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腕踝针治疗肝恶性肿瘤介入术后顽固性呃逆的应用效果

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目的 观察腕踝针治疗肝恶性肿瘤介入术后顽固性呃逆的应用效果.方法 将 90 例肝恶性肿瘤介入术后顽固性呃逆患者按照随机数字表法分为2 组,对照组45 例予以西医对症治疗,治疗组45 例在对照组治疗基础上予以腕踝针治疗,疗程8 周.比较2 组临床疗效,治疗前后呃逆症状改善情况、中医证候评分及生活质量.结果 治疗组患者总有效率93.33%(42/45),对照组为77.78%(35/45),治疗组临床疗效优于对照组(P<0.05).治疗后、治疗结束后7d时,2 组的呃逆症状评分均较本组治疗前降低(P<0.05),且治疗组的评分均低于对照组同期(P<0.05).2 组治疗后中医证候各项评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05).2 组治疗后生活质量均较本组治疗前升高(P<0.05),且治疗组治疗后生活质量优于对照组(P<0.05).结论 腕踝针治疗肝恶性肿瘤介入术后顽固性呃逆患者可取得显著效果,不仅能提升其临床疗效,促进呃逆症状改善,而且还能降低中医证候评分,进一步提高患者的生活质量.
Application of wrist-ankle acupuncture on intractable hiccup in liver malignant tumor with interventional therapy
Objective To analyze the effect of wrist-ankle acupuncture on intractable hiccup in liver malignant tumor with interventional therapy.Methods Ninety patients with intractable hiccup underwent interventional therapy for liver malig-nant tumor were enrolled,and they were randomly assigned in a1:1 ratio to either symptomatic Western medicine therapy(con-trol group)or wrist-ankle acupuncture plus symptomatic Western medicine therapy(treatment group)for 8 weeks.The clinical efficacy was assessed,and the scores of hiccup symptom,traditional Chinese medicine(TCM)symptom,and quality of life be-tween groups were compared.Results After treatment,the total effective rate in the treatment group was better than that of the control group(93.33%[42/45]vs77.78%[35/45],P<0.05).The scores of hiccup symptom in both groups on days 0 and 7 daysafter treatment were significantly lower than those before treatment(P<0.05),the decreases were more prevalent in the treatment group relative to the control group(P<0.05).After treatment,the scores of TCM symptoms in the both groups were significantly lower than those before treatment(P<0.05),which were more prevalent in the treatment group compared to the control group(P<0.05).After treatment,the scores of quality of life were significantly improved in the both groups than those before treatment(P<0.05),which in the treatment group were superior to the control group(P<0.05).Conclusion The application of wrist-ankle acupuncture has a significant curative effect in patients with intractable hiccup underwent intervention-al therapy for liver malignant tumor,which can not only improve the clinical effect and promote the improvement of hiccup symp-toms,but also reduce the TCM symptom score and the quality of life.

Liver malignancyInterventional surgeryPostoperativeIntractable hiccupWrist-ankle acupuncture

王金华、杨寿松、韦贤

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广西壮族自治区玉林市中医医院中医肝病科,广西 玉林 537000

肝肿瘤 介入手术 术后 顽固性呃逆 腕踝针

广西壮族自治区中医药管理局自筹经费科研课题

GXZYK20220590

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)
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