Acupuncture Clinical Trial
Official title:
Efficacy of Acupuncture in Radiotherapy-induced Dysphagia in Patients With Head and Neck Cancer
Purpose:
Rationale: Acupuncture is a therapy for physical activity disorders secondary to nervous
diseases, and it may have therapeutic effects on dysphagia caused by radiation therapy.
Purpose: This randomized trial aims to investigate whether acupuncture may alleviate
radiation-induced dysphagia in patients with head and neck cancer. The effect was compared
with outcomes in patients without receiving acupuncture.
OBJECTIVE
Primary:
To determine the therapeutic efficacy of acupuncture on radiotherapy-induced dysphagia in
patients with head and neck cancer.
Secondary:
1. To determine whether acupuncture can improve swallow function in these patients.
2. To determine what extent acupuncture can improve the complications of dysphagia of these
patients, including the incidence of aspiration pneumonia, malnutrition.
3. To determine what extent this traditional Chinese therapy can improve quality of life of
these patients.
4. To evaluate the safety of acupuncture in these patients.
OUTLINE: This is a randomized study. Patients are randomized to 1 of 2 treatment arms.
Arm I: Patients receive acupuncture for 30 minutes per day for up to 20 sessions (over 4
weeks). These patients also received corticosteroid for 4 weeks, methylprednisolone 80mg
ivdrip. for 3 days, 60mg ivdrip. for 3 days, 40mg ivdrip. for 3 days, 30mg po. for 7 days,
20mg po. for 7 days, 10mg po. for 5 days and maintain. Patients undergo VFSS before, at end
of therapy (week 4) and 3 months (week 16) after therapy. Swallowing function, outcomes of
dysphagia, including incidence of aspiration pneumonia, nutritional status change, and QOL
change are assessed at baseline, week 4 and week 16.
Arm Ⅱ: Patients receive corticosteroid only, and the use of corticosteroid is the same with
Arm I. Patients undergo VFSS before, at end of therapy (week 4) and 3 months (week 16) after
therapy. Swallowing function, outcomes of dysphagia, including incidence of aspiration
pneumonia, nutritional status change, and QOL change are assessed at baseline, week 4 and
week 16.
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