南方医科大学学报

南方医科大学学报 ›› 2025, Vol. 45 ›› Issue (8): 1800-1808.doi: 10.12122/j.issn.1673-4254.2025.08.24

• • 上一篇    

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1(), 刘存志2, 耿武军3, 郑孝振4, 谢敬敦5, 张广防6, 刘超7, 李云8, 瞿燕9, 陈磊10, 黄希照11, 田航12, 黎玉辉13, 李红新14, 钟和英15, 陶荣贵16, 钟杰17, 庄越18, 马钧阳19, 胡艳20, 方剑21, 赵高峰6, 肖建斌6, 屠伟峰15, 孙嘉泽1, 段玉婷1, 王保7()   

  1. 1.广州医科大学附属中医医院，广东 广州 510130
    2.北京中医药大学针灸推拿学院，北京 100029
    3.温州医科大学附属第一医院，浙江 温州 325035
    4.河南大学第一附属医院，河南 洛阳 471000
    5.中山大学附属肿瘤防治中心，广东 广州 510060
    6.广东省中医院，广东 广州 510120
    7.广州市第十二人民医院，广东 广州 510000
    8.厦门大学附属中山医院，福建 厦门 361000
    9.云南大学附属医院，云南 昆明 650000
    10.广州医科大学附属肿瘤医院，广东 广州 510000
    11.广东省妇幼保健院，广东 广州 511400
    12.广州医科大学附属妇女儿童医疗中心，广东 广州 510000
    13.广州中医药大学第一附属医院，广东 广州 510405
    14.广州市胸科医院，广东 广州 510000
    15.广州市中西医结合医院，广东 广州 510800
    16.广州市增城区中医院，广东 广州 511340
    17.广州番禺妇幼保健院，广东 广州 511400
    18.广州开发区医院，广东 广州 510730
    19.中山市小榄人民医院，广东 中山 528400
    20.广东药科大学东莞清溪医院，广东 东莞 523660
    21.珠海市中西医结合医院，广东 珠海 519000
  • 收稿日期:2025-04-14 出版日期:2025-08-20 发布日期:2025-09-05
  • 通讯作者: 王保 E-mail:2019620769@gzhmu.edu.cn;78wb@163.com
  • 作者简介:鲁 义，博士，主任医师，硕士生导师，学科带头人，E-mail: 2019620769@gzhmu.edu.cn
  • 基金资助:
    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)

Sub-committee of Anesthesiology of Guangzhou Integrated Traditional Chinese and Western Medicine Society

Yi LU1(), Cunzhi² LIU2, Wujun³ GENG3, Xiaozhen⁴ ZHENG4, Jingdun XIE5, Guangfang⁶ ZHANG6, Chao⁷ LIU7, Yun⁸ LI8, Yan⁹ QU9, Lei ⁰ CHEN10, Xizhao HUANG11, Hang ² TIAN12, Yuhui ³ LI13, Hongxin ⁴ LI14, Heying ⁵ ZHONG15, Ronggui ⁶ TAO16, Jie ⁷ ZHONG17, Yue ⁸ ZHUANG18, Junyang ⁹ MA19, Yan²⁰ HU20, Jian² FANG21, Gaofeng ZHAO6, Jianbin⁶ XIAO6, Weifeng TU15, Jiaze SUN1, Yuting DUAN1, Bao⁷ WANG7()   

  1. 1.The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangzhou 510130, China
    2.School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China
    3.The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325035, China
    4.The First Affiliated Hospital of Henan University, Luoyang 471000, China
    5.Sun Yat-sen University Cancer Center, Guangzhou 510060, China
    6.Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
    7.Guangzhou Twelfth People's Hospital, Guangzhou 510700, China
    8.Zhongshan Hospital of Xiamen University, Xiamen 361000, China
    9.Affiliated Hospital of Yunnan University, Kunming 650000, China
    10.Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou 510095, China
    11.Guangdong Provincial Maternal and Child Health Hospital, Guangzhou 511400, China
    12.Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, 510623, China
    13.The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
    14.Guangzhou Chest Hospital, Guangzhou 510000, China
    15.Guangzhou Hospital of Integrated Traditional and Western Medicine, Guangzhou 510800, China
    16.Guangzhou Zengcheng District Hospital of Traditional Chinese Medicine, Guangzhou 511340, China
    17.Panyu Maternal and Child Care Service Centre of Guangzhou, Guangzhou 511400, China
    18.Guangzhou Development Distriet Hospital, Guangzhou 510730, China
    19.Xiaolan People's Hospital of Zhongshan, Zhongshan 528400, China
    20.Dongguan Qingxi Hospital of Guangdong Pharmaceutical University, Dongguan 523660, China
    21.Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine, Zhuhai 519000, China
  • Received:2025-04-14 Online:2025-08-20 Published:2025-09-05
  • Contact: Bao? WANG E-mail:2019620769@gzhmu.edu.cn;78wb@163.com

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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。

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

Abstract:

Objective To explore the efficacy of DSA-guided 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.

Key words: 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