耳疗法在癌症相关疲劳症状群中的应用：范围界定综述。

摘要(中文译文)

系统综述耳穴疗法在缓解癌因性疲乏症状群中的干预内容及疗效，分析其应用现状与现存局限，为临床实践和未来研究提供参考。采用范围综述方法，系统检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Web of Science、Cochrane Library、Embase和CINAHL等数据库，检索时限为各数据库建库至2025年5月15日。提取并分析纳入研究的相关数据。最终纳入14项研究，总样本量为1208例。干预主要针对疼痛-疲乏-睡眠障碍症状群和疲乏-焦虑症状群。耳穴贴压是最常见的干预方式，平均选取5至12个耳穴。神门、皮质下和交感为使用频率最高的前三位耳穴。干预时长为3天至8周，干预频率为每日3至6次。常见干预方法包括耳穴贴压、耳穴针刺和耳穴激光疗法。耳穴疗法操作简便、成本低廉、安全性高，在癌因性疲乏症状群管理中具有潜在益处，但干预方案差异较大。然而，目前干预方案尚不规范，且缺乏统一的症状群评估工具。未来研究应规范干预方案，优化评估工具及耳穴干预方案，以进一步提升耳穴疗法在癌因性疲乏症状群管理中的临床价值。

Abstract

To systematically review the intervention content and efficacy of auriculotherapy in alleviating cancer-related fatigue symptom clusters, analyze its current application status and existing limitations, and provide references for clinical practice and future research. A scoping review was adopted. Systematic searches were conducted in databases including CNKI, Wanfang, VIP, SinoMed, PubMed, Web of Science, Cochrane Library, Embase, and CINAHL. The search period spanned from the inception of each database to May 15, 2025. Relevant data from the included studies were extracted and analyzed. Fourteen studies with a total sample size of 1208 participants were ultimately included. The interventions primarily targeted the pain-fatigue-sleep disturbance symptom cluster and the fatigue-anxiety symptom cluster. Auricular acupressure was the most common intervention, with an average of five to 12 auricular points selected. Shenmen, subcortex, and sympathetic were the top three most frequently used auricular points. The intervention durations ranged from 3 days to 8 weeks, with frequencies of intervention of three to six times per day. The common intervention methods included auricular acupressure, auricular acupuncture, and auricular laser therapy. Auriculotherapy is simple to operate, low in cost, and highly safe and was associated with potential benefits in the management of cancer-related fatigue symptom clusters, though intervention protocols varied widely. However, the current intervention protocols are not standardized, and there is a lack of unified symptom cluster assessment tools. Future research should standardize the intervention protocols and optimize the evaluation tools and auricular intervention regimens, so as to further enhance the clinical value of auriculotherapy in the management of cancer-related fatigue symptom clusters.

如何引用

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 的其他文献

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