数字疗法在胶质瘤中的临床应用前景
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解放军总医院

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国家自然科学基金(82303586,82473264)


The clinical application prospect of digital therapeutics for glioma
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Chinese PLA General Hospital

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    摘要:

    胶质瘤作为中枢神经系统最常见的原发性脑肿瘤,具有死亡率高、复发率高以及预后差等特点。目前缺少对胶质瘤患者术后出院后持续有效的监测和护理手段。医护人员常无法为患者提供持续、专业和个性化的干预措施,这往往会耽误患者的后续治疗和康复训练。数字疗法是基于循证医学的用于治疗、管理以及预防广泛的疾病和障碍的临床评估软件。现有的证据表明在癌症治疗期间结合了心理疏导、宣教、运动和营养等多方面支持的数字疗法可以通过远程监测症状等方式帮助患者改善生活质量。数字疗法可以用于支持和改善针对严重神经系统功能障碍的传统干预措施,这主要体现在其能够更好地实现个性化治疗、实时监测以及患者依从性提高。本文回顾了数字疗法在肿瘤治疗和神经功能改善中的应用,据此提出了其在胶质瘤临床应用中的展望,并分析了数字疗法在未来应用中的前景与局限性。

    Abstract:

    Glioma as the most common primary brain tumor in the central nervous system has the characteristics of high mortality, high recurrence rate, and poor prognosis. At present, there is a lack of sustainable and effective monitoring and nursing means for glioma patients after discharge. Healthcare workers are often unable to provide continuous, professional and personalized interventions for patients, which will delay the follow-up treatment and rehabilitation training of glioma patients. Digital therapeutics are evidence-based, clinically evaluated software to treat, manage, and prevent a broad spectrum of diseases and disorders. Existing evidence suggests that digital therapeutics that combines multiple aspects of patient support during cancer treatment (psychological support, education, exercise, and nutrition), can help patients improve the quality of life through remote symptom monitoring. Digital therapeutics can be applied to support and improve traditional care of several neurological dysfunctions. This is mainly reflected in better realization of personalized treatment, real-time monitoring, and improved adherence. This article reviewed the application of digital therapeutics in tumor treatment and improvement of neurological functions, and put forward its clinical application in glioma was proposed. Finally, we analyzed the prospects and limitations of digital therapeutics in the future.

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  • 收稿日期:2024-10-20
  • 最后修改日期:2024-12-20
  • 录用日期:2024-12-23
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