首页|实脾消水散2号联合灸法及穴位注射干预乳腺癌术后上肢淋巴性水肿临床观察

实脾消水散2号联合灸法及穴位注射干预乳腺癌术后上肢淋巴性水肿临床观察

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目的 探讨实脾消水散2号联合灸法、穴位注射干预乳腺癌术后上肢淋巴性水肿的临床效果。方法 选取于2022年1月-2023年12月在大连市中医医院肿瘤科住院治疗的乳腺癌术后患侧上肢淋巴性水肿女性患者共70例,入组患者年龄为35~76岁,平均(55。4±9。6)岁,病程6~18个月。对入组患者应用实脾消水散2号联合百笑灸及丹红注射液穴位注射治疗。治疗前后分别对治疗侧手臂进行臂围评分,并对患侧上肢功能、疼痛程度、生活质量、中医证候及血清白细胞介素(IL-6)、肿瘤死因子-α(TNF-α)、C-反应蛋白(CRP)水平进行评价,最终对治疗疗效进行评价。结果 经治疗,患者术侧臂围评分、上肢功能评定量表(DASH)评分、上肢疼痛视觉模拟评分法(VAS)评分均显著降低(P<0。05);生活质量Karnofsky量表(KPS)评分、中医证候(肢体麻木、上肢酸胀、上肢肿痛)评分均显著提高(P<0。05);血清IL-6、TNF-α、CRP水平显著降低(P<0。05)。实脾消水散2号联合百笑灸、丹红注射液穴位注射可以明显缓解乳腺癌患侧上肢的肿胀水平,其中显效33例(47。14%)、有效32例(45。71%)、无效5例(7。14%),总有效率为92。86%。结论 实脾消水散2号联合灸法、穴位注射对乳腺癌术后术侧上肢的肿胀治疗效果显著。
Clinical Observation of No.2 Shipi Xiaoshui Powder(实脾消水散2号)Combined with Moxibustion and Acupoint Injection on Upper Limb Lymphedema after Breast Cancer Operation
Objective To observe the clinical efficacy of No.2 Shipi Xiaoshui Powder(实脾消水散2号)combined with moxibustion and acupoint injection on upper limb lymphedema caused by breast cancer operation.Methods During the days from Jan.2022 to Dec.2023,70 female patients with upper limb lymphedema caused by breast cancer operation,who were suffering cancer for 6-18 monthes,were selected to treated by No.2 Shipi Xiaoshui Powder combined with moxibustion and acupoint injected with Danhong Injection(丹红注射液).Their ages were from 35 years old to 76 years old,the average age was(55.4±9.6)years old.Before and after the treatment,the circumference of the arm injured was measured and marked.Also,the important scores were calculated.They are about arm injured function,pain degree,living quality,syndrome of Chinese medicine and serum IL-6,TNF-α and CRP levels.The consequences were compared.Results Compared with the conditions before the treatment,the scores of arm girth were significantly decreased after treatment(P<0.05).And the marks of disabilities of the arm,shoulder and hand(DASH)scores after the treatment were significantly decreased(P<0.05).Equally,the upper extremity pain(VAS)scores after the treatment were significantly decreased(P<0.05).On the contrary,the scores of living quality(KPS)after the treatment were significantly increased(P<0.05).The scores of limb numbness,limb sore distention,limb swollen pain after the treatment were also significantly increased(P<0.05).Compared with the conditions before the treatment,the scores of the serum levels of IL-6,TNF-α and CRP were significantly decreased after treatment(P<0.05).The expansion level of upper limb lymphedema can be obviously relieved by No.2 Shipi Xiaoshui Powder combined with Baixiao moxibustion and acupoint injection.After the therapy,the measurement scores of arm circumference were statistically reductive,the apparently effective rate of it was 47.14%,the effective rate was 45.71%,the ineffective rate was just 7.14%,the total effective rate was 92.86%Conclusion The swelling of upper limbs caused by operation of breast cancer is significantly relieved by the method of No.2 Shipi Xiaoshui Powder combined with moxibustion and acupoint ingress of Danhong Injection,with a remarkable effect.

No.2 Shipi Xiaoshui Powder(实脾消水散2号)moxibustion methodDanhong Injection(丹红注射液)acupoint injectionpostoperative breast cancerlymphatic edema

钟富强、林彤彦、丁玮玮、李戈、赵岩、白长川

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辽宁中医药大学,辽宁 沈阳 110847

大连市中医医院,辽宁 大连 116013

实脾消水散2号 灸法 丹红注射液 穴位注射 乳腺癌术后 淋巴性水肿

2025

辽宁中医药大学学报
辽宁中医药大学

辽宁中医药大学学报

影响因子:0.775
ISSN:1673-842X
年,卷(期):2025.27(1)