JCO：乳腺癌患者的潮热，试试针灸(AcCliMaT研究)

2016-03-29 Seven L MedSci原创

近期发表在 Journal of Clinical Oncology的研究称，针灸可以缓解困扰许多乳腺癌患者的潮热问题。许多乳腺癌患者都面临潮热的困扰，每周的针灸治疗可现实改善症状，提高生活质量。意大利博洛尼亚卡普里医院的Giorgia Razzini说：“三个月的针灸和强化自我照顾可有效改善乳腺癌患者的潮热情况。激素治疗常常会让乳腺癌患者经历糟糕的潮热，而针灸则是帮助患者的有力工具！”该研究共纳

近期发表在 Journal of Clinical Oncology的研究称，针灸可以缓解困扰许多乳腺癌患者的潮热问题。类似研究去年也有发表：JCO：电针灸对乳腺癌相关潮热有极为显著疗效

许多乳腺癌患者都面临潮热的困扰，每周的针灸治疗可现实改善症状，提高生活质量。

意大利博洛尼亚卡普里医院的Giorgia Razzini说：“三个月的针灸和强化自我照顾可有效改善乳腺癌患者的潮热情况。激素治疗常常会让乳腺癌患者经历糟糕的潮热，而针灸则是帮助患者的有力工具！”

该研究共纳入了2010-2013年间的190名乳腺癌患者，伴有中度或重度潮热，平均年龄49岁。研究者将患者随机分为2组，一组是3个月的强化自我照顾（包括饮食、运动和心理支持）（n=108）；另一组为前组基础上，加用针灸治疗（n=85）。

研究数据显示，干预结束后，针灸组与非针灸组相比，患者的潮热评分低50%。针灸结束后半年内都具有这种效果。并且不管是身体还是心理健康，针灸组有更高的生活质量，研究期间也没有发现严重的副作用。

那么针灸为什么会有此奇效？

Razzini 列举了一些原因，比如针灸能够舒张神经系统血管，刺激内啡肽（一种与疼痛和情绪相关的神经递质）的释放，此外针灸还能促进应激激素去甲肾上腺素和与情绪相关的五羟色胺的释放。

Razzini 不知道这种治疗的花费是多少，但是他认为，与其它有效治疗方案如抗抑郁药物相比，针灸应当更便宜且安全可行。

霍普城市综合癌症中心乳腺肿瘤外科医生 Courtney Vito 博士对这一问题得到研究表示很高兴，“这是所有治疗乳腺癌的医生都将遇到的难题，只是有些患者的程度不重，但是大约有15%的患者潮热是十分严重的问题，甚至还会因此拒绝服药，导致自己处于高的癌症或癌症复发风险。”

她说，“我们也有通过针灸治疗取得成功控制乳腺癌患者潮热的案例，当看到科学试验证明针灸的有效性时，我们也是很开心的。我们希望研究结果能够让保险公司扩展业务，让针灸治疗成为乳腺癌患者能负担得治疗项目。”

原始出处：

Grazia Lesi, Giorgia Razzini, Muriel Assunta Musti, Elisa Stivanello, Chiara Petrucci, Benedetta Benedetti, Ermanno Rondini, Maria Bernadette Ligabue, Laura Scaltriti, Alberto Botti, Fabrizio Artioli, Pamela Mancuso, Francesco Cardini, and Paolo Pandolfi.Acupuncture As an Integrative Approach for the Treatment of Hot Flashes in Women With Breast Cancer: A Prospective Multicenter Randomized Controlled Trial (AcCliMaT) .JCO published online on March 28, 2016; DOI:10.1200/JCO.2015.63.2893.

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2016-06-09 lidong40

#JCO#

24 0
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2016-05-10 huangwukui

有点心酸呀，祖国医学被老外整走了

78 0
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2016-05-10 huangwukui

没啥不是中国人发的

175 0
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2016-04-10 shineshinelv

祖国医学在国外发光发热，国内却没有可以信服的研究……

90 0
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2016-03-31 12498568m50暂无昵称

#ACC#

23 0
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2016-03-31 wodejia-dayu

#潮热#

23 0
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2016-03-31 hanhaisha2013

#乳腺癌患者#

28 0
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2016-03-31 Lisa971

针灸的疗效，也与医者的医术相关！

62 0
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2016-03-30 lovetcm

相似的研究，发表了两篇高水平的论文，这值得审视，针灸在中国应用了这么多年，也没有太好的，研究成果发表。

117 0
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2016-03-30 lovetcm

真正好的成果，还看人家美国人

78 0

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