Javdan Bahar, Cassileth Barrie
Integrative Medicine Service, Memorial Sloan Kettering Cancer Center, New York, USA.
Integrative Medicine Service, Memorial Sloan Kettering Cancer Center, New York, USA.
J Acupunct Meridian Stud. 2015 Jun;8(3):115-21. doi: 10.1016/j.jams.2015.03.005. Epub 2015 Apr 1.
Acupuncture may help treat specific cancer-related symptoms. Here, we summarize our clinical trials that sought to determine acupuncture's role in managing cancer-related symptoms. Trials have been conducted to determine acupuncture's ability to mitigate cancer-related symptoms including dyspnea, fatigue, xerostomia, lymphedema, hot flashes, postoperative ileus, pain and dysfunction after neck dissection, and postthoracotomy pain. Published studies indicate that acupuncture versus placebo acupuncture failed to reduce cancer-related dyspnea. Both true and sham acupuncture alleviated fatigue slightly, but no significant differences between groups emerged. Compared with sham acupuncture, our research showed that acupuncture significantly improved saliva production in patients with xerostomia and significantly reduced lymphedema patients' arm circumference in a pilot study. However, acupuncture failed to significantly reduce hot flashes and was no more successful than sham acupuncture in reducing postoperative ileus. Significant reductions in pain and dysfunction occurred in cancer patients after neck dissection. In a feasibility study, acupuncture was found to be acceptable to lung cancer patients and did not interfere with standard postoperative care. In summary, acupuncture is a potential candidate for the treatment of some important cancer-related symptoms. Large clinical trials and research to investigate mechanistic pathways are warranted.
针灸可能有助于治疗特定的癌症相关症状。在此,我们总结了旨在确定针灸在管理癌症相关症状中作用的临床试验。已开展试验以确定针灸缓解癌症相关症状的能力,这些症状包括呼吸困难、疲劳、口干、淋巴水肿、潮热、术后肠梗阻、颈部解剖术后疼痛和功能障碍以及开胸术后疼痛。已发表的研究表明,与假针灸相比,针灸未能减轻癌症相关的呼吸困难。真针灸和假针灸均能轻微缓解疲劳,但两组之间未出现显著差异。与假针灸相比,我们的研究表明,在一项初步研究中,针灸显著改善了口干患者的唾液分泌,并显著减小了淋巴水肿患者的手臂周长。然而,针灸未能显著减轻潮热,在减少术后肠梗阻方面并不比假针灸更有效。颈部解剖术后癌症患者的疼痛和功能障碍显著减轻。在一项可行性研究中,发现针灸为肺癌患者所接受,且不干扰标准的术后护理。总之,针灸是治疗某些重要癌症相关症状的潜在选择。有必要开展大型临床试验和研究以探究其作用机制。