Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study

doi:10.1007/s11655-022-3684-7

HFCAS OpenIR

	Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study
	Lu Chao 1,2; Li Guang-liang 2,3; Deng De-ho 1,2; Bao Wen-long 1,2; Wang Ya 1,2; Zhang Ai-qin 1,2
	2022-11-14
发表期刊	CHINESE JOURNAL OF INTEGRATIVE MEDICINE
ISSN	1672-0415
通讯作者	Lu Chao(1069103617@qq.com)
摘要	Objective To observe the clinical efficacy of transcutaneous electrical acupoint stimulation (TEAS) combined with warm acupuncture in treating breast cancer associated with upper limb lymphedema (BCRL). Methods This was a retrospective cohort study using a paired control design. Fifty-two BCRL patients were assigned to the control group (27 cases) and the treatment group (25 cases). The patients in the control group were treated with lymphedema comprehensive detumescence treatment (CDT) for 4 weeks, including systematic therapy composed of manual lymphatic drainage, compression bandage, skincare, and functional exercise. The patients in the treatment group were treated with TEAS combined with warm acupuncture based on the control group methods. Each treatment lasted for 30 min and was applied twice a week for 4 weeks. The arm circumference (AC) of different positions of the affected limb and the degree of swelling of the affected limb were evaluated before the first treatment and after the last treatment. The clinical efficacy was evaluated according to the degree of edema before and after treatment. All adverse events during treatment were recorded. Results The patients' AC and the swelling feeling of the affected limb in the treatment group and the control group were both reduced compared with those before treatment. Compared with the control group, AC of the wrist joint transverse stria, the midpoint between the wrist joint transverse stria and the elbow joint transverse stria in the treatment group were significantly reduced (P<0.05). The decrease in AC diameter at the midpoint between the elbow joint transverse stria and the axillary transverse stria was the most significant (P<0.01). The swelling degree of the affected limbs in the treatment group was significantly lower than before treatment, and was significantly lower compared with the control group after treatment (P<0.01). The total effective rate was 72% in the treatment group, significantly higher than that in the control group (55.56%, P<0.05). No serious adverse events occured in either group. Conclusions TEAS combined with warm acupuncture can effectively reduce AC and swelling feeling of the affected limb in patients with BCRL. The effect is better than that of CDT therapy alone. (Registration No. ChiCTR2200062075)
关键词	transcutaneous electrical acupoint stimulation warm acupuncture breast cancer related upper limb lymphedema comprehensive detumescence treatment clinical efficacy
DOI	10.1007/s11655-022-3684-7
关键词[WOS]	RISK-FACTORS ; WOMEN
收录类别	SCI
语种	英语
WOS研究方向	Integrative & Complementary Medicine
WOS类目	Integrative & Complementary Medicine
WOS记录号	WOS:000883206300001
出版者	SPRINGER
引用统计
文献类型	期刊论文
条目标识符	http://ir.hfcas.ac.cn:8080/handle/334002/130290
专题	中国科学院合肥物质科学研究院
通讯作者	Lu Chao
作者单位	1.Univ Chinese Acad Sci, Zhejiang Canc Hosp, Canc Hosp, Dept Tradit Chinese Med, Hangzhou 310022, Peoples R China 2.Chinese Acad Sci, Inst Basic Med & Canc, Hangzhou 310022, Peoples R China 3.Univ Chinese Acad Sci, Zhejiang Canc Hosp, Canc Hosp, Dept Breast Med Oncol, Hangzhou 310022, Peoples R China
推荐引用方式 GB/T 7714	Lu Chao,Li Guang-liang,Deng De-ho,et al. Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study[J]. CHINESE JOURNAL OF INTEGRATIVE MEDICINE,2022.
APA	Lu Chao,Li Guang-liang,Deng De-ho,Bao Wen-long,Wang Ya,&Zhang Ai-qin.(2022).Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study.CHINESE JOURNAL OF INTEGRATIVE MEDICINE.
MLA	Lu Chao,et al."Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study".CHINESE JOURNAL OF INTEGRATIVE MEDICINE (2022).