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神经肌肉电刺激对接受放化疗的晚期喉癌患者疲劳管理的影响。

Effect of neuromuscular electrical stimulation for fatigue management in patients with advanced laryngeal cancer receiving chemoradiotherapy.

作者信息

Zhang Mei-Jia, Mu Ji-Wei, Qu Xiu-Sheng, Feng Chong, Zhao Wei

机构信息

Department of Otolaryngology, First Affiliated Hospital of Jiamusi University Department of Radiotherapy, Second Affiliated Hospital of Jiamusi University, Jiamusi Department of Ultrasound, Hongqi Affiliated Hospital of Mudanjiang Medical University Department of Anatomy, Mudanjiang Medical University, Mudanjiang, China.

出版信息

Medicine (Baltimore). 2018 Jul;97(28):e11370. doi: 10.1097/MD.0000000000011370.

Abstract

This study retrospectively investigated the effect of neuromuscular electrical stimulation (NMES) for fatigue management in patients with advanced laryngeal cancer (ALC) receiving chemoradiotherapy.A total of 60 eligible patients with ALC receiving chemoradiotherapy were included. These patients were assigned equally to a treatment group and a control group. Patients in the treatment group received NMES therapy and were treated for a total of 8 weeks, while the patients in the control group did not receive NMES therapy. The primary outcome was fatigue, measured by the multidimensional fatigue inventory (MFI). The secondary outcomes included anxiety and depression, measured by the Hospital Anxiety and Depression Scale (HADS), and sleep quality, measured by the Pittsburgh Sleep Quality Index (PSQI). All outcomes were evaluated before and after 8-week NMES treatmentAfter 8-week NMES treatment, the patients in the treatment group did not exert better effect than patients in the control group in fatigue relief, measured by the MFI score, anxiety and depression decrease, assessed by HADS, and sleep quality improvement, evaluated by PSQI.The results of this study demonstrate that NMES may not benefit for fatigue relief in patients with ALC receiving chemoradiotherapy. Future studies should still focus on this topic and warrant these results.

摘要

本研究回顾性调查了神经肌肉电刺激(NMES)对接受放化疗的晚期喉癌(ALC)患者疲劳管理的效果。总共纳入了60例符合条件且正在接受放化疗的ALC患者。这些患者被平均分为治疗组和对照组。治疗组患者接受NMES治疗,共治疗8周,而对照组患者未接受NMES治疗。主要结局指标为疲劳,采用多维疲劳量表(MFI)进行测量。次要结局指标包括焦虑和抑郁,分别采用医院焦虑抑郁量表(HADS)进行测量,以及睡眠质量,采用匹兹堡睡眠质量指数(PSQI)进行测量。所有结局指标均在8周NMES治疗前后进行评估。8周NMES治疗后,通过MFI评分测量疲劳缓解情况、用HADS评估焦虑和抑郁减轻情况、用PSQI评估睡眠质量改善情况,结果显示治疗组患者在这些方面并不比对照组患者效果更好。本研究结果表明,NMES可能对接受放化疗的ALC患者缓解疲劳并无益处。未来的研究仍应关注这一主题,并对这些结果进行验证。

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