足三里、内关穴针刺治疗胃肠肿瘤化疗后胃肠道反应的临床观察  

Clinical Observation of Needling Zusanii and Neiguan for Treating Gastrointestinal Reactions induced by Chemotherapy of Gastrointestinal Tumors

作　　者：沈宝玉 杨法根 杨育林[3] 

机构地区：[1]武义县第二人民医院,浙江武义321200 [2]浙江医圣堂中医药研究所,浙江武义321200 [3]浙江中医药大学附属二院,浙江杭州310005

出　　处：《中华中医药学刊》2013年第1期91-93,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省中医药科技计划项目(2009GA005)

摘　　要：目的:观察针刺足三里、内关防治胃肠肿瘤化疗致胃肠道反应的临床疗效。方法:60例胃肠肿瘤患者随机分为两组,对照组采用格拉司琼治疗,治疗组采用足三里、内关穴针刺联合格拉司琼治疗,评价患者化疗第3 d恶心呕吐、腹胀腹痛、腹泻、便秘、口腔炎等情况。结果:治疗组与对照组比较,化疗后恶心、呕吐控制的总有效率为30%(P=0.038);治疗组化疗后腹痛控制有效率为28%(P=0.020);腹泻控制有效率为30%(P=0.010);便秘及口腔炎控制有效率分别为29%和30%(P>0.05)。结论:针刺足三里、内关联合格拉司琼防治胃肠肿瘤化疗致胃肠道反应疗效确切,安全可靠。Objective：To observe the clinical effects of needling Zusanli and Neiguan on treating gastrointestinal reactions induced by chemotherapy of gastrointestinal tumors.Methods：60 cases of gastrointestinal cancer patients were randomly divided into two groups.The control group was treated with granisetron.The treatment group was with a therapy combining granisetron and needling Zusanli and Neiguan.The first three days situations of chemotherapy patients like nausea and vomiting, abdominal pain,bloating,diarrhea,constipation,stomatitis and so on were evaluated.Results：Comparing treatment group and control group,the total effective rate of controlling nausea and vomiting was 30%（P =0.038） in the treatment group,the effective rate of controlling abdominal pain was 28%（P =0.020）;the effective rate of diarrhea control was 30% （P =0.010）;the effective rates of constipation and stomatitis control were 29%and 30%（P0.05 ） respectively after chemotherapy.Conclusion：The therapy combining granisetron and needling Zusanli and Neiguan is effective,safe and reliable in prevention and treatment of gastrointestinal reactions induced by chemotherapy of gastrointestinal cancer.

关 键 词：足三里 内关 胃肠肿瘤 化疗 胃肠道反应 

分 类 号：R735[医药卫生—肿瘤] R246.5[医药卫生—临床医学]