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Transcutaneous electrical nerve stimulation as an adjunct for controlling chemotherapy-induced nausea and vomiting in gynecologic oncology patients

恶心 医学 止吐药 呕吐 交叉研究 安慰剂 经皮神经电刺激 化疗 麻醉 妇科肿瘤学 内科学 病理 替代医学
作者
Michael L. Pearl,Margaret Fischer,Dayna L. McCauley,Fidel A. Valea,Eva Chalas
出处
期刊:Cancer Nursing [Lippincott Williams & Wilkins]
卷期号:22 (4): 307-311 被引量:56
标识
DOI:10.1097/00002820-199908000-00008
摘要

Background: To evaluate the efficacy of a miniaturized portable transcutaneous electrical nerve stimulation (TENS) unit (ReliefBand) as an adjunct to standard antiemetic therapy for controlling nausea and vomiting induced by cisplatin-based chemotherapy in gynecologic oncology patients. Methods: Forty-two patients were enrolled in a randomized, double-blind, placebo-controlled parallel-subjects trial with a follow-up crossover trial. All patients received a standardized antiemetic protocol, then wore the ReliefBand continuously for 7 days. Results: Thirty-two patients were evaluable for the parallel-subjects component, 16 in each group. The percent-age of patients with absent or minimal nausea was 59% overall, which was similar to that for both the active (56%) and placebo (62%) groups. The incidence and severity of nausea and vomiting was similar for each group. Eighteen patients completed two consecutive cycles and were evaluable for the crossover component. The average age of the crossover patients and their dose intensity were comparable with those of the overall study population (56.3 versus 58.6 years and 22.7 versus 22.7 mg/m2/week, respectively). The percentage of cycles with absent or minimal nausea was 47% overall, which was similar to that of the active (50%) and placebo (44%) cycles. However, the severity of nausea was significantly lower in the active cycles during days 2 to 4. Patients averaged less than one episode of vomiting daily in each cycle. Conclusions: The ReliefBand is an effective adjunct to standard antiemetic agents for controlling nausea induced by cisplatin-based chemotherapy in gynecologic oncology patients.
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