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减轻化疗引起的恶心和呕吐:一项随机双盲安慰剂对照临床试验。

reduces chemotherapy-induced nausea and vomiting: A randomized double-blind placebo-controlled clinical trial.

作者信息

Darvishpour Sharareh, Avan Razieh, Azadbakht Mohammad, Maham Monireh, Akbari Jafar, Janbabaei Ghasem, Zaboli Ehsan, Amirabadizadeh Ali Reza, Salehifar Ebrahim

机构信息

Department of Clinical Pharmacy, Gastrointestinal Cancer Research Center, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.

Department of Clinical Pharmacy, Medical Toxicology and Drug Abuse Research Center (MTDRC), School of Pharmacy, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

J Res Med Sci. 2021 Sep 30;26:72. doi: 10.4103/jrms.JRMS_833_20. eCollection 2021.

Abstract

BACKGROUND

Chemotherapy-induced nausea and vomiting (CINV) is considered as the most common complications of chemotherapy which has a detrimental influence on the quality of life of patients with cancer. We assessed the efficacy of Apple () syrup for reducing CINV.

MATERIALS AND METHODS

This study was a randomized, double-blind, placebo-controlled trial carried out in a Hematooncology Clinic affiliated to Mazandaran University of Medical Sciences, Sari, Iran (from October 2017 to August 2018). Subjects were randomly allocated to receive apple syrup or placebo along with their previous antiemetic treatment and chemotherapy regimen, three times a day. Thirty-four patients received apple syrup ( = 16) or placebo ( = 18). Statistical analysis was conducted using SPSS software Version 21 (SPSS Inc., Chicago, IL, USA). A < 0.05 indicated statistical significance.

RESULTS

Both acute and delayed nausea grades were significantly lower in syrup in comparison to placebo syrup ( = 0.001 and 0.001, respectively). The duration of nausea ( = 0.04) was lower in intervention group compared to placebo group.

CONCLUSION

These findings demonstrated that syrup can reduce the severity and duration of nausea in cancer patients who received chemotherapy.

摘要

背景

化疗引起的恶心和呕吐(CINV)被认为是化疗最常见的并发症,对癌症患者的生活质量有不利影响。我们评估了苹果()糖浆减轻CINV的疗效。

材料与方法

本研究是一项随机、双盲、安慰剂对照试验,在伊朗萨里马赞德兰医科大学附属血液肿瘤诊所进行(2017年10月至2018年8月)。受试者在接受先前的止吐治疗和化疗方案的同时,被随机分配接受苹果糖浆或安慰剂,每天三次。34名患者接受了苹果糖浆(=16)或安慰剂(=18)。使用SPSS软件21版(美国伊利诺伊州芝加哥SPSS公司)进行统计分析。P<0.05表示具有统计学意义。

结果

与安慰剂糖浆相比,糖浆组的急性和延迟性恶心分级均显著降低(分别为P=0.001和0.001)。干预组的恶心持续时间(P=0.04)低于安慰剂组。

结论

这些发现表明,糖浆可以降低接受化疗的癌症患者恶心的严重程度和持续时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/456e/8548888/d62e3ba2143f/JRMS-26-72-g001.jpg

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