将电针函数添加到标准三重抗体疗法对化学疗法引起的恶心和呕吐的影响:一项随机对照临床试验。
摘要来源:
j clin oncol。 2024年9月6日:JCO2400099。 EPUB 2024 9月6日。PMID: 39241208 Zhao, Miaozhou Wang, Zhen Liu, Xiumei Feng, Yingjian He, Xinlan Liu, Xiaoling Ling, Yi Zhao, Feixue Song, Jiyan Ma, Enxi Li, Tong She, Zhilin Liu, Zitao Li, Shifen Huang, Yongzhi Chen, Jingru Yang, Xuan Li, Li Duan, Mengting Da, Yonghui Zheng, Yongxin Li, Jiuda Zhao
Article Affiliation:Guoshuang Shen
Abstract:PURPOSE: We aim to determine the effectiveness of adding electroacupuncture to standard triple antiemetic therapy for treating chemotherapy-induced nausea and呕吐(CINV)。
方法: 从2022年3月至2023年12月,在六家中国医院进行了一项随机,盲人,假对照试验,调查了经历了高度令人沮丧的化学疗法(HEC)的乳腺癌患者(HEC)。将患者随机分配到真实的电针(n = 120)或假电针(n = 119)组中,两组均接受标准的三重抗体疗法。 The primary end point was the proportion of complete protection (no vomiting, no need for rescue treatment, and no significant nausea, as evaluated using the visual analog scale [VAS]) within 120 hours after receiving HEC.
RESULTS: Among 239 randomly assigned patients, 235 (98.3%) completed the trial.在完整的分析集中,与假电针组相比,真实针灸组的完整保护率从34.5%显着提高到52.9%(= .004)。此外,True Electrouctumpuncture还显示出总体对照增强(4.3%13.4%; = .014),没有明显的恶心(37.9%58.8%; = .001),无恶心(4.3%13.4%; = .014; = .014)和Nausea VAS得分= 0 mm(4.3%12.6%)。但是,两组的整个阶段中无呕吐的发生相似(76.7%73.9%; = .622)。事后探索性分析表明,与假电性针灸组相比,真实电针组的延迟阶段的完整保护率明显更高,在急性阶段没有观察到的显着差异。