应用热敏灸治疗癌性贫血30例临床疗效观察  

Thermal Sensitive Moxibustion on Cancer Anemia: A Clinical Observation of 30 Cases

作　　者：白桦[1] 李伊然[2] 李树斌[1] 

机构地区：[1]中国中医科学院广安门医院南区,北京102618 [2]北京中医药大学,北京100029

出　　处：《世界中医药》2017年第5期1144-1148,共5页World Chinese Medicine

基　　金：中国中医科学院广安门医院南区院级科研基金(编号:Y2014-02)--在癌性贫血患者中应用热敏灸治疗的临床研究及MDASI分析

摘　　要：目的:观察热敏灸治疗癌性贫血的临床疗效,为进一步的推广热敏灸应用奠定临床基础。方法:在患者的知情同意下,选取2015年1月至2016年12月中国中医科学院广安门医院南区门诊及病房共65例癌性贫血患者,按随机数字表法随机划分为2组,剔除脱落患者4例,观察组30例,对照组31例。2组患者均行常规治疗,包括:EPO治疗或铁剂、叶酸、维生素B12等治疗。观察组在对照组治疗基础上配合热敏灸治疗,1次/d,3 d后治疗3次/周,治疗周期1个月。分别于治疗前、治疗后评定患者红细胞、血红蛋白水平,并分别于治疗结束、疗后1个月进行MDASI症状量表评价。结果:2组治疗结束后红细胞和血红蛋白水平均较前有一定升高,观察组与对照组比较差异有统计学意义(P<0.05),以观察组为优。临床疗效比较,治疗结束观察组总有效率为60.00%,明显优于对照组的25.81%,差异有统计学意义(P<0.01)。MDASI量表评价,治疗结束和疗后1个月,2组患者症状积分和生活积分均较治疗前减少,观察组更优。其中疗后1月观察组不适症状反应率38.31%,明显低于对照组44.37%(P<0.05),生活积分比较观察组明显优于对照组(P<0.01)。结论:热敏灸能够有效改善癌性贫血程度,并改善患者生活质量,有较好的临床推广应用价值。Objective：To observe the clinical effect of thermal sensitive moxibustion on anemia of cancer and to lay the foundation for the promotion of its clinical application.Methods： Under the patient′s informed consent, we selected a total of 65 cases of patients with anemia of cancer, from January 2015 to December 2016 according to the number table and randomly divided them into 2 groups, eliminating 4 cases of shedding, 30 cases in the treatment group, 31 cases in the control group.Two groups were treated with conventional therapy, including： EPO therapy or iron, folic acid, vitamin B12 and other treatment.The treatment group were treated with extra thermal sensitive moxibustion, once per day in the first 3 days, and after that, 3 times per week, for a course of 1 month.Red blood cells, hemoglobin level were evaluated before and after trearment.At the end of treatment and1 month later, MDASI symptom scale was evaluated.Results： After the treatment, f red blood cells and hemoglobin levels of the 2 groups were lower than those before the treatment with statistically significant difference （P〈0.05）.Comparing the clinical efficacy after treatment, the total efficiency of treatment group was 60%, significantly higher than that of the control group 25.81%, and there was statistically significant difference （P〈0.01）.As to MDASI scale evaluation, symptom score and life scores of 2 groups were lower than those before treatment, the treatment group better after treatment.One months later after the treatment, discomfort reaction rate of the treatment group was 38.31%, significantly lower than that of the control group 44.37% （P〈0.05）, and life score was significantly better than that of the control group （P〈0.01）.Conclusion： Thermal sensitive moxibustion can effectively improve the degree of anemia of cancer and the quality of life of patients, which has good clinical application value.

关 键 词：热敏灸 癌性贫血 MDASI量表 

分 类 号：R245.8[医药卫生—针灸推拿学] R273[医药卫生—中医临床基础]