使用补充和综合疗法结合药物止吐药解决儿科肿瘤化疗引起的恶心和呕吐:范围综述》。

IF 1 4区 医学 Q3 NURSING
Madeleine Kajencki, Lucie Turcotte, Melissa Claar, Elizabeth V Weinfurter, Mary O Whipple
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引用次数: 0

摘要

背景:化疗是儿童癌症的一种常见治疗方法,但会产生严重的副作用,其中最明显的是恶心和呕吐,即化疗引起的恶心和呕吐(CINV)。为控制 CINV,人们对药物止吐药和补充与整合医学(CIM)进行了单独研究,但在了解它们的综合应用方面还存在差距。我们旨在研究 CIM 和药物止吐药对接受化疗的儿科肿瘤患者 CINV 的潜在多模式影响。研究方法在四个数据库中进行系统检索,以确定评估 CIM 与药物止吐药联用对 0-21 岁接受化疗的癌症患者疗效的研究。从每项研究中提取相关数据并进行评估。结果:共找到 18 个研究 CIM 疗法的资料来源,包括三个不同的类别(草药、物理和心理)。四种草药干预中的三种产生了显著效果,所有这些干预都采用了口服生姜。物理干预包括徒手和腕带穴位按摩、耳针以及针灸和激光针灸。在这 10 项研究中,只有 4 项取得了显著效果。在心理干预中,四项研究中有两项取得了显著效果。讨论:目前还没有明确的证据表明,在药物止吐的基础上,CIM疗法能更好地控制CINV。不过,本综述为今后研究潜在效果提供了支持和方向。一般来说,辅助疗法的潜在危害很小,成本相对较低,负担也较轻。因此,如果患者和家属认为可以从中获益,就应该考虑使用辅助疗法和综合疗法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Use of Complementary and Integrative Medicine in Combination With Pharmacological Antiemetics to Address Chemotherapy-Induced Nausea and Vomiting in Pediatric Oncology: A Scoping Review.

Background: Chemotherapy is a common treatment in childhood cancer but causes significant side effects, among the most notable being nausea and vomiting, known as chemotherapy-induced nausea and vomiting (CINV). Pharmacological antiemetics and complementary and integrative medicine (CIM) have been studied separately to manage CINV, but a gap exists in understanding their use together. We aimed to investigate the potential multimodal effects of CIM and pharmacological antiemetics on CINV in pediatric oncology patients undergoing chemotherapy. Method: Systematic searches were conducted in four databases to identify studies evaluating the efficacy of CIM in combination with pharmacological antiemetics in patients ages 0-21 with cancer undergoing chemotherapy. Relevant data were extracted from each study and evaluated. Results: Eighteen sources examining CIM therapies in three distinct categories (herbal, physical, and psychological) were identified. Three of four herbal interventions yielded significant results, all of which implemented oral ginger. Physical interventions included manual and wristband acupressure, auricular acupuncture, and needle and laser acupuncture. Significant results were found in only four of these 10 studies. Among psychological interventions, two of four yielded significant results. Discussion: There is no clear evidence of benefit from CIM therapies in addition to pharmacological antiemetics to better control CINV. However, this review provides support and direction for future research to examine potential effects. Complementary therapies generally have little potential for harm, are relatively low cost, and low burden. Therefore, if there is a perceived benefit for patients and families, complementary and integrative therapies should be considered.

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CiteScore
3.30
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