摘要
目的:对中医适宜技术在慢性癌痛患者治疗的方法进行范围综述,以期为临床开展癌痛治疗提供参考依据。方法:检索CNKI、VIP、WanFang Date、Sinomed、PubMed、Web of Science、Embase、Cochrane Library 8个中英文数据库,检索时限为2020年1月~2025年2月,由2名研究生按纳入与排除标准筛选文献、提取资料。结果:最终纳入37篇RCT研究,涉及针灸、穴位贴敷、中药外治、拔罐等中医适宜技术,研究结局指标主要包括疼痛评分、生活质量评分、中医证候积分、心理情绪、睡眠质量等。结论:中医适宜技术治疗慢性癌痛方式多样,但随访不足、样本量小且范围局限等问题,建议开展大规模多中心大样本研究,以推动技术推广与深入研究。
Objective: To conduct a comprehensive review of the appropriate techniques of traditional Chinese medicine in the treatment of patients with chronic cancer pain, in order to provide reference for the clinical treatment of cancer pain. Methods: Eight Chinese and English databases including CNKI, WanFang Data Knowledge Service Platform, VIP Database, Sinomed, PubMed, Web of Science Core Set, Embase and Cochrane Library were searched by computer from January 2020 to February 2025. Literature selection and data extraction were conducted by 2 graduate students according to inclusion and exclusion criteria. Results: 37 RCT studies were included, including acupuncture, acupoint application, external treatment with traditional Chinese medicine, cupping therapy and other appropriate techniques of traditional Chinese medicine. The outcome indexes mainly included pain score, quality of life score, TCM syndrome score, psychological emotion, sleep quality and so on. Conclusion: There are many ways for TCM technology to treat chronic cancer pain, but there are problems such as insufficient follow-up, small sample size and limited scope. It is suggested to carry out large-scale multi-center research to promote technology popularization and in-depth research.
出处
《中医学》
2025年第6期2653-2662,共10页
Traditional Chinese Medicine