首页|针刺治疗化疗相关性恶心呕吐的临床分析

针刺治疗化疗相关性恶心呕吐的临床分析

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目的 分析化疗相关性恶心呕吐应用针刺治疗的有效性.方法 便利选取2023年1月—2024年1月徐州市中医院收治的84例因化疗导致的相关性恶心呕吐患者为研究对象,以信封法分为对照组(常规治疗)、观察组(在对照组的基础上针刺治疗),各42例.比较两组的治疗有效率、功能状态、中医证候评分、血红蛋白、白蛋白和前白蛋白水平.结果 观察组治疗总有效率(92.86%)高于对照组(76.19%),差异有统计学意义(χ2=4.459,P<0.05).观察组Karnofsky功能状态评分高于对照组,差异有统计学意义(P<0.05).观察组中医证候(恶心呕吐、食欲不振、面色无华、少气懒言)评分低于对照组,差异有统计学意义(P均<0.05).观察组呕吐程度为0度的占比高于对照组,呕吐程度为I~Ⅱ度的占比低于对照组,差异有统计学意义(P均<0.05).结论 应用针刺治疗化疗相关性恶心呕吐的效果显著.
Clinical Analysis of Acupuncture Treatment for Chemotherapy-related Nausea and Vomiting
Objective To analyze the effectiveness of acupuncture in the treatment of chemotherapy-related nausea and vomiting.Methods 84 patients with chemotherapy-related nausea and vomiting admitted to Xuzhou Hospital of Traditional Chinese Medicine from January 2023 to January 2024 were conveniently selected as the study objects,and they were divided into control group(conventional treatment)and observation group(acupuncture treatment on the ba-sis of the control group)by envelope method,with 42 cases in each group.The therapeutic effectiveness,functional status,traditional Chinese medicine(TCM)syndrome score,levels of hemoglobin,albumin and prealbumin of the two groups were compared.Results The total effective rate of the observation group(92.86%)was higher than that of the control group(76.19%),and the difference was statistically significant(χ2=4.459,P<0.05).The Karnofsky functional status score in the observation group was higher than that in the control group,and the difference was statistically sig-nificant(P<0.05).The scores of TCM symptoms(nausea and vomiting,loss of appetite,plain face,little qi and lazy speech)in the observation group were lower than those in the control group,and the differences were statistically sig-nificant(all P<0.05).The proportion of vomiting with a degree of 0 in the observation group was higher than that in the control group,and the proportion of vomiting with a degree of I~Ⅱ was lower than that in the control group,and the differences were statistically significant(both P<0.05).Conclusion Acupuncture is effective in treating chemotherapy-related nausea and vomiting.

ChemotherapyNausea and vomitingAcupuncture treatmentSymptoms of traditional Chinese medicine

张敏、杨静

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徐州市中医院肿瘤科,江苏徐州 221000

化疗 恶心呕吐 针刺治疗 中医证候

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(9)