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

LU Chao; LI Guang-liang; DENG De-hou; BAO Wen-long; WANG Yan; ZHANG Ai-qin

doi:10.1007/s11655-022-3684-7

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

Acupuncture Research | Updated：2023-05-25

- Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study
- Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study
- 中国结合医学杂志（英文版） 2023年29卷第6期页码：534-539
- Affiliations：
  
  1.Department of Traditional Chinese Medicine, the Cancer Hospital of University of Chinese Academy of Sciences(Zhejiang Cancer Hospital), Hangzhou (310022), China
  2.Institute of Basic Medicine and Cancer, Chinese Academy of Sciences, Hangzhou (310022), China
  3.Department of Breast Medical Oncology, the Cancer Hospital of University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou(310022), China
- Author bio：
  
  Dr. LU Chao, E-mail: 1069103617@qq.com
- Funds：
  
  the Program of Science Research Foundation of Zhejiang Provincial TCM Administration(2022ZB058)
- DOI：10.1007/s11655-022-3684-7
  中图分类号：
- 纸质出版日期：2023-06，
  
  网络出版日期：2022-11-14，
  
  录用日期：2022-08-24
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Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study[J]. 中国结合医学杂志（英文版）, 2023,29(6):534-539.

LU Chao, LI Guang-liang, DENG De-hou, 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, 2023,29(6):534-539.
Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for Breast Cancer Related Upper Limb Lymphedema: A Retrospective Cohort Study[J]. 中国结合医学杂志（英文版）, 2023,29(6):534-539. DOI： 10.1007/s11655-022-3684-7.

LU Chao, LI Guang-liang, DENG De-hou, 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, 2023,29(6):534-539. DOI： 10.1007/s11655-022-3684-7.

摘要

Abstract

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 (

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 (

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 (

0.01). The total effective rate was 72% in the treatment group

significantly higher than that in the control group (55.56%

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

Keywords

transcutaneous electrical acupoint stimulationwarm acupuncturebreast cancer related upper limb lymphedemacomprehensive detumescence treatmentclinical efficacy

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