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正文 字体大小:

針灸對癌症相關疼痛有效

(2016-02-22 12:11:04)
标签:

針灸

疼痛

癌症

分类: 临床治疗
來自<<歐洲癌症護理雜志>>2016年發表的的最新研究成果。
針灸減輕癌症相關疼痛的文獻系統回顧與mata分析
對針刺治療惡性腫瘤相關,化療(CT)導致的, 或放射治療(RT)誘導的,或手術引起的,和激素治療(HT)引起的疼痛的文獻,作者們進行了系統回顧和薈萃分析。
結果表明,針刺可有效地緩解與癌症相關的疼痛,特別是惡性腫瘤相關的和手術引起的疼痛。因此,作者們認為,針灸可以作為減輕癌症相關疼痛的綜合療法之一。
以下是原文摘要:
Eur J Cancer Care (Engl). 2016 Feb 7. doi: 10.1111/ecc.12457. [Epub ahead
of print]
Systematic review and meta-analysis of acupuncture to reduce cancer-related pain.
Chiu HY1, Hsieh YJ1, Tsai PS1.
1School of Nursing, College of Nursing, Taipei Medical University,
     Taipei, Taiwan.
Abstract
We conducted a systematic review and  meta-analysis to evaluate the effects of acupuncture on malignancy-related,chemotherapy (CT)- or radiation therapy (RT)-induced, surgery-induced, and
hormone therapy (HT)-induced pain. Randomised controlled trials (RCTs) examining the effects of acupuncture on cancer-related pain were reached from the EMBASE, PubMed, PsycINFO, Cochrane Central Register of Controlled Trials, CINAHL, Airiti library, Taiwan Electrical Periodical Service, Wanfang Data (a Chinese database) and China Knowledge Resource Integrated Database from
inception through June 2014. Heterogeneity, moderator analysis, publication bias and risk of bias associated with the included studies were examined. A total of 29 RCTs yielding 36 effect sizes were included. The overall effect of acupuncture on cancer-related pain was -0.45 [95% confidence interval (CI) = -0.63 to -0.26]. The subanalysis indicated that acupuncture relieved malignancy-related
and surgery-induced pain [effect size (g) = -0.71, and -0.40; 95% CI = -0.94 to -0.48, and -0.69 to -0.10] but not CT- or RT-induced and HT-induced pain (g =-0.05, and -0.64, 95% CI = -0.33 to 0.24, and -1.55 to 0.27). Acupuncture is effective in relieving cancer-related pain, particularly malignancy-related and
surgery-induced pain. Our findings suggest that acupuncture can be adopted as part of a multimodal approach for reducing cancer-related pain.


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