冰袋敷

建議

2 項研究 · 1 條建議

最後更新: 2026年2月14日

冰袋敷 – 口腔黏膜炎
建議2 項研究

癌症治療期間使用冰塊可降低口腔黏膜炎風險43%。

兩項涵蓋27項試驗和945名患者的Cochrane系統性回顧證實,冰塊療法是預防癌症患者口腔黏膜炎最有效的策略之一。冰塊療法可降低黏膜炎風險,相對風險為0.57(95% CI 0.43–0.77),且各研究間無異質性(P=0.61)。治療所需人數為4(95% CI 3–7)-即每4名患者使用冰塊療法,即可預防1例黏膜炎。在接受包括骨髓移植在內的各種治療的不同類型癌症患者中,冰塊療法是所有評估策略中僅有的兩種療效證據最強的干預措施之一。其應用方法是在化療輸注期間將冰塊含在口中,以收縮局部血管,減少黏膜藥物暴露。

證據

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發布日期: 2010年1月1日

一項Cochrane系統性回顧評估了預防癌症患者口腔黏膜炎的介入措施,發現冷凍療法(冰塊)在預防黏膜炎方面顯示出益處。此評估評估了多項隨機對照試驗,這些試驗納入了接受包括骨髓移植在內的各種癌症治療的不同類型癌症患者。在所有評估的黏膜炎預防策略中,冷凍療法是僅有的兩種介入措施之一(另一種是角質細胞生長因子),其療效證據最為充分。

作者: Bryan, Gemma, Clarkson, Jan E., Furness, Susan, Glenny, Anne-Marie, Khalid, Tasneem, Littlewood, Anne, McCabe, Martin G., Meyer, Stefan, Worthington, Helen V.

發布日期: 2003年1月1日

一項系統性回顧納入了27項隨機對照試驗,共945例患者,研究其黏膜炎的發生情形。在測試的8種預防性藥物中,僅冰塊顯示出預防黏膜炎的有效性。冰塊可降低黏膜炎的風險,相對風險為0.57(95% CI 0.43-0.77),具有統計學意義,且各研究間無異質性(卡方檢定0.26,自由度=1,P=0.61)。治療所需人數(NNT)為4(95% CI 3-7),這意味著每4名患者使用冰塊,即可預防1例黏膜炎。當基線黏膜炎發生率在50%至80%之間時,NNT分別為5和4。