Martínez García Esther, Nishishinya Aquino M Betina, Cruz Martínez Ofelia, Ren Yiming, Xia Ruyu, Fei Yutong, Fernández-Jané Carles
Integrative Pediatric Oncology Unit, Pediatric Cancer Center Barcelona, Sant Joan de Déu Children's Hospital, 08950 Barcelona, Spain.
Pediatric Neuro-Oncology, Pediatric Cancer Center Barcelona, Sant Joan de Déu Children's Hospital, 08950 Barcelona, Spain.
Cancers (Basel). 2024 Sep 19;16(18):3197. doi: 10.3390/cancers16183197.
/: Oncology acupuncture is emerging as a complementary treatment in pediatric cancer care centers. It is valued for its potential to manage symptoms associated with cancer and treatment toxicities without increasing polypharmacy. The aim of this review is to evaluate the efficacy and safety of acupuncture and related techniques in alleviating symptoms of cancer treatment in pediatric oncology patients. : A comprehensive search was conducted across nine databases, including PubMed, Cochrane Library, and CNKI, up to June 2023. Inclusion criteria focused on randomized and quasi-randomized controlled trials involving pediatric oncology patients undergoing needle acupuncture or related techniques. Study selection and data extraction were independently performed by pairs of authors. Results were analyzed narratively, and meta-analysis was performed when possible. : Results suggest that acupuncture may help manage symptoms such as nausea and vomiting in pediatric oncology patients. However, the quality of evidence was generally low, and further research is required to substantiate these findings. : Acupuncture shows promising results as a complementary treatment for reducing nausea and vomiting in pediatric oncology. However, current evidence is insufficient to draw conclusions for other outcomes, such as the number of vomiting episodes, reduction in antiemetic medication use, or fatigue. High-quality, rigorously designed studies are necessary to better understand the clinical relevance and safety of acupuncture in this vulnerable population.
/: 肿瘤针灸正逐渐成为儿科癌症护理中心的一种辅助治疗方法。它因其在不增加多种药物联合使用的情况下，有管理与癌症及治疗毒性相关症状的潜力而受到重视。本综述的目的是评估针灸及相关技术在缓解儿科肿瘤患者癌症治疗症状方面的疗效和安全性。: 截至2023年6月，对包括PubMed、Cochrane图书馆和中国知网在内的九个数据库进行了全面检索。纳入标准集中在涉及接受针刺或相关技术的儿科肿瘤患者的随机和半随机对照试验。研究选择和数据提取由作者对独立进行。对结果进行叙述性分析，并在可能的情况下进行荟萃分析。: 结果表明，针灸可能有助于管理儿科肿瘤患者的恶心和呕吐等症状。然而，证据质量普遍较低，需要进一步研究来证实这些发现。: 针灸作为减少儿科肿瘤恶心和呕吐的辅助治疗显示出有前景的结果。然而，目前的证据不足以就其他结果得出结论，如呕吐发作次数、止吐药物使用减少或疲劳。需要高质量、设计严谨的研究来更好地了解针灸在这一脆弱人群中的临床相关性和安全性。
