Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77230, USA.
Integr Cancer Ther. 2010 Dec;9(4):348-53. doi: 10.1177/1534735410387424.
The majority of patients with cancer use some form of complementary or alternative medicine. External qigong treatment (EQT), classified as a bioenergy therapy, is one such approach that patients combine with conventional medicine or, in some cases, use in place of conventional medicine. This study aimed to determine whether EQT could shrink breast cancer tumors and improve quality of life (QOL) in women with pathologically confirmed breast cancer awaiting surgery. A total of 9 women with pathologically confirmed breast cancer were recruited from large cancer centers in the United States (n = 5) and China (n = 4). A single-arm pre/post design was used. Each patient underwent 5 consecutive days of EQT, with each treatment lasting from 2 to 5 minutes. All treatments were performed by the same qigong master. Tumor measurements were made before and after the EQT sessions. Tumor assessments were conducted prior to study initiation and following the last EQT. Patients underwent both an ultrasound and mammogram (United States) or an ultrasound and magnetic resonance imaging (China). All patients also underwent physical breast examinations (PBEs) and completed QOL questionnaires before and after the last EQT. No clinical changes in tumor measurements from pre- to post-EQT were noted. There was also no suggestion of change in tumor size by PBE or change in QOL. Using the current
EQT also does not appear to have any effect on patient QOL. Because of the small sample size and working with only one qigong practitioner, to definitively determine the efficacy or lack of efficacy of EQT, a larger study with multiple qigong practitioners would need to be conducted.
大多数癌症患者会使用某种形式的补充或替代医学。气功外治疗法(EQT)被归类为一种生物能疗法,是患者与常规医学相结合的一种方法,或者在某些情况下,EQT 被用作常规医学的替代方法。本研究旨在确定 EQT 是否可以缩小乳腺癌肿瘤并改善等待手术的病理确诊乳腺癌女性的生活质量(QOL)。总共从美国(n = 5)和中国(n = 4)的大型癌症中心招募了 9 名病理确诊乳腺癌女性。采用单臂前后设计。每位患者接受 5 天连续的 EQT,每次治疗持续 2 到 5 分钟。所有治疗均由同一位气功大师进行。在 EQT 前后进行肿瘤测量。在研究开始前和最后一次 EQT 后进行肿瘤评估。患者接受了超声和乳房 X 光检查(美国)或超声和磁共振成像(中国)。所有患者还在最后一次 EQT 前后进行了体格乳房检查(PBE)并完成了 QOL 问卷。从 EQT 前到后,肿瘤测量没有发现临床变化。通过 PBE 或 QOL 变化也没有提示肿瘤大小的变化。使用当前的研究设计,EQT 似乎也不会对患者的 QOL 产生任何影响。由于样本量小,并且仅与一位气功师合作,要确定 EQT 的疗效或缺乏疗效,需要进行更大规模的研究,涉及多位气功师。