首页|腕踝针联合安宁疗护对转移性结直肠癌患者疼痛评分、生活质量评分的影响

腕踝针联合安宁疗护对转移性结直肠癌患者疼痛评分、生活质量评分的影响

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目的 观察腕踝针联合安宁疗护对转移性结直肠癌患者疼痛评分、生活质量评分的影响.方法 选取南京中医药大学附属中西医结合医院2021 年10 月至2023 年4 月收治的62 例转移性结直肠癌患者作为研究对象,按照随机数字表法分为2 组.对照组31 例采用安宁疗护,观察组31 例采用腕踝针联合安宁疗护.比较 2 组干预前后疼痛视觉模拟评分(VAS)、Herth希望量表(HHI)评分、免疫功能指标(外周血CD4+、CD8+水平及CD4+/CD8+)、健康调查简表(SF-36)评分.结果 观察组治疗后1、2、4 周疼痛VAS均低于对照组同期(P<0.05).观察组治疗后1、2、4 周HHI评分均高于对照组同期(P<0.05).2 组治疗后CD4+均降低(P<0.05),CD8+、CD4+/CD8+均升高(P<0.05),观察组治疗后CD4+、CD4+/CD8+均高于对照组(P<0.05),CD8+低于对照组(P<0.05).2 组治疗后SF-36 各项评分均较本组治疗前升高(P<0.05),且观察组治疗后均高于对照组(P<0.05).结论 腕踝针联合安宁疗护能够改善转移性结直肠癌患者疼痛情况,提高希望水平与免疫功能,改善生活质量,值得临床推广.
Effects of wrist-ankle acupuncture combined with hospice care on pain score and quality of life score in patients with metastatic colorectal cancer
Objective To investigate the effects of wrist-ankle acupuncture combined with hospice care on pain score and quality of life score in patients with metastatic colon cancer(mCC).Methods A total of 62 patients with MCC admitted to Affiliated Hospital of Traditional Chinese and Western Medicine,Nanjing University of Chinese Medicine from October 2021 to April 2023 were selected as research objects,and they were divided into control group(n=31,hospice care)and observation group(n=31,wrist-ankle acupuncture combined hospice care)according to a random number table.The visual analogue scale(VAS)for pain,Herth Hope Index(HHI),immune function indexes(peripheral blood CD4+,CD8+levels and CD4+/CD8+)and Short Form 36 Health Survey(SF-36)score were included as comparators between groups before and after inter-vention.Results At weeks 1,2 and 4 of treatment,VAS score in the observation group was significantly lower than that in the control group(P<0.05),but the HHI scores were significantly higher(P<0.05).After treatment,significantly decreased CD4+level and significantly increased CD8+and CD4+/CD8+levels were detectedin the both groups(all P<0.05),and CD4+and CD4+/CD8+levels in the observation group were significantly higher than those of the control group(P<0.05),CD8+level was significantly lower than that of the control group(P<0.05).SF-36 scores in the two groups were significantly higher than those be-fore treatment(P<0.05),and which in the observation group were more higher relative to the control group(P<0.05).Con-clusion Wrist-ankle acupuncture combined with hospice care in MCC patients canrelieve pain,increase hope level and immune function,and improve quality of life,which is worthy of clinical promotion.

Colorectal cancerPainWrist-ankle needleHospice care

吴秋兰、周腊梅、朱瑾宜、霍介格、姜子瑜、林艳

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南京中医药大学附属中西医结合医院(江苏省中医药研究院)肿瘤科,江苏 南京 210028

南京中医药大学附属中西医结合医院(江苏省中医药研究院)心血管科,江苏 南京 210028

结直肠癌 疼痛 腕踝针 安宁疗护

国家自然科学基金青年项目国家中医临床研究基地开放课题一般项目2022年度江苏省中医药科技发展计划项目面上项目

82004288JD2022SZXMS04MS2022033

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(8)