[1] Gou Jiao, Sun Jing,.Effect of Acupuncture Therapy on Quality of Life of Cancer Patients with Bone Metastasis after Radiotherapy and Chemotherapy [J]. Modern Traditional Chinese Medicine, 2019, (06): 38-42. [doi: 10.13424/j.cnki.mtcm.2019.06.012]
Effect of Acupuncture Therapy on Quality of Life of Cancer Patients with Bone Metastasis
after Radiotherapy and Chemotherapy
- Article number:
- 1672-0571(2019)06-0038-05
- Keywords:
- acupuncture and moxibustion; cancer with bone metastasis; radiotherapy and chemotherapy; quality of life
- ZTFLH:
- R738.1
- Code:
- B
- Abstract:
- To observe the effect of acupuncture and moxibustion on the quality of life of cancer patients with bone metastasis after radiotherapy and chemotherapy by using the Chinese Quality of Life Scale. Methods: 100 cancer patients with bone metastasis in our hospital were treated with traditional Chinese medicine, acupuncture and moxibustion respectively. The selected patients were scored by the Chinese Quality of Life Scale and pain evaluation criteria, and statistical analysis was made. Results: The total effective rate of pain relief in the traditional Chinese medicine group was 56.00%, and that in the acupuncture group was 80. 00%. The acupuncture group was significantly better than that in the traditional Chinese medicine group ( P < 0. 05) ; the score of the first dimension( spirit, shape, emotion) of the Chinese Quality of Life Scale was higher in the acupuncture group than that in the traditional Chinese medicine group ( P < 0.05) ; the score of the second dimension( complexion, sleep, happiness, thought, expression in the eyes, language expression) was higher in the acupuncture group than that in the traditional Chinese medicine group ( P < 0. 05) ; while the score of anger and sadness in acupuncture group was lower than that in traditional Chinese medicine group ( P < 0. 05) .There was no significant difference in other scores between the two groups ( P > 0. 05) . Conclusion: Acupuncture and moxibustion treatment can significantly improve the quality of life of cancer patients with bone metastasis after radiotherapyand chemotherapy, and the effect is better than that of conventional Chinese medicine treatment.
References:
[1]曾宪妮,邓柏颖.针灸治疗癌症的临床进展[J].山东中医杂志,2010,29(5):354-357.
[2]邱慧兵,易铁男,张凌云,等.唑来膦酸联合放疗与联合化疗治疗非小细胞肺癌骨转移效果观察[J].肿瘤研究与临床,2017,29(7):437-441.
[3] Ezzo, J. Acupuncture - Point Stimulation for Chemotherapy Induced Nausea and Vomiting[ J] . Journal of Clinical Oncology,2005,23( 28) :7188 -7198.
[4] Meng Z, Garcia M K, Hu C, et al. Randomized controlled trial of acupuncture for prevention of radiation – induced xerostomia among patients with nasopharyngeal carcinoma [J] . Cancer,2012,118( 13) :3337 ? 3344.
[5] Walker E M, Rodriguez A I, Kohn B, et al. Acupuncture Versus Venlafaxine for the Management of Vasomotor Symptoms in Patients With Hormone Receptor – Positive Breast Cancer: A Randomized Controlled Trial[ J] . Journal of Clinical Oncology,2010,28( 4) :634 -640.
[6]边荣华.针刺对癌症疼痛的镇痛作用观察[J].实用中医药杂志,1999,15(7):28.
[7] Zhao L. #1038/ Development and Validation of the Chinese Quality of Life Instrument for Chinese Medicine[ J] . Bulletin of the American Society for Information Science&Technology,1997,23( 3) :26 ? 27.
[8]赵利,梁国辉,刘凤斌,等.中华生存质量量表对慢性心力衰竭患者的心理测量学评价[J].中国中西医结合杂志,2006(09):784-787.
[9] Nationalk, Foundation, kidney, et al. KDIGO Clinical Practice Guideline for the Evaluation and Management ofChronic Kidney Disease 2013 International Supplements [J] . Scienceopen,2013,3,19 ? 62.
[10]刘凤斌,赵利,郎建英,等.中华生存质量量表的研制[J].中国组织工程研究与临床康复,2007,9(6):1768-1779.
[11] Chen Y J, Tsai T H, Wang L Y, et al. Local Radiotherapy Affects Drug Pharmacokinetics— Exploration of a Neglected but Significant Uncertainty of Cancer Therapy[ J] . Technology in Cancer Research&Treatment, 2017, 16( 6) : 705-716.
[12] Braendengen M, Tveit K M, Berglund A, et al. Randomized Phase III Study Comparing Preoperative Radiotherapy With Chemoradiotherapy in Nonresectable Rectal Cancer [ J] . Journal of Clinical Oncology, 2008, 26 ( 22) : 3687-3694.
[13] Gerard JP, Conroy T, Bonnetain F, et al. Preoperative radiother - apy with or without concurrent fluorouracil and leucovorin in T3 - 4 rectal cancers: results of FFCD 9203[ J] . Clin Oncol,2006,24( 28) :4620 -4625.
[14] Chemoradiotherapy for Cervical Cancer Meta – Analysis Collaboration. Reducing uncertainties about the effects of chemoradiotherapy for cervical cancer: a systematic review and meta - analysis of individual patient data from 18 randomized trials. J Clin Oncol,2008,26( 35) :5802 -5812.
[15] Whitney CW, Sause W, Bundy BN, et al. Randomized comparison of fluorouracil plus cisplatin versus hydroxyurea as an adjunct to radiation therapy in stage IIB- IVA carcinoma of the cervix with negative para – aortic lymph nodes: a Gynecologic Oncology Group and Southwest
Oncology Group study[ J] . J Clin Oncol, 1999, 17 ( 5) :1339 -1348.
[16] Rose PG, Bundy BN, Watkins EB, et al. Concurrent cisplatin - based radiotherapy and chemotherapy for locally advanced cervical cancer [ J] . N Engl J Med, 1999, 340( 15) :1144 -1153.
[17] Keys HM, Bundy BN, Stehman FB, et al. Cisplatin, radiation, and adjuvant hysterectomy compared with radiation and adjuvant hysterectomy for bulky stage IB cervical carcinoma[ J] . N Engl J Med. 1999;340( 15) :1154 -1161.
[18] Latkauskas T, Paskauskas S, Dambrauskas Z, et al. Preoperative chemoradiation vs radiation alone for stage II and III resectable rectal cancer: a meta - analysis[ J] . Colorectal Disease the Official Journal of the Association of Coloproctology of Great Britain&Ireland,2010,12( 11) :1075 -1083.
[19] Krook JE, Moertel CG, Gunderson LL, et al. Effective surgical adjuvant therapy for high - risk rectal carcinoma[ J] .N Engl J Med,1991,324( 11) :709 -715.
[20] Morris M, Eifel PJ, Lu J, et al. Pelvic radiation with concurrent chemotherapy compared with pelvic and para - aortic radiation for high - risk cervical cancer[ J] . N Engl J Med,1999,340( 15) :1137 -1143.
[21] Peters WA III, Liu PY, Barrett RJ, 2nd, et al. Concurrent chemotherapy and pelvic radiation therapy compared with pelvic radiation therapy alone as adjuvant therapy after radical surgery in high - risk early - stage cancer of the cervix[ J] . J Clin Oncol,2000,18( 8) :1606 -1613.
[22] Green JA, Kirwan JM, Tierney JF, et al. Survival and recurrence after concomitant chemotherapy and radiotherapy for cancer of the uterine cervix: a systematic review and meta - analysis[ J] . Lancet,2001,358( 9284) :781 -786.
[23] Lu W, Hu D, Dean - Clower E, et al. Acupuncture for Chemotherapy - Induced Leukopenia: Exploratory Meta -Analysis of Randomized Controlled Trials[ J] . Journal of the Society for Integrative Oncology,2007,5( 1) :1 -10.
[24] Kautio AL, Haanpaa M, Kautiainen H, Kalso E, Saarto T. Burden of chemotherapy - induced neuropathy ? a cross -sectional study[ J] . Support Care Cancer, 2011, 19: 1991-6.
[25]世界卫生组织.针灸:审查和分析对照临床试验的报告[C].世卫组织针灸问题磋商会,1996.
[26] Schroeder S, Meyer - Hamme G, Epplee S. Acupuncture for chemotherapy - induced peripheral neuropathy ( CIPN) : a pilot study using neurography[ J] . Acupunct Med,2012,30:4-7.