针刺干预对肝癌患者TACE术后顽固性呃逆的护理效果观察  

Nursing Effective Observation of Acupoint Acupuncture Intervention on Intractable Hiccup after TACE for Patients with Hepatic Carcinoma

作　　者：甘朵[1] 刘颖[1] 毕成玉 王子娟 王月 胡幸 庞华容[1] GAN Duo;LIU Ying;BI Chengyu(Sichuan Provincial Cancer Hospital,Chengdu Sichuan 610041,China)

机构地区：[1]四川省肿瘤医院,四川成都610041

出　　处：《四川中医》2020年第8期210-213,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:探讨穴位针刺干预对肝癌患者肝动脉化疗栓塞术(TACE)术后顽固型呃逆的效果。方法:按照随机数字表法将2016年6月~2019年9月我院收治的82例肝癌TACE术后出现顽固型呃逆的患者分为观察组与对照组各41例。对照组患者给予常规干预,观察组患者在对照组基础上联合使用穴位针刺干预。记录两组患者呃逆缓解时间、呃逆停止时间、起效时间,观察两组患者干预前、干预7d后两组患者顽固性呃逆中医证候(呃逆、脘腹胀满、呼吸困难、泛吐清水、胸胁满闷、失眠、食少乏力)积分及生活质量[癌症患者生活质量评估量表(QLQ-52)],比较两组患者干预7d后的临床疗效。结果:观察组临床总有效率明显高于对照组(P均<0.05)。观察组患者呃逆缓解时间、呃逆停止时间、起效时间均短于对照组(P均<0.05)。干预7d后,两组患者中医证候积分及QLQ-52评分均低于干预前,且观察组显著低于对照组(P均<0.05)。结论:对肝癌患者TACE术后发生顽固性呃逆的患者给予穴位针刺干预效果显著,能有效改善患者呃逆症状体征,改善生活质量,降低并发症发生风险。Objective:To explore the effect of acupoint acupuncture intervention on intractable hiccup after transcatherter arterial chemoembolization(TACE)for patients with hepatic carcinoma.Methods:According to the random number table method,82patients with intractable hiccup after TACE for hepatic carcinoma treated in our hospital from June 2016to September 2019were divided into observation group and controlled group,with 41cases in each group.The controlled group was given conventional intervention,and the observation group was combined with acupoint acupuncture intervention on the basis of the controlled group.The hiccup remission time,hiccup stop time and onset time were recorded in the two groups.The scores of TCM syndromes of intractable hiccup(hiccup,abdominal fullness and distention,dyspnea,vomiting with water,fullness in chest and hypochondrium,insomnia,reduced appetite and fatigue)and quality of life[cancer patients'quality of life assessment scale](QLQ-52)]were observed in the two groups before and after 7d of intervention,and the clinical efficacy was compared between the two groups after 7d of intervention.Results:The total clinical effective rate in the observation group was significantly higher than that in the controlled group(all P<0.05).The hiccup remission time,hiccup stop time and onset time in the observation group were shorter than those in the controlled group(all P<0.05).After 7d of intervention,the TCM syndromes scores and QLQ-52 score in the two groups were lower than those before intervention,and the scores in the observation group were significantly lower than those in the controlled group(all P<0.05).Conclusion:Acupoint acupuncture intervention has significant effects on patients with intractable hiccup after TACE for hepatic carcinoma,and it can effectively improve hiccup symptoms and signs and hiccup remission,promote the quality of life and reduce the risk of complications.

关 键 词：肝癌 肝动脉化疗栓塞术 顽固性呃逆 针刺 干预效果 

分 类 号：R248.2[医药卫生—中医临床基础]