耳穴压豆联合穴位贴敷治疗化疗所致恶心呕吐的疗效观察
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摘要
【目的】观察耳穴压豆联合穴位贴敷治疗化疗所致恶心呕吐的临床疗效。【方法】将60例出现恶心呕吐症状的女性乳腺癌化疗患者随机分为治疗组和对照组,每组各30例。治疗组给予耳穴压豆联合穴位贴敷治疗,对照组给予单纯穴位贴敷,治疗7 d后观察2组患者治疗前后恶心呕吐及卡氏(KPS)评分情况,评价2组患者的临床疗效。【结果】治疗7 d后,治疗组总有效率为96.7%,对照组为73.3%,治疗组疗效优于对照组,差异有统计学意义(P<0.05)。治疗组KPS评分明显高于对照组,差异有统计学意义(P<0.01)。【结论】耳穴压豆联合穴位贴敷治疗化疗所致恶心呕吐的效果明显优于单纯穴位贴敷,可改善患者的生活质量,且简便易行,疗效显著。
Objective To observe the clinical efficacy of auricular point sticking-pressure combined with acupoint application for the treatment of chemotherapy-induced nausea and vomiting. Methods Sixty breast cancer patients with chemotherapy-induced nausea and vomiting were randomly divided into treatment group and control group,30 cases in each group. The treatment group received auricular point sticking-pressure combined with acupoint application, and the control group received acupoint application alone. After 7-day treatment, the clinical curative efficacy in the two groups was observed,and the scores of nausea,vomiting and Karnofsky Performance Status(KPS)were compared in the two groups before and after treatment. Results After 7-day treatment,the total effective rate of the treatment group was 96.7% and was 73.3% in the control group and the total effective rate of the treatment group was superior to that of the control group,the difference being statistically significant(P < 0.05),and the KPS score of the treatment group was significantly higher than that of the control group,the difference being statistically significant(P < 0.01). Conclusion Auricular point sticking-pressure combined with acupoint application has stronger effect on the treatment of chemotherapy-induced nausea and vomiting than acupoint application alone by improving quality of life,and it is simple,practical and effective.
Objective To observe the clinical efficacy of auricular point sticking-pressure combined with acupoint application for the treatment of chemotherapy-induced nausea and vomiting. Methods Sixty breast cancer patients with chemotherapy-induced nausea and vomiting were randomly divided into treatment group and control group,30 cases in each group. The treatment group received auricular point sticking-pressure combined with acupoint application, and the control group received acupoint application alone. After 7-day treatment, the clinical curative efficacy in the two groups was observed,and the scores of nausea,vomiting and Karnofsky Performance Status(KPS)were compared in the two groups before and after treatment. Results After 7-day treatment,the total effective rate of the treatment group was 96.7% and was 73.3% in the control group and the total effective rate of the treatment group was superior to that of the control group,the difference being statistically significant(P < 0.05),and the KPS score of the treatment group was significantly higher than that of the control group,the difference being statistically significant(P < 0.01). Conclusion Auricular point sticking-pressure combined with acupoint application has stronger effect on the treatment of chemotherapy-induced nausea and vomiting than acupoint application alone by improving quality of life,and it is simple,practical and effective.
引文
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[18]张馥丽,刘丽荣,胡利敏,等.中药穴位贴敷防治顺铂化疗所致胃肠道反应的效果观察[J].护理研究,2017,31(24):3036.
[19]文丽梅,马超英,余德林,等.吴茱萸的化学成分和药理作用研究进展[J].中华中医药学刊,2012,30(9):44.
[20]易红梅,詹雅琴,陈华,等.耳穴压豆疗法配合同事支持干预对护士心理状况的影响[J].中华护理杂志,2014,9(9):1090.
[21]王海明,王茂云,蒲香蓉,等.耳穴压豆配合止吐药物防治恶性骨肿瘤患者化疗所致恶心呕吐的疗效观察[J].中国医药导报,2015,23(10):36.
[2]赵淑丽,刘维虔,李为朋.脐疗治疗恶性肿瘤化疗后气阴两虚型恶心呕吐的临床研究[J].中国医药导报,2015,12(4):125.
[3] Aapro M,Carides A,Rapoport B L,et al. Aprepitant and fosaprepitant:a 10-year review of efficacy and safety[J]. Oncologist,2015,20(4):450.
[4] Tian W,Wang Z,Zhou J,et al. Randomized,double-blind,crossover study of palonosetron compared withgranisetron for the prevention of chemotherapy-induced nausea and vomiting in a Chinese population[J]. Med Oncol,2011,28(1):71.
[5]王科,王昊阳,张颖,等.化疗相关性恶心呕吐的中医外治法研究进展[J].四川中医,2016,34(12):219.
[6]周松晶,李玉玲,史佳.穴位贴敷治疗化疗后恶心呕吐的临床有效性和安全性研究[J].世界中西医结合杂志,2015,10(9):1259.
[7]宋剑波.耳穴压豆减轻乳腺癌病人化疗后的恶心呕吐的效果研究[J].中国高等医学教育,2015,4(4):126.
[8]中华人民共和国卫生部医政司.乳腺癌诊疗规范(2011年版)[J].中国实用外科杂志,2011,31(10):902.
[9]国家中医药管理局.中医病证诊断疗效标准[S].北京:中国医药科技出版社,2012:11.
[10]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2017年版)[J].中国癌症杂志,2017,27(9):695.
[11]杨吉利,于蕾,徐蕾,等.艾灸治疗老年晚期肿瘤患者癌因性疲乏的疗效[J].中国老年学杂志,2012,10(32):4408.
[12]徐永萍,杨锡红,徐建萍.艾耳穴按压配合生姜片含服防治非小细胞肺癌病人化疗后恶心呕吐的效果观察[J].护理研究,2015,29(11):4088.
[13]黄玉蓉,胡碧芳,胡攀,等.中医药膳配合耳穴埋豆辅助治疗肿瘤化疗病人恶心呕吐的效果观察[J].护理研究,2014,28(3):828.
[14]张新玉,蒋亭霞.姜半夏敷神阙穴预防乳腺癌患者化疗所致恶心呕吐的效果观察[J].护理学报,2014,10(21):73.
[15]魏自敏.肿瘤患者化疗呕吐的辨证论治[J].中医临床究,2011,3(13):87.
[16]程肖云.艾盐包热熨中脘穴治疗卵巢癌化疗后恶心呕吐疗效观察[J].上海针灸杂志,2013,33(3):234.
[17]陈佩仪.中医护理学基础[M].北京:人民卫生出版社,2017:97-98.
[18]张馥丽,刘丽荣,胡利敏,等.中药穴位贴敷防治顺铂化疗所致胃肠道反应的效果观察[J].护理研究,2017,31(24):3036.
[19]文丽梅,马超英,余德林,等.吴茱萸的化学成分和药理作用研究进展[J].中华中医药学刊,2012,30(9):44.
[20]易红梅,詹雅琴,陈华,等.耳穴压豆疗法配合同事支持干预对护士心理状况的影响[J].中华护理杂志,2014,9(9):1090.
[21]王海明,王茂云,蒲香蓉,等.耳穴压豆配合止吐药物防治恶性骨肿瘤患者化疗所致恶心呕吐的疗效观察[J].中国医药导报,2015,23(10):36.