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A systematic review of experimental and clinical acupuncture in chemotherapy-induced peripheral neuropathy.

机译:实验和临床针灸治疗化疗所致周围神经病变的系统评价。

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摘要

Chemotherapy-induced peripheral neuropathy (CIPN) is a common side effect that can be very disabling and can limit or delay the dose of chemotherapy that can be administered. Acupuncture may be effective for treating peripheral neuropathy. The aim of this study was to review the available literature on the use of acupuncture for CIPN. The systematic literature search was performed using MEDLINE, Google Scholar, Cochrane Database, CINHAL, and ISI Proceedings. Hand searching was conducted, and consensus was reached on all extracted data. Only papers in the English language were included, irrespective of study design. From 3989 retrieved papers, 8 relevant papers were identified. One was an experimental study which showed that electroacupuncture suppressed CIPN pain in rats. In addition, there were 7 very heterogeneous clinical studies, 1 controlled randomised study using auricular acupuncture, 2 randomized controlled studies using somatic acupuncture, and 3 case series/case reports which suggested a positive effect of acupuncture in CIPN. Conclusions. Only one controlled randomised study demonstrated that acupuncture may be beneficial for CIPN. All the clinical studies reviewed had important methodological limitations. Further studies with robust methodology are needed to demonstrate the role of acupuncture for treating CIPN resulting from cancer treatment.
机译:化疗引起的周围神经病(CIPN)是一种常见的副作用,可能会造成极大的伤害,并可能限制或延迟可以应用的化疗剂量。针灸可能有效治疗周围神经病。这项研究的目的是回顾有关CIPN针灸使用的现有文献。系统使用MEDLINE,Google Scholar,Cochrane数据库,CINHAL和ISI Proceedings进行文献检索。进行了手工搜索,并在所有提取的数据上达成了共识。无论研究设计如何,仅包括英语论文。从3989篇检索论文中,鉴定出8篇相关论文。一项实验研究表明,电针可抑制大鼠的CIPN疼痛。此外,有7项非常不同的临床研究,1项使用耳针的随机对照研究,2项使用体针的随机对照研究,3例病例/病例报告表明针灸对CIPN有积极作用。结论。只有一项随机对照研究表明,针灸可能对CIPN有益。所审查的所有临床研究均具有重要的方法学局限性。需要用健壮的方法进行进一步的研究,以证明针灸在治疗癌症引起的CIPN中的作用。

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