LI Yun;QU Yan;CHEN Lei;HUANG Xizhao;TIAN Hang;LI Yuhui;LI Hongxin;ZHONG Heying;TAO Ronggui;ZHONG Jie;ZHUANG Yue;MA Junyang;HU Yan;FANG Jian;ZHAO Gaofeng;XIAO Jianbin;TU Weifeng;SUN Jiaze;DUAN Yuting;WANG Bao(不详;The Affiliated Traditional Chinese Medicine Hospital,Guangzhou Medical University,Guangzhou 510130,China;School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China;The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325035,China;The First Affiliated Hospital of Henan University,Luoyang 471000,China;Sun Yat-sen University Cancer Center,Guangzhou 510060,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China;Guangzhou Twelfth People's Hospital,Guangzhou 510700,China;Zhongshan Hospital of Xiamen University,Xiamen 361000,China;Affiliated Hospital of Yunnan University,Kunming 650000,China;Affiliated Cancer Hospital and Institute of Guangzhou Medical University,Guangzhou 510095,China;Guangdong Provincial Maternal and Child Health Hospital,Guangzhou 511400,China;Guangzhou Women and Children's Medical Center,Guangzhou Medical University,Guangzhou,510623,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Guangzhou Chest Hospital,Guangzhou 510000,China;Guangzhou Hospital of Integrated Traditional and Western Medicine,Guangzhou 510800,China;Guangzhou Zengcheng District Hospital of Traditional Chinese Medicine,Guangzhou 511340,China;Panyu Maternal and Child Care Service Centre of Guangzhou,Guangzhou 511400,China;Guangzhou Development Distriet Hospital,Guangzhou 510730,China;Xiaolan People's Hospital of Zhongshan,Zhongshan 528400,China;Dongguan Qingxi Hospital of Guangdong Pharmaceutical University,Dongguan 523660,China;Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine,Zhuhai 519000,China)
出处 《南方医科大学学报》 北大核心 2025年第8期1800-1808,共9页 Journal of Southern Medical University
基金 广州地区中西医协同临床重大创新技术建设项目 广州市医学重点学科(2025-2027) 广州医科大学科研能力提升计划重大临床研究项目(GMUCR2025-02030) 广东省自然科学基金面上项目(2023A1515011117) 广州医科大学附属中医医院1+N特支计划项目(2024-TZ-12)。
关键词 肿瘤 癌痛 DSA引导 子午流注开穴法 中西医结合 个体化治疗 生活质量 免疫功能 专家共识 neoplasms cancer pain DSA Guidance Zi Wu Liu Zhu Acupoint Therapy integration of traditional Chinese and Western medicine individualized treatment quality of life immune function expert consensus
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