甲状腺癌中医药诊治的现状与未来  

Current situation and future of TCM diagnosis and treatment of thyroid cancer

作　　者：夏仲元[1] XIA Zhongyuan(China Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院中医外科,北京100029

出　　处：《北京中医药大学学报》2022年第4期353-359,共7页Journal of Beijing University of Traditional Chinese Medicine

基　　金：首都特色临床应用研究项目(No.Z181100001718141);国家自然科学基金项目(No.81973855)。

摘　　要：甲状腺癌是全球发病率增长最快的常见肿瘤,大多数患者生存期长,其疾病的管理与慢性病类似,中医药参与诊治具有很大空间和重要作用。本文从甲状腺癌的中医药诊治适应证及其特色优势、术后中西医结合治疗随机对照临床研究、中医病证论治诊疗思路方法的传承与创新、辨证与诊疗规范化研究等方面,对甲状腺癌的中医药诊治现状、研究进展、存在问题进行了全面总结和深入分析,提出了今后研究发展方向。主张疗效评价要将“循证研究”和“真实世界研究”相结合、“症状、证候、生活质量、甲状腺癌抑制复发风险评价”相结合;要形成有鲜明中医特色并融合现代医学新知的有效中医诊疗模式和诊疗指南;要从临床问题和需求出发,聚焦重点并拓展和深化研究领域,以期为提高甲状腺癌中医诊疗水平和学术发展提供参考。Thyroid cancer is the fastest growing type of tumor globally. Most patients have a long survival period. The management of the disease is similar to that of chronic diseases. Traditional Chinese medicine plays an important role and is of great value in the diagnosis and treatment of thyroid cancer. This paper comprehensively summarizes and analyzes the current situation, research progress and existing problems of TCM diagnosis and treatment of thyroid cancer from the following aspects: TCM diagnosis and treatment indications and characteristic advantages of thyroid cancer, randomized controlled clinical research on the treatment of integrated traditional Chinese and Western medicine after surgery, inheritance and innovation of TCM diagnosis and treatment methods, pattern identification and standardization of diagnosis and treatment. Future research and development directions are thus proposed. It is suggested that the efficacy evaluation should combine “evidence-based research” with “real world study” and “evaluation of symptoms, patterns, quality of life and the relapse risk of thyroid cancer”;We should form an effective TCM diagnosis and treatment protocol and guidance with distinctive TCM characteristics while integrating the new knowledge of modern medicine;Starting from the clinical questions and unmet clinical needs, we should focus on the key points and expand and deepen the research field, in order to provide reference for improving the TCM diagnosis and treatment level and academic development of thyroid cancer.

关 键 词：甲状腺癌 中医药诊治 述评 适应证 疗效评价 病证论治 诊疗规范化 研究方向 

分 类 号：R273.61[医药卫生—中西医结合]