揿针埋针缓解结直肠癌术后化疗患者恶心呕吐的效果观察  

Effects of acupuncture and embedding of thumb-tack needle on relieving nausea and vomiting in patients with postoperative chemotherapy for colorectal cancer

作　　者：孙云[1] 段艳霞[1] 白小龙[1] 张心武[1] SUN Yun;DUAN Yanxia;BAI Xiaolong;ZHANG Xinwu(Department of General Surgery,Second Affiliated Hospital ofXi'an Jiaotong University,Xi'an,Shaanxi,710004)

机构地区：[1]西安交通大学第二附属医院普通外科

出　　处：《中西医结合护理（中英文）》2019年第4期41-43,共3页Journal of Clinical Nursing in Practice

摘　　要：目的观察内关穴、足三里穴揿针埋针缓解直肠癌术后化疗患者恶心呕吐的效果。方法选取2017年10月—2018年9月住院接受化疗的结直肠癌术后患者100例,均选择FOLFOX4(奥沙利铂+5-氟尿嘧啶+亚叶酸钙)方案化疗,按化疗先后顺序分为观察组与对照组,各50例。对照组患者静脉注射盐酸托烷司琼,观察组在对照组的基础上予以揿针埋针治疗,刺激足三里穴、内关穴。观察2组恶心、呕吐症状得分表评分,观察揿针埋针有无不良反应。结果在化疗的第1、4、8天和1个化疗周期时,观察组恶心、呕吐症状得分低于对照组(P<0.05)。研究过程中,观察组患者无皮肤破损与肿胀、断针、晕针等不良反应出现。结论足三里、内关穴揿针埋针治疗能有效辅助改善结直肠癌术后化疗患者恶心、呕吐症状。Objective To investigate the effect of acupuncture and embedding of thumb-tack needle on relieving nausea and vomiting in patients with postoperative chemotherapy for colorectal cancer. Methods Totally 100 patients who received FOLFOX4 regimen(5 fluorouracil, calcium folinate and oxaliplatin)for colorectal cancer were divided into observation group and control group according to the sequence of chemotherapy, 50 patients in each group. The patients in the control group were treated with tropisetron hydrochloride, and the patients in the observation group were given acupuncture and embedding of thumb-tack needle on the basis of routine treatment. The nausea and vomiting symptoms self-rating list was used to evaluate the intervention efficacy. The adverse reactions caused by acupuncture and embedding of thumb-tack needle were recorded. Results The symptoms self-rating score was lower in the observation group than that in the control group at day 1, 4, 8 and the end of first course of chemotherapy, respectively ( P <0.05). There was no case of skin damage, swelling at puncture site, broken needle or fainting during acupuncture reported in the observation group. Conclusion The combined treatment of acupuncture and embedding of thumb-tack needle can significantly relieve nausea and vomiting in patients with postoperative chemotherapy for colorectal cancer.

关 键 词：结直肠癌 化疗 恶心 呕吐 揿针 中西医结合护理 

分 类 号：R248.1[医药卫生—中医临床基础]