Transcutaneous electrical acupoint stimulation for alleviating pain in patients with advanced pancreatic cancer.

Wei Tian, Yun Zhang, Bingjie Yu, Haiyan Jin, Wen Wang, Ting Yuan, Shulin Yu, Haiyan Lu
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Abstract

Introduction: Pancreatic ductal adenocarcinoma is the fourth leading cause of cancer-related deaths globally, with a five-year survival rate of only 5%.

Objectives: Pancreatic ductal adenocarcinoma is often fatal because of the lack of specific early symptoms and effective early screening tools. Therefore, 80%-85% of patients are usually diagnosed in the advanced stages. This study aimed to investigate the analgesic effect of transcutaneous electrical acupoint stimulation in patients with advanced pancreatic cancer.

Methods: Eighty patients with advanced pancreatic cancer were recruited from the Integrative Medicine Department of our hospital between June 2017 and October 2018 and randomly divided into the experimental group ( n = 40) and the control group ( n = 40). The experimental group received transcutaneous electrical acupoint stimulation combined with analgesic medication for 3 consecutive days, while the control group received only analgesic medication. The pain scores of the two groups before and after intervention were compared.

Results: The mean pain severity score was significantly lower in the experimental group than in the control group on day 1 ( P < 0.001), day 2 ( P < 0.001), day 3 ( P = 0.005), and day 4 ( P = 0.043).

Conclusion: Transcutaneous electrical acupoint stimulation therapy effectively alleviates the pain of patients with advanced pancreatic cancer with a high degree of safety and minimal adverse effects, and is worthy of clinical application.

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经皮穴位电刺激缓解晚期胰腺癌患者的疼痛。
导言:胰腺导管腺癌是全球癌症相关死亡的第四大原因,五年生存率仅为 5%:胰腺导管腺癌通常是致命的,因为缺乏特定的早期症状和有效的早期筛查工具。因此,80%-85%的患者通常在晚期才被确诊。本研究旨在探讨经皮穴位电刺激对晚期胰腺癌患者的镇痛效果:2017年6月至2018年10月期间,从我院中西医结合科招募80例晚期胰腺癌患者,随机分为实验组(n=40)和对照组(n=40)。实验组连续3天接受经皮穴位电刺激联合镇痛药物治疗,对照组仅接受镇痛药物治疗。比较两组干预前后的疼痛评分:结果:实验组的平均疼痛严重程度评分在第 1 天(P < 0.001)、第 2 天(P < 0.001)、第 3 天(P = 0.005)和第 4 天(P = 0.043)明显低于对照组:结论:经皮穴位电刺激疗法能有效缓解晚期胰腺癌患者的疼痛,且安全性高、不良反应小,值得临床应用。
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