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耳穴指压对化疗引起的神经病变的初步疗效:第2部分实验室评估和客观结果

Preliminary Effectiveness of Auricular Point Acupressure on Chemotherapy-Induced Neuropathy: Part 2 Laboratory-Assessed and Objective Outcomes.

作者信息

Yeh Chao Hsing, Lukkahatai Nada, Campbell Claudia, Sair Haris, Zhang Fengzhi, Mensah Sylvanus, Garry Courtney, Zeng Jing, Chen Changying, Pinedo Mariela, Khoshnoodi Mohammad, Perrin Nancy, Smith Thomas J, Saligan Leorey N

机构信息

Johns Hopkins University School of Nursing, Baltimore, Maryland.

Johns Hopkins University School of Nursing, Baltimore, Maryland.

出版信息

Pain Manag Nurs. 2019 Dec;20(6):623-632. doi: 10.1016/j.pmn.2019.04.004. Epub 2019 Jun 14.


DOI:10.1016/j.pmn.2019.04.004
PMID:31204029
Abstract

PURPOSE: To manage chemotherapy-induced neuropathy (CIN), this paper explores reliable and valid objectives measures to evaluate the treatment effects of auricular point acupressure (APA). DESIGN/METHOD: This study was a repeated-measures one-group design. Participants received four weeks of APA to manage their CIN. The laboratory-assessed and objective outcomes included quantitative sensory testing, grip and pinch strength, and inflammatory biomarkers. Wilcoxon matched pairs signed-rank tests were conducted to determine change scores of outcomes at pre- vs. post- and pre- vs. 1-month follow-up. Spearman's rho correlation coefficient was used to examine the linear association of score changes of all objective study outcomes. RESULTS: Comparing pre-and-post APA, (1) the mean score of the monofilament for all lower extremity sites tested decreased after APA, indicating sensory improvement; (2) the suprathreshold pinprick stimuli mean scores on the upper extremities increased, except the scores from the index finger and thumb; (3) the pain tolerance of thumb and trapezius areas increased; (4) decreasing IL1β (p = .05), IFNγ (p = .02), IL-2 (p = .03), IL-6 (p = .05), IL-10 (p = .05), and IP10/CXCL10 (p = .04) were observed pre-post APA. Conditional pain modulation was significantly (p< .05) associated with pain intensity (r = 0.55), tingling (r = 0.59); and IL1β concentration (r = 0.53) pre-post APA. The sustained effects of 4-week APA were observed at the 1-month follow-up. CONCLUSIONS: Our study findings demonstrated the promising effectiveness of APA in the management of CIN, and these treatment effects can be assessed using reliable and valid objective measures. CLINICAL IMPLICATIONS: If the efficacy of APA to manage CIN is confirmed in a larger sample, APA has the potential to be a scalable treatment for CIN because it is a reproducible, standardized, and easy-to-perform intervention.

摘要

目的:为了管理化疗引起的神经病变(CIN),本文探索可靠且有效的客观指标来评估耳穴按压(APA)的治疗效果。 设计/方法:本研究为重复测量单组设计。参与者接受为期四周的APA以管理其CIN。实验室评估的客观结果包括定量感觉测试、握力和捏力,以及炎症生物标志物。采用Wilcoxon配对符号秩检验来确定治疗前后以及治疗前与1个月随访时结果的变化分数。使用Spearman等级相关系数来检验所有客观研究结果分数变化的线性关联。 结果:比较APA治疗前后,(1)所有测试下肢部位的单丝平均得分在APA治疗后降低,表明感觉改善;(2)上肢超阈值针刺刺激平均得分增加,但食指和拇指得分除外;(3)拇指和斜方肌区域的疼痛耐受性增加;(4)观察到治疗前后白细胞介素1β(IL1β,p = 0.05)、干扰素γ(IFNγ,p = 0.02)、白细胞介素2(IL - 2,p = 0.03)、白细胞介素6(IL - 6,p = 0.05)、白细胞介素10(IL - 10,p = 0.05)和IP10/CXCL10(p = 0.04)降低。条件性疼痛调制与治疗前后的疼痛强度(r = 0.55)、刺痛感(r = 0.59)以及IL1β浓度(r = 0.53)显著相关(p < 0.05)。在1个月随访时观察到为期4周的APA的持续效果。 结论:我们的研究结果证明了APA在管理CIN方面具有有前景的疗效,并且这些治疗效果可以使用可靠且有效的客观指标进行评估。 临床意义:如果在更大样本中证实APA管理CIN的疗效,APA有可能成为CIN的一种可扩展治疗方法,因为它是一种可重复、标准化且易于实施的干预措施。

相似文献

[1]
Preliminary Effectiveness of Auricular Point Acupressure on Chemotherapy-Induced Neuropathy: Part 2 Laboratory-Assessed and Objective Outcomes.

Pain Manag Nurs. 2019-12

[2]
Preliminary Effectiveness of Auricular Point Acupressure on Chemotherapy-Induced Neuropathy: Part 1 Self-Reported Outcomes.

Pain Manag Nurs. 2019-12

[3]
A randomized controlled study of auricular point acupressure to manage chemotherapy-induced neuropathy: Study protocol.

PLoS One. 2024

[4]
Day-to-Day Changes of Auricular Point Acupressure to Manage Chronic Low Back Pain: A 29-day Randomized Controlled Study.

Pain Med. 2015-10

[5]
Dynamic Brain Activity Following Auricular Point Acupressure in Chemotherapy-Induced Neuropathy: A Pilot Longitudinal Functional Magnetic Resonance Imaging Study.

Glob Adv Health Med. 2020-2-13

[6]
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Pain Manag Nurs. 2023-2

[7]
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Pain Med. 2018-1-1

[8]
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Holist Nurs Pract. 2014

[9]
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[10]
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Pain Manag Nurs. 2022-6

引用本文的文献

[1]
Effects of Swanson theory-based auricular acupressure on chemotherapy-induced peripheral neuropathy, and broader health-related outcomes in patients with breast cancer: A randomized controlled trial.

Asia Pac J Oncol Nurs. 2025-5-21

[2]
Auricular Point Acupressure for Older Adults with Chronic Low Back Pain: A Randomized Controlled Trial.

Pain Med. 2025-3-27

[3]
A randomized controlled study of auricular point acupressure to manage chemotherapy-induced neuropathy: Study protocol.

PLoS One. 2024

[4]
Adapting and Evaluating a Theory-Driven, Non-Pharmacological Intervention to Self-Manage Pain.

Healthcare (Basel). 2024-5-8

[5]
Retention, adherence, and acceptability testing of a digital health intervention in a 3-group randomized controlled trial for chronic musculoskeletal pain.

Complement Ther Med. 2024-5

[6]
Nurse-Administered Auricular Point Acupressure for Cancer-Related Pain.

Integr Cancer Ther. 2023

[7]
Use of acupuncture with acupressure in addition to standard-of-care cryotherapy to decrease chemotherapy-associated neuropathy in patients with gastrointestinal malignancies receiving oxaliplatin-based chemotherapy: Study protocol for a randomized, controlled pilot and feasibility study.

Contemp Clin Trials. 2023-8

[8]
Biological Correlates of the Effects of Auricular Point Acupressure on Pain.

Pain Manag Nurs. 2023-2

[9]
Exploring the Feasibility of Virtually Delivered Auricular Point Acupressure in Self-Managing Chronic Pain: Qualitative Study.

Evid Based Complement Alternat Med. 2022-8-29

[10]
Auricular Point Acupressure Smartphone Application to Manage Chronic Musculoskeletal Pain: A Longitudinal, One-Group, Open Pilot Trial.

Glob Adv Health Med. 2021-1-22

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