| Objective:1.To assess the clinical efficacy and safety of wrist and ankle acupuncture for advanced cancer pain,and the impact on quality of life.It aims to provide a basis for future clinical promotion and application;2.Based on CiteSpace software,the research status,hotspots and frontiers in the field of wrist and ankle acupuncture in the field of cancer pain were analyzed;3.To analyze and discuss the understanding and research status of traditional medicine in the treatment of cancer pain in Vietnam.Methods:1.A total of 60 patients with cancer pain who were hospitalized in the Department of Oncology of Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine from April 2022 to March 2024 were randomly divided into control group(opioid treatment)and observation group(wrist and ankle acupuncture combined with opioid treatment),with 30 cases in each group.The main observation indicators of the efficacy trial included pain score(NRS)and analgesic effect,and the secondary observation indicators included the patient’s quality of life score(KPS)and depression score(PHQ-9).2.The literature on the treatment of cancer pain with wrist and ankle acupuncture in the self-established database of CNKI,Wanfang Database and VIP Database was searched from September 1,2023,and CiteSpace 6.2.R4 software was used to analyze the authors,institutions,keywords and other information of the included literature,and the visual map was drawn;3.By searching the relevant literature in Vietnam,this paper explores and summarizes the understanding and characteristics of cancer pain treatment in traditional Vietnamese medicine from the perspective of historical development and the evolution of the disease name,etiology,pathogenesis,syndrome differentiation,treatment principles,prescriptions and other aspects of cancer pain by doctors in the past.Results:1.The pain score(NRS)of the treatment group and the control group were significantly lower than before treatment,and the difference between the two groups was statistically significant(P<0.05).The number of people in the treatment group with a pain relief effect of 0 degrees was 1,while the number of people in the treatment group was 4;The scores of grade Ⅰwere 0 and 6,grade Ⅱ were 17 and 20,and grade Ⅲ.were 2 and 0,respectively.The total effective rates of the treatment group and the control group were 96%and 86%,respectively.The total effective rate of pain relief in the treatment group was higher than that in the control group(P<0.05),and the difference was statistically significant.There was no significant difference in the incidence of adverse events between the treatment group and the control group.The KPS and PHQ-9 scores in the observation group improved significantly compared to the control group.2.A total of 76 articles were included,and the annual number of published papers showed a steady upward trend.The high-yield authors are represented by Yu Yimei,Zheng Zhaohui,and Liu Yan;The high-yield institutions are represented by Hunan University of Traditional Chinese Medicine and Shanghai Changhai Hospital,and the research authors in the field of wrist and ankle acupuncture for cancer pain are not close,and there is little cross-regional cooperation between institutions.The research on wrist and ankle acupuncture in the treatment of cancer pain in China mainly focuses on the clinical efficacy,nursing methods,and the combination of fivetone therapy,and the combination of traditional five-tone therapy may become a research hotspot in this field in recent years;3.In terms of the treatment of cancer pain,the understanding of Vietnamese traditional medicine is still relatively rudimentary compared with Chinese traditional Chinese medicine,and the knowledge system has not yet been fully established,and there is still a big gap between the development of Chinese traditional Chinese medicine.However,in terms of treatment principles,the pathogenesis and treatment methods proposed by Vietnamese traditional medicine are similar to those summarized by some Chinese doctors.In terms of the use of traditional medicine,the herbs used in traditional medicine in Vietnam have local characteristics compared to those in China.However,the drugs used in traditional Vietnamese medicine are relatively limited and have a small variety,and only a small number of studies have been conducted on pharmacology and efficacy validation.In terms of traditional medicine inheritance education,Vietnamese traditional medicine is still mainly based on family tradition,and there is no special inheritance system and corresponding higher education system.Conclusions:1.Compared with the use of opioid drugs alone,the combination of wrist and ankle acupuncture has a better effect on the treatment of refractory cancer pain,which can improve the quality of life of patients and alleviate their anxiety and depression;2.In the future,institutions should pay attention to cross-regional cooperation and exchanges,promote cooperation and sharing of information resources,strengthen basic research,and promote the development of this field;3.Compared to the profound understanding of traditional Chinese medicine in treating cancerous pain,traditional Vietnamese medicine is still in its early stages and has not yet established a complete knowledge system;In terms of treatment principles,there are similarities in the views of medical professionals between the two countries;In terms of medication,the application of drugs in traditional Vietnamese medicine lacks evidence-based and laboratory evidence;In terms of inheritance education,there is a lack of a sound institutional system. |
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