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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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