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The importance of spirituality in supportive care

机译:精神在支持治疗中的重要性

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Background:It has been shown that the pineal gland plays a fundamental role in mediating either the spiritual perception or the anticancer immunity by stimulating the endogenous production of anticancer cytokine interleukin (IL)-2.Objective:The present study was performed to evaluate the impact of a spiritual approach consisting of Kriya Yoga program alone or in association with melatonin (MLT) or low-dose IL-2 plus MLT on the survival time in a group of metastatic cancer patients with life expectancy less than 1 year.Materials and Methods:A case-control study was carried out in 240 patients (M/F: 146/94; median age: 62 years, range: 34-71, suffering from non-small-cell lung cancer or gastrointestinal tumors) who were subdivided into 6 groups of 40 patients, treated with supportive care alone as a control group, supportive care plus Yoga, MLT alone, MLT plus Yoga, inteleukin-2 plus MLT, or IL-2 plus MLT plus Yoga.Results:The best results in terms of increased survival time were obtained by the association between neuroimmunotherapy with MLT plus IL-2 and Yoga program (2 years), which was significantly longer with respect to that achieved by supportive care alone, Yoga alone, or IL-2 plus MLT alone (1 year).Conclusions:This study would suggest that a spiritual therapeutic approach may improve the survival time of untreatable metastatic solid tumor patients.
机译:背景:研究表明,松果体通过刺激内源性抗癌细胞因子白介素(IL)-2的产生在介导精神知觉或抗癌免疫中起基本作用。单独或与褪黑激素(MLT)或低剂量IL-2加MLT联合使用Kriya瑜伽程序的精神方法对一组预期寿命少于1年的转移性癌症患者生存时间的影响。对240名患者(M / F:146/94;中位年龄:62岁,范围:34-71,患有非小细胞肺癌或胃肠道肿瘤)进行了病例对照研究,将其细分为6名40例患者,单独接受支持治疗作为对照组,支持治疗加瑜伽,单独MLT,MLT加瑜伽,inteleukin-2加MLT或IL-2加MLT加瑜伽。获得更长的生存时间d由MLT加IL-2进行神经免疫疗法与瑜伽计划之间的关联(2年)所致,相对于单独的支持性护理,单独的瑜伽或单独由IL-2加MLT进行(1年)所获得的效果明显更长。 :这项研究表明,一种精神疗法可以改善无法治愈的转移性实体瘤患者的生存时间。

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