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补充和替代医学干预对乳腺癌患者癌因性疼痛的影响:系统评价。

Effect of complementary and alternative medicine interventions on cancer related pain among breast cancer patients: A systematic review.

机构信息

Department of Radiology, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran.

Department of Midwifery, Jiroft University of Medical Sciences, Jiroft, Iran.

出版信息

Complement Ther Med. 2020 Mar;49:102318. doi: 10.1016/j.ctim.2020.102318. Epub 2020 Jan 17.

DOI:10.1016/j.ctim.2020.102318
PMID:32147038
Abstract

OBJECTIVE

This systematic review aimed to evaluate the efficacy of CAM interventions for cancer-related pain in breast cancer patients.

METHODS

Databases (PubMed, Scopus, Web of Science, and EMBASE) were searched from January 1, 2000, up to April 31, 2019, using the keywords: Complementary and alternative medicine therapies and cancer related pain. Standard tools were used to evaluate the quality of the studies included.

RESULTS

Of the 3742 articles found, 46 articles comprising 3685 participants entered the final phase. Our results indicate that interventions including acupuncture/acupressure, tai chi/qi gong, hypnosis, meditation, music therapy, yoga, massage, reflexology, and Reiki improve cancer-related pain in breast cancer patients. However, aromatherapy had no effect on the same.

CONCLUSIONS

Despite the positive effect of various CAM interventions in reducing cancer-related pain, necessary precautions should be adopted to use them alongside other treatments to control cancer pain in the clinical setting.

摘要

目的

本系统评价旨在评估针对乳腺癌患者癌性疼痛的 CAM 干预措施的疗效。

方法

从 2000 年 1 月 1 日至 2019 年 4 月 31 日,使用关键词“补充和替代医学疗法和癌症相关疼痛”在数据库(PubMed、Scopus、Web of Science 和 EMBASE)中进行检索,采用标准工具评估纳入研究的质量。

结果

在 3742 篇文章中,有 46 篇文章共 3685 名参与者进入最终阶段。我们的结果表明,包括针刺/穴位按压、太极/气功、催眠、冥想、音乐疗法、瑜伽、按摩、反射疗法和灵气在内的干预措施可改善乳腺癌患者的癌性疼痛。然而,芳香疗法对其没有影响。

结论

尽管各种 CAM 干预措施在减轻癌性疼痛方面具有积极作用,但在临床环境中控制癌症疼痛时,应采取必要的预防措施来与其他治疗方法一起使用。

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