运动机能贴扎改善乳腺癌术后淋巴水肿疗效的系统评价

目的:系统评价运动机能贴扎(KT)改善乳腺癌术后淋巴水肿的有效性及安全性。方法:计算机检索中国生物医学文献数据库(CBM)、中国期刊全文数据库(CNKI)、维普数据库(VIP)、万方数据资源系统、MEDLINE、EMbase、The Cochrane Library、WHO和PEDro数据库,检索时限均从建库至2016年10月。搜索关于运动机能贴扎改善乳腺癌术后淋巴水肿的随机对照试验。结果:共检索到4篇随机对照试验(Randomized Controlled Trials,RCTs)满足纳入标准,共计162名患者纳入研究。分析结果提示:目前没有足够的证据支持运动机能贴扎能够改善乳腺癌术后患者的淋巴水肿;部分研究结果显示运动机能贴扎可能对淋巴水肿上肢的僵硬感、瘙痒感存在积极作用。结论:运动机能贴扎可能有助于改善淋巴水肿相关症状,但对淋巴水肿程度改善作用尚不明确,期待更多大样本、多中心、高质量的RCTs以验证运动机能贴扎对乳腺癌术后淋巴水肿作用。

Efficacy of kinesiology taping for lymphedema following breast cancer surgery: a systematic review of controlled trials

Objective: To systematically evaluate the efficacy of kinesiology taping (KT) for lymphedema following breast cancer surgery. Methods: We conducted a systematic review of randomized controlled trials (RCTs) about the application of KT in patients with lymphedema following breast cancer surgery. Databases including CBM, CNKI, VIP, Wan Fang Data, MEDLINE (via Pubmed), EMbase (via Ovid), The Cochrane Library, The World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) search plat and Physiotherapy Evidence Database (PEDro) were searched to collect RCTs from inception to Oct. 2016. Results: Four RCTs involving 162 patients met the inclusion criteria. The results of analysis showed that no adequate evidence supported that KT could improve the lymphedema following breast cancer surgery. Some studies revealed that KT could alleviate the lymphedema-related symptoms to some extent. Conclusion: KT may relieve the lymphedema-related symptoms, however, there is no sufficient evidence to support the effect of KT on lymphedema following breast cancer surgery. Therefore, future studies with large-sample, multi-center and high quality designed RCTs are still warranted in order to characterize the KT efficacy on lymphedema following breast cancer surgery.