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电刺激内关穴控制癌症患者化疗引起的恶心和呕吐:一项系统评价和荟萃分析

Electrical Stimulation of PC 6 to Control Chemotherapy-Induced Nausea and Vomiting in Patients with Cancer: A Systematic Review and Meta-Analysis.

作者信息

Garcia Gabriel Tavares, Ribeiro Robson Fonseca, Faria Santos Isabella Boechat, Gomes Fabiana de Campos, de Melo-Neto João Simão

机构信息

Federal University of Pará (UFPA), Belém, PA, Brazil.

School of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.

出版信息

Med Acupunct. 2021 Feb 1;33(1):22-44. doi: 10.1089/acu.2020.1431. Epub 2021 Feb 16.

Abstract

A complementary treatment for managing chemotherapy-induced nausea and vomiting (CINV) with promising results is electrostimulation of Pericardium 6 (PC 6; ). This review was conducted to evaluate the effects of electrostimulation therapy at PC 6 to control CINV in patients with cancer. The review was registered on PROSPERO (CRD42018087753). This systematic review and meta-analysis of clinical trials was accomplished according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Studies written in English, Portuguese, or Spanish that met the eligibility criteria organized according to the PICO [Patient, Problem or Population; Intervention; Comparison, Control, or comparator; Outcome(s)] anagram were included. Descriptors used to search the databases were identified and selected according to the Medical Subject Headings of the National Library of Medicine. The primary outcomes evaluated were the frequency and severity of nausea, vomiting, and general emesis after the experimental protocol. The secondary outcomes evaluated were the numbers of antiemetic pills taken and the patients' quality of life. Fourteen articles were included. There was a reduction in the mean number of episodes of acute nausea (mean difference [MD] = -2.08; 95% confidence interval [95%CI] = -2.76, -1.39) and acute vomiting (MD = -0.91; 95% CI = -1.39, -0.42) or delayed (MD = -0.85; 95%CI = -1.47, -0.23) in patients given the treatment. The other analyses of nausea, vomiting and emesis showed no differences. Electrostimulation at PC6 has an effect on controlling general emesis, and acute nausea and vomiting in different phases of recovery from chemotherapy in patients with cancer.

摘要

一种对控制化疗引起的恶心和呕吐(CINV)有显著效果的辅助治疗方法是电刺激内关穴(PC 6)。本综述旨在评估电刺激PC 6疗法对控制癌症患者CINV的效果。该综述已在国际前瞻性系统评价注册库(PROSPERO,注册号:CRD42018087753)登记。本系统评价和临床试验的荟萃分析是根据系统评价和荟萃分析的首选报告项目声明的建议完成的。纳入了以英文、葡萄牙文或西班牙文撰写且符合根据PICO [患者、问题或人群;干预措施;对照、控制或比较组;结局] 这一记忆法组织的纳入标准的研究。根据美国国立医学图书馆的医学主题词确定并选择用于检索数据库的描述符。评估的主要结局是实验方案后恶心、呕吐和总体呕吐的频率和严重程度。评估的次要结局是服用的止吐药数量和患者的生活质量。共纳入14篇文章。接受该治疗的患者急性恶心发作的平均次数有所减少(平均差 [MD] = -2.08;95%置信区间 [95%CI] = -2.76,-1.39),急性呕吐发作的平均次数(MD = -0.91;95%CI = -1.39,-0.42)或延迟呕吐发作的平均次数(MD = -0.85;95%CI = -1.47,-0.23)也有所减少。对恶心、呕吐和呕吐的其他分析未显示差异。电刺激PC6对控制癌症患者化疗不同恢复阶段的总体呕吐、急性恶心和呕吐有效果。

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