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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (2): 38-42.doi: 10.16460/j.issn1008-9969.2020.02.038

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Effectiveness of Shenque Acupoint Application Therapy for Chemotherapy-induced Constipation in Cancer Patients：A Meta-analysis

HUI Jing-rui, XIONG Zhen-fang, CHEN Han-bin, LEI Yu-chi, LI Jing-wen   

  1. School of Nursing, Hubei University of Chinese Medicine, Wuhan 430065, China
  • Received:2019-10-06 Published:2020-07-21

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Abstract: ： Objective To systematically evaluate the efficacy and safety of Shenque acupoint application therapy (AAT) in the treatment of chemotherapy-induced constipation in cancer patients. Methods We searched CBM, CNKI, Wanfang Database, VIP, PubMed, Embase, Cochrance, Web of Science, CINAHL Complete and Medline for randomized controlled trials (RCTs) of Shenque AAT for chemotherapy- induced constipation from the inception to December 2018. Meta-analysis was performed using Review Manager 5.3 software. Results Seven articles were included in the systematic review, with a total sample size of 494. Meta-analysis showed that the overall effective rate [RR=1.31,95%CI（1.17,1.47）, P<0.01; RR=1.40,95%CI（1.20,1.63）,P<0.01], and cure rate[RR=1.66,95%CI(1.28,2.15), P<0.01] of Shenque AAT group were higher than those of conventional western medicine treatment group. Two articles reported two cases of adverse reaction,and the incidence of adverse reaction was 3%. Conclusion Compared with conventional western medicine treatment, Shenque AAT has better curative effect on chemotherapy-induced constipation, but there is a risk of rash and diarrhea.

Key words: acupoint application, Shenque acupoint, cancer, chemotherapy, constipation, Meta-analysis

CLC Number: 

  • R473.73
[1] International Agency for Research on Cancer. GLOBOCAN 2018, Cancer Incidence and Mortality Worldwide and by Region.[EB/OL].(2018-09-12)[2019-01-11]. http://gco. iarc. fr/today/home.
[2] 刘振昌,王秀改,陈创.泻浊散神阙贴敷防治肿瘤化疗相关性便秘随机平行对照研究[J].实用中医内科杂志,2017,31(9):20-22. DOI:10.13729/j.issn.1671-7813.2017.09.08.
[3] Escalante J, McQuade RM, Stojanovska V, et al. Impact of Chemotherapy on Gastrointestinal Functions and the Enteric Nervous System[J].Maturitas,2017(105):23-29.DOI:10.1016/j.maturitas.2017.04.021.
[4] McQuade RM, Stojanovska V, Abalo R,et al. Chemotherapy-induced Constipation and Diarrhea: Pathophysiology, Current and Emerging Treatments[J]. Front Pharmacol,2016,7(4):414. DOI:10.3389/fphar.2016.00414.
[5] 张洁,宋健,胡君娥.中医穴位疗法对化疗性便秘有效性的Meta分析[J].护理学,2017,6(4):107-114. DOI:10.12677/NS.2017.64021.
[6] 刘静,吴耀持.中药穴位贴敷的临床应用现状及机制探讨[J].上海医药,2018,39(24):3-5.DOI:10.3969/j.issn.1006-1533.2018.24.002.
[7] Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[EB/OL]. (2011-04-10) [2019-01-11].http://handbook-5-1.cochrane.org/.
[8] Jadad AR,Moore RA,Carroll D,et al.Assessing the Quality of Reports of Randomized Clinical Trials: Is Blinding Necessary?[J]. Control Clin Trials,1996,17(1). DOI:10.1016/0197-2456(95)00134-4.
[9] 吴茂林,钱琳,杨淑艳,等.便秘敷贴外敷神阙穴治疗化疗相关性便秘40例[J].中国中医药科技, 2018,25(6):880-881.
[10] 段林艳,李岚兰.穴位贴敷在预防化疗期间恶性肿瘤患者便秘中的应用[J].肿瘤基础与临床,2018,31(3):272-273. DOI:10.3969/j.issn.1673-5412.2018.03.030.
[11] 张雪梅. 中药敷脐治疗多发性骨髓瘤老年患者化疗后便秘的效果及护理[J].中国老年保健医学,2018,16(2):120-121. DOI:10.3969/j.issn.1672-2671.2018.02.053.
[12] 吴露霞. 中药穴位贴敷治疗化疗后便秘患者的疗效观察及护理[J].健康大视野, 2018(16):98. DOI:10.3969/j.issn.1005-0019.2018.16.139.
[13] 唐静. 行气通便方敷脐改善化疗所致便秘的临床研究[D].天津:天津中医药大学,2016.
[14] 王新梅,何春玲,刘晶晶,等.麻仁丸加药物贴敷神阙穴治疗化疗患者便秘的临床研究[J].现代中医药,2015,35(6):25-26. DOI:10.13424/j.cnki.mtcm.2015.06.011.
[15] 王祥. 丁桂散预防老年肿瘤患者化疗后发生便秘的临床效果观察[J].中医药导报,2014,20(16):41-43.
[16] 田婷,黄锐娜,戚熠,等.肿瘤患者PICC置管相关静脉血栓形成危险因素Meta分析[J].护理学报,2019,26(11):49-54. DOI:10.16460/j.issn1008-9969.2019.11.049.
[17] 俞婷婷,赵若华,俞晓莲,等.中药穴位贴敷疗法治疗慢性功能性便秘疗效的Meta分析[J].中国全科医学, 2014,17(26):3109-3112.DOI:10.3969/j.issn.1007-9572.2014.26.017.
[18] 赵冉,曾亮,侯文光,等.穴位贴敷治疗阿片类药物所致便秘随机对照研究的Meta分析[J].上海针灸杂志, 2018,37(11):1318-1326.DOI:10.13460/j.issn.1005-0957.2018.11.1318.
[19] 姜娜娜. 穴位贴敷联合中药热奄包对慢性呼吸系统疾病患者便秘的效果观察[J].护理学报, 2017,24(6):48-51. DOI:10.16460/j.issn1008-9969.2017.06.048.
[20] 陈汐敏. 我国医学期刊论文发表偏倚的调查和思考[J].中国科技期刊研究,2019,30(7):715-720.DOI:10.11946/cjstp.201902260126.
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