Lee Myeong Soo, Kim Kun-Hyung, Shin Byung-Cheul, Choi Sun-Mi, Ernst Edzard
Department of Medical Research, Korea Institute of Oriental Medicine, Daejeon, 305-811, South Korea.
Support Care Cancer. 2009 Jul;17(7):763-70. doi: 10.1007/s00520-009-0589-3. Epub 2009 Feb 18.
The goal of the study was to assess the effects of acupuncture as a treatment for hot flushes in prostate cancer (PC) patients.
The literature was searched using 14 databases with dates ranging from their inceptions to December 2008 and without language restrictions. All clinical studies of any type of acupuncture in PC patients were included. Their main outcome measures had to be vasomotor symptoms. Their methodological quality was assessed using the modified Jadad score.
Six studies met all the inclusion criteria. One randomised clinical trial compared the effects of manual acupuncture with acupuncture plus electro-acupuncture. The other five studies were uncontrolled observational studies and therefore had limitations.
The evidence is not convincing to suggest acupuncture is an effective treatment for hot flush in patients with PC. Further research is required to investigate whether acupuncture has hot-flush-specific effects.
本研究的目的是评估针刺疗法对前列腺癌(PC)患者潮热的治疗效果。
使用14个数据库进行文献检索,检索时间跨度从各数据库建立至2008年12月,无语言限制。纳入所有关于PC患者接受任何类型针刺治疗的临床研究。其主要结局指标必须为血管舒缩症状。采用改良Jadad评分评估其方法学质量。
六项研究符合所有纳入标准。一项随机临床试验比较了手针与针上加电针的效果。其他五项研究为非对照观察性研究,因此存在局限性。
现有证据不足以表明针刺是PC患者潮热的有效治疗方法。需要进一步研究以调查针刺是否对潮热有特定疗效。