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低频电脉冲治疗对顺铂为基础的化疗引起的肺腺癌患者恶心呕吐的疗效:一项前瞻性对照研究。

Therapeutic effect of low frequency electric pulse therapy on cisplatin-based chemotherapy-induced nausea and vomiting in patients with lung adenocarcinoma: A prospective controlled study.

机构信息

Department of Oncology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, China.

出版信息

Medicine (Baltimore). 2022 Aug 26;101(34):e30088. doi: 10.1097/MD.0000000000030088.

Abstract

To explore the efficacy of low-frequency electric pulse therapy (LFEPT) combined with 2 antiemetics in the prevention and treatment of cisplatin-based chemotherapy-induced nausea and vomiting (CINV) in patients with lung adenocarcinoma. A total of 82 patients with lung adenocarcinoma who received cisplatin-based chemotherapy were randomly divided into the experimental group (n=41) and control group (n=41) by random numerical table method. The experimental group was treated with LFEPT combined with 2 antiemetic drugs (tropisetron hydrochloride and dexamethasone hydrochloride), while the control group was treated with the same 2 antiemetic drugs. Revised index of nausea and vomiting and retching (R-INVR) and Functional Living Index-Emesis (FLIE) scale were used to quantitatively evaluate the symptoms of nausea and vomiting after chemotherapy, and the effect of LFEPT in the prevention and treatment of CINV was observed. The baseline characteristics had no statistical difference between the 2 groups. The degree of nausea reaction, vomiting, and dry retching were similar in 2 groups on the first day after chemotherapy. However, the degree of nausea reaction, vomiting, and dry retching were significantly improved in the experimental group than that of the control group on 2 to 5 days with all P<.05. The score of FLIE had no difference between the 2 groups on the first day after chemotherapy (84.05 vs 82.69, P=.30), and the score was significantly higher in experiment group on day 6 compared with the control group (103.71 vs 89.38, P=.02). The side effects had no difference between the 2 groups. The LFEPT can significantly ameliorate CINV in patients with lung adenocarcinoma, which is worthy of clinical application.

摘要

探讨低频电脉冲治疗(LFEPT)联合 2 种止吐药预防和治疗肺腺癌患者顺铂化疗引起的恶心和呕吐(CINV)的疗效。采用随机数字表法将 82 例接受顺铂化疗的肺腺癌患者分为实验组(n=41)和对照组(n=41)。实验组采用 LFEPT 联合 2 种止吐药(盐酸托烷司琼和盐酸地塞米松)治疗,对照组采用相同的 2 种止吐药治疗。采用修订的恶心和呕吐指数(R-INVR)和功能性生活指数-呕吐(FLIE)量表定量评估化疗后恶心呕吐症状,并观察 LFEPT 预防和治疗 CINV 的效果。两组患者的基线特征无统计学差异。化疗后第 1 天,两组患者恶心反应、呕吐和干呕程度相似,但实验组第 2-5 天恶心反应、呕吐和干呕程度均明显优于对照组,均 P<.05。化疗后第 1 天,两组患者的 FLIE 评分无差异(84.05 分比 82.69 分,P=.30),实验组第 6 天的评分明显高于对照组(103.71 分比 89.38 分,P=.02)。两组患者的不良反应发生率无差异。LFEPT 可显著改善肺腺癌患者的 CINV,值得临床应用。

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