摘要
目的评价国内文献穴位刺激对化疗引起恶心、呕吐的效果。方法计算机检索中国生物医学文献数据库、中国期刊全文数据库、万方数据库、维普中文科技期刊全文数据库，纳入符合条件的随机对照试验（RCT），共纳入27个RCT。结果Meta分析显示，与未进行穴位刺激相比，穴位刺激可降低化疗引起的急性呕吐的发生率。由于异质性，各研究关于穴位刺激对化疗引起恶心、延迟性呕吐的作用效果未能合并，各研究结论不一。16个RCT未能区分化疗引起恶心、呕吐的类型，而穴位刺激在观察期间是否能缓解化疗引起的呕吐症状，结论不一致。结论穴位刺激可降低化疗引起急性呕吐的发生率。对急性恶心、延迟性恶心、呕吐、预期性恶心、呕吐的作用仍需高质量、设计严谨的临床试验来验证。
Objective To evaluate the effectiveness of acupoint stimulation on chemotherapy-induced nausea and vomiting （CINV） of domestic and foreign literatures. Methods A total of 27 RCTs in accordance with inclusion criteria were enrolled in the study by searching databases from China Biology Medicine （ CBM ）, Chinese National Knowledge Infrastructure （CNKI）, Wan Fang and VIP. Results The Meta analysis showed that acupoint stimulation could reduce the incidence rate of chemotherapy-induced acute vomiting. The effects of acupoint stimulation on chemo- therapy-induced nausea and delayed vomiting of researchs could not be pooled due to heterogeneity, and the conclusions were different. There were 16 RCTs whom couldn＇t distinguish the classification of chemotherapy-induced nausea and vomiting. The conclusions were different in whether acupoint stimulation can ease the chemotherapy-induced nausea and vomiting during the observation period. Conclusion Acupoint stimulation can reduce the incidence of chemotherapyinduced acute vomiting. More well-designed clinical trims are needed to verify the effectiveness of acupoint stimulation on other categories of CINV.
出处
《国际护理学杂志》
2016年第9期1156-1161,共6页
international journal of nursing
基金
江苏省科技创新与成果转化（生命健康科技）专项（BL2012012）
江苏省2015年度普通高校研究生实践创新计划（SJLX15-0424）
关键词
穴位刺激
化疗
恶心
呕吐
Acupoint stimulation
Chemotherapy
Nausea
Vomit
