癌症相关认知障碍中西医诊疗专家共识(2025年版)OA

With advances in cancer diagnosis and treatment,patient survival has improved markedly,and long-term quality of life and social reintegration have become increasingly important.Cancer-related cognitive impairment(CRCI)is a common but underrecognized late complication that can substantially interfere with daily functioning,occupational performance,and social participation.At present,high-quality,large-scale evidence is still lacking on the epidemiology,risk factors,assessment standards,and intervention strategies for CRCI,and there is no unified guidance for clinical diagnosis and management.To enhance clinical awareness and to standardize the diagnosis,assessment,and treatment of CRCI,consensus working group supported by the China Anti-Cancer Association Acupuncture Professional Committee,which has developed this consensus by integrating the available scientific evidence with the clinical experience of traditional Chinese medicine(TCM)experts from across China.The consensus provides a systematic review of CRCI's epidemiology,pathophysiology,and evaluation methods from both Western and traditional Chinese medicine perspectives,and summarizes intervention strategies.For common TCM syndrome patterns it offers recommendations on herbal prescriptions and acupuncture-based therapies,with the aim of promoting rational integrative care for CRCI patients and offering practical guidance for clinical practice.