穴位按摩联合足浴方干预癌症晚期癌因性疲乏随机平行对照研究  

Randomized Parallel Controlled Study of Acupoint Massage combined with Foot Bath in the Treatment of Cancer Patients with Advanced Cancer Related Fatigue

作　　者：杨建波 魏凤麟 吴秀 曹赛兰 YANG Jianbo;WEI Fenglin;WU Xiu;CAO Sailan(Oncology Department of the Traditional Chinese Medicine Hospital,Laohekou 441800,Hubei,China)

机构地区：[1]老河口市中医院肿瘤科,湖北老河口441800

出　　处：《实用中医内科杂志》2018年第7期56-58,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察穴位按摩联合足浴方干预癌症晚期癌因性疲乏疗效。[方法]使用随机平行对照方法,将70例住院患者病志号抽签方法随机分为两组。对照组35例睡前足浴,足浴方(白芍18g,黄芪30g,桂枝、姜~生各9g,党参30g,白术、茯苓15g,甘草~炙6g,大枣6枚),加入2000mL纯净水煎至约1000mL药汤,待药汤40℃时,倒入足浴盆(保持温度恒定),患者双足浸入药汤,不断搓动,且双足不出药汤平面,25min/次,1次/d。治疗组35例穴位按摩+睡前足浴,患者处于放松状态,微闭双目,医者站在患者身后,双手放置于患者头部,拇指处于太阳穴处,先顺时针按揉1min,随后逆时针按揉1min,拇指按压风池2min,双手岔开,十指间隙约为1cm,向下弓起,约25°,呈抓东西状态,从患者前发际线梳向后发际线,反复操作2min;足浴期间不断重复以上操作;足浴后,毛巾擦干双足,患者平卧,按压足三里、三阴交,循压法,时间3min,随后按压涌泉,搓推法,根据患者耐受程度调整力度,应由轻到重,时间3min;足浴方治疗同对照组。连续治疗1周为1疗程。观测临床症状、生活质量评分、癌因性疲乏程度评分、不良反应。治疗1疗程(1周),判定疗效。[结果]生活质量评分、癌因性疲乏评分两组均有改善(P<0.01),治疗组组改善优于对照组(P<0.01)。[结论]穴位按摩联合足浴方治疗癌症晚期癌因性疲乏,疗效满意,无严重不良反应,值得推广。[Objective] To observe the effect of acupoint massage combined with foot bath on cancer patients with advanced cancer related fatigue. [Methods] Random parallel control method was used to divide 70 cases of hospitalized patients by random sampling into two groups. In the control group, 35 feet bathing before bed, foot bath （Baishao 18g, Huangqi 30g, Guizhi, Shengjiang each 9g, Dangshen 30g, Baizhu, Fuling each 15g, Zhigancao 6g, Dazao 6）, 2000mL pure water decocted to about 1000mL medicine soup, when the decoction is 40C, pour into the foot bathtub （keep the temperature constant）, the patient＇s double foot immersion medicine soup, constantly rubbing soup, and double No medicine soup level, 25 min/times, 1 times/d. In the treatment group, 35 acupoint massage ＋ foot bath before bedtime, the patient is in the relaxed state, micro closed double eyes, the doctor stands behind the patient, the hands are placed on the patient＇s head, the thumb is in the temple, first clockwise and knead lmin, then knead lmin against clockwise, the thumb press the wind pool 2min, the hands switch open, the ten interphalangeal gap is about lcm, downward arrow about 25 degrees, 25 degrees, take the state of catching things, from the front hair line comb back hair line, repeated operation, repeated operation during the foot bath; after foot bath, the towel dry double feet, the patient is flat, press Zusanli, three yin, pressure method, time 3rain, then press Yongquan, rub push method, according to patient tolerance degree tune. The whole intensity should be from light to heavy, time 3min; foot bath treatment with the control group. Continuous treatment for 1 weeks was the 1 course of treatment. Clinical symptoms, quality of life score, cancer-related fatigue score and adverse reactions were observed. The 1 course of treatment （1 weeks） was treated and the curative effect was determined. [Results] The scores of quality of life andcancer related fatigue were improved in the two groups （P〈0.01）, and the treatment group

关 键 词：癌因性疲乏 癌症晚期 虚劳 足浴方 睡前足浴 穴位按摩 生活质量评分 癌因性疲乏程度评分 简易疲乏量表(BFI) 中医复方 随机平行对照研究 

分 类 号：R244[医药卫生—针灸推拿学]