手法治疗在肿瘤相关不良反应中的临床应用研究

Research on clinical application of manual therapy to tumor-related adverse reactions

目的通过总结国内外研究,对手法治疗(MT)在肿瘤相关不良反应中的临床应用进行分析,以期为临床推广提供更多理论依据。方法检索7个中英文数据库,包括中国知网(CNKI)、万方学术期刊全文数据库(Wanfang)、重庆维普数据库(CQVIP)、PubMed、荷兰医学文摘(EMBASE)、Ovid和EBSCO,检索时间为建库至2020年12月31日,按照纳入和排除标准筛选文献,对提取的信息进行整理与分析。结果共分析文献46篇,其中关于乳腺癌患者不良反应的研究最多;MT干预疗效最佳的不良反应是疲劳,其次为疼痛、抑郁、焦虑;在不同的MT干预方式中,推拿主要应用于疲劳、疼痛、焦虑、抑郁以及肢体功能异常,穴位按压主要应用于腹胀、失眠、抑郁、焦虑等肠胃和心理相关问题,反射疗法应用方向与推拿较为接近。结论MT可以有效改善肿瘤患者的躯体反应、心理状态,以及整体功能,从而缓解各种类型的不良反应,可作为重要的非药物疗法进行推广,但是目前MT在临床中应用较为局限,缺乏相关的基础研究,应当加以重视。

Objective To analyze the clinical application of manual therapy(MT)to tumor-related adverse reactions via summarizing the research at home and abroad,in order to provide more theoretical evidence for the clinical promotion of MT.Methods We searched 7 Chinese and English databases,including China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang),Chongqing VIP Database(CQVIP),PubMed,Excerpta Medica Database(EMBASE),Ovid and EBSCO.The publication date was between the establishment date of the database and December 31,2020.We screened the literature according to the inclusion and exclusion criteria,and then sorted and analyzed the selected information.Results A total of 46 papers were analyzed.Most studies focused on the adverse reactions in breast cancer patients.MT interventions demonstrated the best efficacy for fatigue,followed by pain,depression and anxiety.In different MT interventions,Tuina(Chinese therapeutic massage)was mainly adopted for fatigue,pain,anxiety,depression,and limb dysfunctions.Acupoint pressing was mainly adopted for gastrointestinal and psychological problems such as abdominal bloating,insomnia,depression and anxiety.The application of reflexotherapy was similar to that of Tuina.Conclusion MT can alleviate various adverse reactions by effectively relieving patients’somatic symptoms and improving their psychological states and overall functions.It can be popularized as a significant non-drug therapy.Currently,however,the clinical application of MT is neither extensive nor has sufficient basic research.Consequently,we should attach importance to this application.