Efficacy of Acupuncture Combined with TP Chemotherapy on Esophageal Cancer Pa-tients with Dysphagia and Its Effect on Survival Rate and Quality of Life of Patients
Objective To investigate the efficacy of acupuncture combined with TP chemotherapy in treating dys-phagia caused by esophageal cancer and its impact on quality of life of patients.Methods A study was conducted on 86 patients with esophageal cancer-induced dysphagia admitted to the Fifth Department of Internal Medicine(Oncology)of Hengshui Hospital of Traditional Chinese Medicine between May 2020 and May 2021.The patients were randomly divided into a control group and an observation group according to a random number table,with 43 patients in each group.Both groups received TP chemotherapy,while the observation group additionally received acupuncture treatment.Two courses of treatment were administered,lasting 42 days.The Karnofsky Performance Status(KPS)score,dysphagia score,post-treat-ment quality of life,body weight changes,short-term efficacy,1-year survival rate,and incidence of adverse reactions during treatment were observed and compared between the two groups.Results After treatment,both groups showed a sig-nificant increase in KPS scores compared to those before treatment(P＜0.05).The KPS score in the observation group was significantly higher than that in the control group(P＜0.05).The overall improvement rate in quality of life in the observa-tion group was 74.42％(32/43),significantly higher than 46.51％(20/43)in the control group(P＜0.05).After treat-ment,both groups showed a significant reduction in vomiting,eating difficulties,and chest pain scores compared to those before treatment(P＜0.05).The dysphagia score in the observation group was significantly lower than that in the control group(P＜0.05).The improvement rate in body weight in the observation group was 53.49％(23/43),significantly high-er than 30.23％(13/43)in the control group(P＜0.05).The overall effective rates in the observation group and the con-trol group were 58.14％(25/43)and 51.16％(22/43),with no statistically significant difference(x2=0.422,P＞0.05).The incidence of adverse reactions in the observation group was significantly lower than that in the control group(x2=6.824,P＜0.05).The 1-year survival rate in the observation group was significantly higher than that in the control group(x2=4.440,P＜0.05).Conclusion Acupuncture combined with TP chemotherapy is effective in rapidly relieving dysphagia symptoms in patients with esophageal cancer,increasing body weight,improving quality of life,reducing chemo-therapy-related adverse reactions,and helping to extend the 1-year survival rate.It is recommended for clinical use.
Esophageal CancerDysphagiaAcupunctureTP ChemotherapyQuality of LifeBody Mass1-year Survival Rate
万方数据
维普
