揿针对癌性疼痛效果及其不良反应影响的Meta分析  

Meta-analysis of the Effect of Thumb-tack Needle on Cancer Pain and its Adverse Reactions

作　　者：何雪冬 奉燕 文琼梅 HE Xue-dong;FENG Yan;WEN Qiong-mei(Surgical Anesthesia Center,Suining Central Hospital,Suining 629000,Sichuan,China;Department of Traditional Chinese Medicine and Integrated Traditional Chinese and Western Medicine,Suining Central Hospital,Suining 629000,Sichuan,China)

机构地区：[1]遂宁市中心医院手术麻醉中心,四川遂宁629000 [2]遂宁市中心医院中医及中西医结合科,四川遂宁629000

出　　处：《医学信息》2024年第12期30-34,共5页Journal of Medical Information

摘　　要：目的分析揿针疗法对癌性疼痛的效果及常见不良反应发生的影响。方法电子检索中国知网(CNKI)、维普(VIP)、万方数据库(Wanfang)、中国生物医学文献数据库(SinoMed)以及Cochrane图书馆(Cochrane Library)、PubMed以及EMbase等数据库,集合相关的随机对照研究(RCT)并进行文献质量评价,使用R语言进行效应量合并。结果最终纳入6篇RCT,共520例病例,结果显示试验组疼痛缓解率、VAS评分、NRS评分、VAS+NRS评分、恶心呕吐及便秘发生率优于对照组(P<0.05);而两组KPS评分比较,差异无统计学意义(P>0.05)。结论揿针能够缓解癌性疼痛及镇痛药物引起的恶心呕吐和便秘,提高化疗相关生活质量,但对患者功能状态的改善证据尚不足,同质化、大样本的RCT仍有待进一步开展。Objective To analyze the effect of thumb-tack needle therapy on cancer pain and the influence of common adverse reactions.Methods China National Knowledge Infrastructure(CNKI),VIP,Wanfang,SinoMed,Cochrane Library,PubMed and EMbase databases were electronically searched to collect relevant randomized controlled trials(RCTs)and evaluate the quality of the literature.R language was used to combine the effect size.Results A total of 6 RCTs involving 520 patients were included.The results showed that the pain relief rate,VAS score,NRS score,VAS+NRS score,nausea and vomiting and constipation in the experimental group were better than those in the control group(P<0.05).There was no significant difference in KPS score between the two groups(P>0.05).Conclusion Thumb-tack needle can relieve nausea,vomiting and constipation caused by cancer pain and analgesic drugs,and improve the quality of life related to chemotherapy.However,the evidence for improving the functional status of patients is still insufficient,and homogeneous and large-sample RCTs still need to be further carried out.

关 键 词：揿针 癌症 癌性疼痛 

分 类 号：R244.8[医药卫生—针灸推拿学]