中医传统运动干预癌因性疲乏的范围综述

A Scoping Review of the Application of Traditional Chinese Medicine Exercise Interventions in Cancer-Related Fatigue

摘要: 目的：归纳中医传统运动在癌因性疲乏(Cancer-Related Fatigue, CRF)患者护理领域的应用效果及不足。方法：系统检索中国知网、维普、万方数据库、PubMed、Cochrane library、Web of Science、SinoMed中有关中医传统运动对癌因性疲乏的研究，检索时间范围设定为从建库至2026年1月15日，并实施汇总操作及后续分析工作。结果：初检获得976篇文献，最终纳入26篇随机对照试验。详细描述了中医传统运动的基本内容，确定其对CRF患者有积极干预效果。其中，14篇研究采用八段锦干预，10篇研究采用太极拳干预，1篇研究采用六字诀干预，1篇研究采用气功干预。研究中运动频率从每周3~7次不等，每次持续15 min以上，总干预时长为1~6个月。结论：中医传统运动可作为癌因性疲乏的非药物干预手段，但干预时间、干预频率存在异质性，未来需要开展大样本、高质量的研究来验证中医传统运动在CRF患者中的应用效果，为临床制定非药物干预方案提供循证依据。

Abstract: Objective: To summarize the application effects and deficiencies of traditional Chinese medicine exercises in the care of patients with cancer-related fatigue (CRF). Methods: A systematic search was conducted in CNKI, VIP, Wanfang Database, PubMed, Cochrane Library, Web of Science, and Sinomed for studies on the effects of traditional Chinese medicine exercises on CRF. The search period was from the establishment of the databases to January 15, 2026. The included literature was screened, summarized, and analyzed. Results: manifest in the commencement of retrieval amounting to 976 scholarly compositions, merely 26 randomized controlled trials were eventually incorporated. The basic contents of traditional Chinese medicine exercises were described in detail, and it was determined that they have positive intervention effects on CRF patients. Among them, 14 studies used Baduanjin intervention, 10 studies used Tai Chi intervention, 1 study used Liuzijue intervention, and 1 study used Qigong intervention. The exercise frequency in the studies ranged from 3 to 7 times per week, each session lasting more than 15 minutes, and the total intervention duration was 1 to 6 months. Conclusion: Traditional Chinese medicine exercises can be used as a non-pharmacological intervention for CRF, but there is heterogeneity in intervention time and frequency. Future studies need to conduct large-sample, high-quality research to verify the application effects of traditional Chinese medicine exercises in CRF patients and provide evidence-based support for the formulation of non-pharmacological intervention plans in clinical practice.