文章摘要

中药穴位敷贴结合穴位按摩对肿瘤患者化疗后消化道反应的Meta分析

作者: 1杨思源, 1郭丽敏, 1贾媛, 1吴茜, 2孟繁洁
1 天津中医药大学研究生院,天津 300193
2 天津中医药大学教师发展与评价中心,天津 300193
通讯: 孟繁洁 Email: mfj1127@126.com
DOI: 10.3978/j.issn.2095-6959.2019.08.025

摘要

目的:系统评价中药穴位敷贴结合穴位按摩对肿瘤患者化疗后消化道反应的临床效果。方法:计算机检索Cochrane Library,PubMed,Web of Science,CNKI,VIP,Wanfang Data,CBM 7个数据库,检索时间从建库至2018年11月,查找符合纳入标准的随机对照试验,并追溯和该研究主题相关的参考文献。由2名研究员对文献进行严格地检索、筛查和数据提取,交叉核对后,采用RevMan5.3软件进行Meta分析。结果:共纳入10个RCT(1 036例患者)。Meta分析结果显示:1)实验组为中药穴位敷贴结合穴位按摩组,其治疗呕吐的有效率明显优于对照组(西药抗呕吐药物组)[OR=4.44,95%CI 2.72~7.23,Z=5.98,P<0.00001);2)实验组治疗后呕吐持续时间与对照组相比有明显的改善(MD=−1.66,95% CI −1.99~−1.33,Z=9.82,P<0.00001);3)次要结局指标如化疗后呃逆症状评分、呃逆的有效率、便秘症状积分、排便次数、排便困难程度及第一次排便时间均优于对照组,差异有统计学意义(P<0.05)。结论:中药穴位敷贴结合穴位按摩能有效改善肿瘤患者化疗后消化道不良反应,但还需更严谨、更多的临床试验对结论进一步论证。
关键词: 中药;穴位敷贴;穴位按摩;化学治疗;Meta分析

Acupoint application of traditional Chinese medicine combined with point massage for adverse reaction after chemotherapy: A Meta-analysis

Authors: 1YANG Siyuan, 1GUO Limin, 1JIA Yuan, 1WU Qian, 2MENG Fanjie
1 Graduate College, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
2 Department of Teacher Development and Evaluation, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China

CorrespondingAuthor: MENG Fanjie Email: mfj1127@126.com

DOI: 10.3978/j.issn.2095-6959.2019.08.025

Abstract

Objective: To systematically evaluate the effectiveness of acupoint application of traditional Chinese medicine combined with point massage for adverse reaction after chemotherapy. Methods: Randomized controlled trials, which explored the effects of acupoint application of traditional Chinese medicine combined with point massage for adverse reaction after chemotherapy, were searched in the databases of Cochrane Library, PubMed, Web of Science, CNKI, VIP, Wanfang Data, CBM from inception to Nov. 2018, and a Meta-analysis was performed with RevMan5.3 software after screening the articles. Results: A total of 10 randomized controlled trials and 1 036 patients were enrolled, among which 518 cases were in an experimental and a control group respectively. According to the Meta-analysis: 1) the effectiveness of acupoint application of traditional Chinese medicine combined with point massage for nausea and vomiting after chemotherapy was significantly superior to the controlled treatment (OR=4.44, 95%CI 2.72–7.33, Z=5.98, P<0.00001); 2) the duration of vomiting was significantly decreased after comprehensive treatment (MD=−1.66, 95%CI −1.99 to −1.33, Z=9.82, P<0.00001); 3) the secondary outcome indicators in the experimental group indicated better efficiency when compared with those in the control group, such as hiccup symptom score, the efficacy of hiccup, constipation symptom score, defecation frequency, difficulty in defecating and first bowel movement, and there was significant difference (P<0.05). Conclusion: Acupoint application of Chinese traditional medicine combined with point massage is potentially effective to improve patient’s quality of life, and it is worth being popularized clinically. While the depth researches and high quality randomized controlled trials on the efficacy of acupoint application of Chinese traditional medicine combined with point massage for adverse reaction after chemotherapy will be needed to increase the strength of the argument in the future.
Keywords: Chinese traditional medicine; acupoint application; acupoint massage; chemotherapy; Meta-analysis

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