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Akupunktur, Kemoterapi Alakalı Gelişen Bulantı ve Kusmanın Önlenmesinde Etkili Bir Destek Tedavi Yöntemidir

Acupuncture is an Effective Supportive Treatment Method in the Prevention of Chemotherapy Induced Nausea and Vomiting

Journal Name:

  • Smyrna Tıp Dergisi

Publication Year:

  • 2013

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: Nausea and vomiting are the main problems affecting life quality of patients receiving chemotherapy. Thus, after obtaining institutional ethics committee approval and patients’ informed consent, the effect of acupuncture on nausea and vomiting in addition to classical antiemetic treatment was studied. Material and Method: Patients who have experienced vomiting and nausea during the first course of the treatment despite the pharmacological treatment have been interviewed in their visits during the second course and been included into the study. In the study group 80% of patients were female; 23% of patients had breast cancer, 13% had colorectal cancer, 64% had other cancer types. Results: Nausea and vomiting totally disappeared in 30% of the patients where acupuncture was used as an additional treatment strategy (p:0.001). No correlation was found between diagnosis, gender, age group and response to acupuncture. It has been detected that women who had more severe pregnancy nausea experienced less response to pharmacological antiemetic treatment. Conclusion: If classical antiemetic modality is not adequate to prevent nausea and vomiting, acupuncture is advised in addition to antiemetics as an effective method
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Abstract (Original Language): 
Amaç: Bulantı ve kusma, kemoterapi uygulanan hastalarda hayat kalitesini etkileyen en önemli etkenlerdir. Bu görüşten hareketle, yerel etik kurul ve katılan hasta onayları alındıktan sonra, akupunkturun klasik antiemetik tedaviye ek olarak etkisi araştırıldı. Gereç ve Yöntem: Tedavilerinin ilk kürü sırasında klasik farmakolojik tedaviye karşın bulantı ve kusmadan muzdarip olanlar, ikinci kür tedaviye geldiklerinde karşılıklı görüşülerek çalışmaya dahil edildiler. Hastaların %80'i kadınlardan oluşurken, %23'ü meme kanseri, %13'ü kolorektal kanser ve %64'ü de diğer kanser tanılarına sahipti. Bulgular: Akupunkturun ek tedavi stratejisi şeklinde uygulanması ile bulantı ve kusmanın %30 olguda tamamen geçtiği görüldü (p:0.001). Akupunktura yanıt ile tanı, cinsiyet ve yaş grupları arasında herhangi bir korelasyon saptanmadı. Gebelik sürecinde şiddetli bulantısı olan hastaların klasik antiemetik tedaviye daha az yanıt verdiği dikkat çekti. Sonuç: Klasik antiemetik tedavinin bulantı ve kusmayı önlemede yetersiz kaldığı durumlarda, antiemetik tedaviye ek olarak, akupunktur etkili olabilecek bir tedavi yöntemi olarak önerilebilir.
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REFERENCES

References: 

1. Vidall C, Dielenseger P, Farrell C et all. Evidence-based
management of chemotherapy-induced nausea and
vomiting: a position statement from a European cancer
nursing forum. E Cancer Medical Science 2011;5:211.
2. Börjeson S, Hursti TJ, Tishelman C et all. Treatment of
nausea and emesis during cancer chemotherapy:
discrepancies between antiemetic effect and well-being.
J Pain Symptom Manage 2002;24:345-58.
3. Glaus A, Knipping C, Morant R et all. Chemotherapyinduced
nausea and vomiting in routine practice: a
European perspective. Support Care Cancer
2004;12:708-15.
4. El-Deeb AM, Ahmady MS. Effect of acupuncture on
nausea and/or vomiting during and after cesarean section
in comparison with ondansetron. J Anesth
2011;25(5):698-703.
5. Chernyak GV, Sessler DI. Preoperative acupuncture and
related techniques. Anesthesiology 2005;102:1031-49.
6. Ma L. Acupuncture as a complementary therapy in
chemotherapy-induced nausea and vomiting. Proc (Bayl
Univ Med Cent) 2009;22(2):138-41.
7. Melchart D, Weidenhammer W, Streng A et all.
Prospective investigation of adverse effects of
acupuncture in 97733 patients. Arch Intern Med
2004;164(1):104-5.
8. Capodice JL. Acupuncture in the oncology setting:
clinical trial update. Curr Treat Options Oncol
2010;11(3-4):87-94.
9. Hui KK, Marina O, Liu J et all. Acupuncture, the limbic
system, and the anticorrelated networks of the brain.
Auton Neurosci 2010;157(1-2):81-90.
10. Hui KK, Napadow V, Liu J et all. Monitoring
acupuncture effects on human brain by FMRI. J Vis Exp
2010;38:e1190.
11. Konno R. Cochrane review summary for cancer nursing:
acupuncture-point stimulation for chemotherapy-induced
nausea or vomiting. Cancer Nurs 2010;33(6):479-80.
12. Dibble SL, Luce J, Cooper BA et all. Acupressure for
chemotherapy-induced nausea and vomiting: a
randomized clinical trial. Oncol Nurs Forum
2007;34(4):813-20.
13. Molassiotis A, Helin AM, Dabbour R et all. The effects
of p6 acupressure in the prophylaxis of chemotherapyrelated
nausea and vomiting in breast cancer patients.
Complement Ther Med 2007;15(1):3-12.
14. Shen J, Wenger N, Glaspy J et all. Electroacupuncture
for control of myeloablative chemotherapy induced
emesis: a randomized controlled trial. JAMA
2000;284(21):2755–61.
15. Taspinar A, Sirin A. Effect of acupressure on
chemotherapy-induced nausea and vomiting in
gynecologic cancer patients in Turkey. Eur J Oncol Nurs
2010;14(1):49-54.
16. Sima L, Wang X. Therapeutic effect of acupuncture on
cisplatin-induced nausea and vomiting. Zhongguo Zhen
Jiu 2009;29(1):3-6.
17. Gardani G, Cerrone R, Biella C et all. A progress study
of 100 cancer patients treated by acupressure for
chemotherapy-induced vomiting after failure with the
pharmacological approach. Minerva Med
2007;98(6):665-8.
18. Choo SP, Kong KH, Lim WT et all. Electroacupuncture
for refractory acute emesis caused by chemotherapy. J
Altern Complement Med 2006;12(10):963-9.
19. Ezzo JM, Richardson MA, Vickers A et all.
Acupuncture-point stimulation for chemotherapyinduced
nausea or vomiting. Cochrane Database Syst
Rev 2006;(2):CD002285.
20. Ernst E. Acupuncture: what does the most reliable
evidence tell us? J Pain Symptom Manage
2009;37(4):709-14.

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