摘要
目的系统评价灸法在癌因性疲乏中的临床效果,为灸法在癌性疲乏患者中的合理使用提供循证依据。方法检索自建库至2021年3月在the Cochrane Library、PubMed、EMBASE、Web of Science、中国万方、中国生物医学、中国知网、维普8大数据库公开发表的灸法在癌因性疲乏中应用的随机对照试验;由2名研究者独立对文献进行检索、筛查和质量评价,并采用RevMan 5.3软件进行Meta分析。结果共纳入18篇文献,患者1498例,试验组750例,对照组748例,Meta分析结果显示,试验组患者的癌因性疲乏得分低于对照组[MD=-1.08,95%CI(-1.22,-0.95)];试验组患者卡氏评分高于对照组[MD=10.48,95%CI(7.07,13.89)];试验组患者生活质量评分优于对照组[SMD=1.18,95%CI(0.70,1.65)];试验组患者治疗有效率高于对照组[OR=5.45,95%CI(3.04,9.77)]。结论灸法可有效降低肿瘤患者癌因性疲乏程度,提高患者的生活质量,是一种切实可行的改善癌因性疲乏的中医护理操作。
Objective To evaluate the clinical effect of moxibustion on cancer-induced fatigue,so as to provide evidence-based basis for the rational use of moxibustion in patients with cancer fatigue.Methods The randomized controlled trial of the application of moxibustion in cancer-related fatigue published in the Cochrane Library,PubMed,EMBASE,Web of Science,China Wanfang,China Biomedical Science,China Knowledgeable Web,and Vip from the establishment of the database to March 2021 was retrieved.Two researchers independently searched,screened and evaluated the literature.RevMan5.3 software was used for Meta-analysis.Results A total of 18 studies were included,with a total of 1498 patients.There were 750 patients in the treatment group and 748 patients in the control group.The results of Meta analysis showed that patients in the treatment group had a lower cancer-related fatigue score than the control group in the treatment group were lower than in the control group[MD=-1.08,95%CI(-1.22,-0.95)].Patients in the treatment group had higher Karnofsky scores than those in the control group[MD=10.48,95%CI(7.07,13.89)].Patients in the treatment group had better QOL scores than those in the control group[SMD=1.18,95%CI(0.70,1.65)].Patients in the treatment group had a higher treatment response rate than those in the control group[OR=5.45,95%CI(3.04,9.77)].Conclusion Moxibustion can effectively reduce the degree of cancer-related fatigue in cancer patientsand improve the quality of life of patients.It is a practical Chinese medicine nursing operation to improve cancer-related fatigue.
作者
宋嘉婷
黄绮华
文希
SONG Jiating;HUANG Qihua;WEN Xi(Nursing Department,Guangdong Provincial Hospital of Chinese Medicine,Zhuhai 519015,China;Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510030,China)
出处
《宁夏医科大学学报》
2022年第11期1148-1155,共8页
Journal of Ningxia Medical University
基金
广东省中医院院内课题专项(YN2018HL06)。
关键词
灸法
癌症
癌因性疲乏
META分析
moxibustion
cancer
cancer-related fatigue
Meta-analysis
