Viscuse Paul V, Price Katharine, Millstine Denise, Bhagra Anjali, Bauer Brent, Ruddy Kathryn J
aDepartment of Medicine bDivision of Medical Oncology, Mayo Clinic, Rochester, Minnesota cDivision of Women's Health Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA.
Curr Opin Oncol. 2017 Jul;29(4):235-242. doi: 10.1097/CCO.0000000000000376.
Due to medical advances and an aging population, the number of cancer survivors continues to rise. Survivors often experience late and long-term sequelae of cancer and its treatment (e.g., fatigue, pain, fear of recurrence, and stress). As a result, some patients have utilized or expressed interest in integrative medicine (IM) modalities for prevention of recurrence, optimizing health, enhancing quality of life, and managing symptoms. The purpose of this review is to focus on research published during the past year that informs our understanding of the utility of IM for cancer survivors.
Physical activity, diet, dietary supplements, mind-body modalities, acupuncture, and massage therapy all may play a role in the management of the physical (e.g., fatigue and pain) and emotional (e.g., anxiety and fear) issues faced by cancer survivors.
IM therapies are appealing to and utilized by many cancer survivors and may reduce symptom burden. Clinicians who provide cancer survivorship care may improve patient care by understanding the evidence for and against their use.
由于医学进步和人口老龄化，癌症幸存者的数量持续增加。幸存者经常经历癌症及其治疗的晚期和长期后遗症（如疲劳、疼痛、对复发的恐惧和压力）。因此，一些患者已经采用或表示对整合医学（IM）模式感兴趣，用于预防复发、优化健康、提高生活质量和管理症状。本综述的目的是关注过去一年发表的研究，这些研究有助于我们理解IM对癌症幸存者的效用。
体育活动、饮食、膳食补充剂、身心模式、针灸和按摩疗法都可能在管理癌症幸存者面临的身体（如疲劳和疼痛）和情绪（如焦虑和恐惧）问题中发挥作用。
IM疗法受到许多癌症幸存者的青睐并被他们所采用，可能会减轻症状负担。提供癌症幸存者护理的临床医生可以通过了解支持和反对使用这些疗法的证据来改善患者护理。
