Background/Objectives: Oncology acupuncture is emerging as a complementary treatment in pediatric cancer care centers. It is valued for its potential to manage symptoms associated with cancer and treatment toxicities without increasing polypharmacy. The aim of this review is to evaluate the efficacy and safety of acupuncture and related techniques in alleviating symptoms of cancer treatment in pediatric oncology patients.Methods: A comprehensive search was conducted across nine databases, including PubMed, Cochrane Library, and CNKI, up to June 2023. Inclusion criteria focused on randomized and quasi-randomized controlled trials involving pediatric oncology patients undergoing needle acupuncture or related techniques. Study selection and data extraction were independently performed by pairs of authors. Results were analyzed narratively, and meta-analysis was performed when possible.Results: Results suggest that acupuncture may help manage symptoms such as nausea and vomiting in pediatric oncology patients. However, the quality of evidence was generally low, and further research is required to substantiate these findings.Conclusions: Acupuncture shows promising results as a complementary treatment for reducing nausea and vomiting in pediatric oncology. However, current evidence is insufficient to draw conclusions for other outcomes, such as the number of vomiting episodes, reduction in antiemetic medication use, or fatigue. High-quality, rigorously designed studies are necessary to better understand the clinical relevance and safety of acupuncture in this vulnerable population.
背景/目的:肿瘤针灸正逐渐成为儿科癌症护理中心的一种补充疗法。其价值在于能够在不增加多重用药的情况下,管理癌症相关症状及治疗毒性。本综述旨在评估针灸及相关技术在缓解儿科肿瘤患者癌症治疗症状方面的有效性和安全性。 方法:截至2023年6月,我们在包括PubMed、Cochrane Library和CNKI在内的九个数据库中进行全面检索。纳入标准聚焦于涉及接受针刺或相关技术治疗的儿科肿瘤患者的随机和半随机对照试验。研究筛选和数据提取由作者两两独立完成。结果采用叙述性分析,并在可能的情况下进行荟萃分析。 结果:结果表明,针灸可能有助于管理儿科肿瘤患者的恶心和呕吐等症状。然而,证据质量普遍较低,需要进一步研究来证实这些发现。 结论:针灸作为减少儿科肿瘤患者恶心和呕吐的补充疗法显示出有希望的结果。然而,目前的证据不足以对其他结果(如呕吐发作次数、止吐药物使用减少或疲劳)得出结论。需要高质量、严谨设计的研究,以更好地了解针灸在这一脆弱人群中的临床相关性和安全性。