摘要
目的:评价中药穴位外敷阿是穴对肿瘤患者疼痛症状的影响。方法:计算机检索The Cochrane Library、Web of Science、PubMed、CNKI、维普网和万方数据库中对出现疼痛症状肿瘤患者采用中药穴位贴敷干预的随机对照试验。采用RevMan5.2软件对数据进行Meta分析。结果:共纳入16项研究,1421例患者。Meta分析结果显示,中药外敷阿是穴对癌性疼痛具有缓解作用[RR=1.18(1.13,1.24),P<0.01];VAS评分差异具有统计学意义[SMD=-0.80(-1.01,-0.59),P<0.01];2组不良反应发生情况差异无统计学意义[OR=1.38(0.55,3.47),P=0.49];中药外敷阿是穴对癌症患者生活质量具有改善作用[SMD=-0.89(0.71,1.07),P<0.01]。结论:中药外敷阿是穴对肿瘤患者疼痛症状控制安全有效,但受研究纳入文献质量影响,尚不能得出肯定结论。
Objective: To evaluate the effectiveness of acupoint application on Ashi points with herbs in patients with cancer-related cancer. Methods: We searched The Cochrane Library(Issue 10 October 2015), Web of Science, CNKI, VIP, PubMed and Wanfang Datebase to collect randomized controlled trails(RCTs). Meta-analysis was conducted by using RevMan 5.2 software. Results: Sixteen RCTs were included 1421 patients. The results of meta-analysis showed that Ashi points application therapy significantly improved cancer patients with pain [RR=1.18(1.13, 1.24), P<0.01]; the score of VAS between the two groups was significant [SMD=-0.80(-1.01,-0.59), P<0.01]; and there was no difference of adverse reaction[OR=1.38(0.55, 3.47), P=0.49]; Meanwhile, Ashi points application therapy acted a role in improving quality of life [SMD=-0.89(0.71, 1.07), P<0.01]. Conclusion: Ashi points application therapy is effective to management of cancer pain, This study has not gained a reliable conclusion due to the limiting of literature quality.
引文
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