早中期结直肠癌根治术后中西医结合心理康复干预指南  

Guidelines for Psychological Rehabilitation Intervention Combined Integrated Traditional Chinese and Western Medicine After Radical Surgery for Early and Middle Stage Colorectal Cancer

作　　者：杨宇飞[1] 唐丽丽 孙凌云[1] 庞英 王子旭 杨秋莉[3] 许云[1] 张海波[4] 舒鹏[5] 费宇彤[6] 彭蓉晏 刘稼玺 YANG Yufei;TANG Lili;SUN Lingyun;PANG Ying;WANG Zixu;YANG Qiuli;XU Yun;ZHANG Haibo;SHU Peng;FEI Yutong;PENG Rongyan;LIU Jiaxi(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Beijing Cancer Hospital,Beijing 100142,China;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China;Jiangsu Province Hospital of Chinese Medicine,Nanjing 210004,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]北京大学肿瘤医院,北京100142 [3]中国中医科学院中医临床基础医学研究所,北京100700 [4]广东省中医院,广州510120 [5]江苏省中医院,南京210004 [6]北京中医药大学,北京100029

出　　处：《中国实验方剂学杂志》2023年第21期10-23,共14页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：国家中医药管理局2019年重大疑难疾病中西医临床协作试点结直肠癌项目(070030003);国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者项目[国中医药人教函(2018)288]。

摘　　要：近年来我国结直肠癌发病率不断上升,而随着早筛早诊的推广,大部分结直肠癌能够通过及时诊治实现长期生存。尽管如此,早中期结直肠癌根治术后患者仍有30%~70%存在焦虑、抑郁、对复发转移有恐惧感等心理问题,并且希望通过中医药治疗寻求康复。为了进一步规范早中期结直肠癌根治术后的中西医结合心理康复干预方法、提高诊治水平,在国家中医药管理局“重大疑难疾病中西医临床协作试点项目”的支持下,由中国中医科学院西苑医院和北京大学肿瘤医院牵头,全国10家单位的肿瘤学、中西医结合学、心理学、外科学、护理学、循证医学等多学科专家共同参与指导,基于《世界卫生组织指南制定手册》指南制定方法、流程及《中华中医药学会团体标准管理办法》,依据当前最佳证据,广泛征求临床专家意见并遵循临床实践现状,制定而成《早中期结直肠癌根治术后中西医结合心理康复干预指南》。该指南提供了早中期结直肠癌根治术后患者的心理特点、接受心理康复的需求和意愿、心理康复的干预措施、疗效评价、随访复查及宣教指导等内容,可为从事中西医结合肿瘤心理康复的中医(中西医结合)临床医师、心理医师,尤其是基层医疗机构医师提供指导性意见。In recent years,the incidence of colorectal cancer has been rising in China,and with the promotion of early screening and early diagnosis,most colorectal cancers are able to achieve long-term survival through timely diagnosis and treatment.Nevertheless,30%-70%of patients with early to mid-stage colorectal cancer after radical surgery still have psychological problems such as anxiety,depression,and fear of recurrence and metastasis,and they hope to seek help from traditional Chinese medicine(TCM)treatment.In order to further standardize the integrated traditional Chinese and western medicine psychological rehabilitation interventions of stageⅠ-Ⅲcolorectal cancer after radical surgery,and to improve the diagnosis and treatment level,under the support of the pilot project of clinical collaboration between Chinese and western medicine for major and difficult diseases of National Administration of TCM,experts in oncology,integrated Chinese and western medicine,psychology,surgery,nursing,evidence-based medicine and other disciplines from 10 units nationwide participated in the work,led by Xiyuan Hospital,China Academy of Chinese Medical Sciences and Beijing Cancer Hospital.Based on the methodology and process of guideline development of the World Health Organization Handbook for Guideline Development and the Regulations for Group Standards of China Association of Chinese Medicine,the Guidelines for Psychological Rehabilitation Intervention Combined Integrated Traditional Chinese and Western Medicine After Radical Surgery for Early and Middle Stage Colorectal Cancer have been developed according to the current best evidence,extensive consultation with clinical experts and following the situation of current clinical practice.The guideline provides the psychological characteristics,the needs and willingness to accept psychological rehabilitation,the interventions for psychological rehabilitation,evaluation of efficacy,follow-up review,educational guidance and others of patients with stageⅠ-Ⅲcolorectal cancer after

关 键 词：结肠癌 直肠癌 心理治疗 临床实践指南 标准 中医药(TCM) 中西医结合 

分 类 号：R22[医药卫生—中医基础理论] R24[医药卫生—中医学] R273[哲学宗教—心理学] R395[医药卫生—医学心理学] B84[医药卫生—基础医学]