中医药治疗局部可切除胃癌的现状与思考  

Current Status and Thinking of Traditional Chinese Medicine in Treatment of Locally Resectable Gastric Cancer

作　　者：匡子禹 王佳曦 曹璐畅 李杰[1] KUANG Ziyu;WANG Jiaxi;CAO Luchang;LI Jie(Beijing University of Chinese Medicine,Beijing 100029,China;Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《辽宁中医杂志》2024年第12期211-215,共5页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82074402);中国中医科学院科技创新工程项目(CI2021A01802)-重大攻关项目。

摘　　要：我国是胃癌的高发国家,中医药作为局部可切除胃癌的围手术期重要替代疗法之一,如何进一步发挥中医药的独特优势,从而提高局部可切除胃癌术后患者的生存获益以及生活质量,并且在成本-效益比上发挥优势,是目前亟待探索的临床问题;文章通过分析目前局部可切除胃癌的治疗难点和中医药治疗的研究进展,初步提出了以下研究策略:加强胃癌辨证的规范化、重视中医药的术前术后的全方位干预、利用中医信息化和大数据挖掘提高循证医学证据等级、在确定临床疗效的基础上,进一步探究其分子机制,深层探究其治疗通路及靶点,以期为中医药治疗局部可切除胃癌的研究提供思路。China is a high-risk country for gastric cancer,and traditional Chinese medicine is one of the important alternative therapies for local resectable gastric cancer during the perioperative period.How to further leverage the unique advantages of traditional Chinese medicine to improve the survival benefits and quality of life of patients with local resectable gastric cancer after surgery,and to play an advantage in cost-effectiveness ratio,is currently an urgent clinical issue that needs to be explored.The article analyzed the current treatment difficulties of locally resectable gastric cancer and the research progress of traditional Chinese medicine treatment,and proposed the following research strategies:strengthening the standardization of gastric cancer syndrome differentiation,emphasizing the comprehensive intervention of traditional Chinese medicine before and after surgery,using traditional Chinese medicine information technology and big data mining to improve the level of evidence-based medicine,further exploring its molecular mechanism,deep exploring its treatment pathway and targets on the basis of determining clinical efficacy,in order to provide ideas for the research of traditional Chinese medicine treatment of locally resectable gastric cancer.

关 键 词：胃癌 围手术期 中医药 

分 类 号：R273[医药卫生—中西医结合]