姜夏散脐疗联合耳穴埋籽对卵巢癌化疗患者恶心呕吐的效果  

Effect of Jiangxia Powder Navel Therapy Combined With Ear Point Seed Embedding on Nausea and Vomiting in Patients With Ovarian Cancer Undergoing Chemotherapy

作　　者：林文华[1] 林琳[1] 丁玉兰[2] 陈小芳[1] 王俊蕊 LIN Wenhua;LIN Lin;DING Yulan;CHEN Xiaofang;WANG Junrui(Department of Obstetrics and Gynecology,First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China;Nursing Teaching and Research Office,First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China;Department of Nursing,Shenzhen University General Hospital,Shenzhen Guangdong 518055,China)

机构地区：[1]厦门大学附属第一医院妇产科,福建厦门361003 [2]厦门大学附属第一医院护理教研室,福建厦门361003 [3]深圳大学总医院护理部,广东深圳518055

出　　处：《中国卫生标准管理》2022年第1期132-136,共5页China Health Standard Management

摘　　要：目的探讨姜夏散脐疗联合耳穴埋籽对卵巢癌化疗患者胃肠道反应的防治作用。方法2019年6月-2020年12月将150例患者随机分为对照组、脐疗组和联合组,每组各50例,对照组进行常规的止吐护理,脐疗组在对照组的基础上于化疗前1 h进行姜夏散脐疗,联合组在脐疗组的基础上于化疗当天给予耳穴贴压。比较三组患者的急性和延迟性化疗相关的恶心呕吐(chemotherapyinduced nausea ang vomiting,CINV)的发生情况、Karnofsky功能状态评分(Karnofsky performance status,KPS)以及采用生活功能指数量表(functional living index-emesis,FLIE)评价三组患者的生活质量。结果脐疗组和联合组的急性呕吐次数和恶心程度以及延迟性呕吐次数均明显低于对照组,差异有统计学意义(P<0.05);联合组延迟性恶心程度低于脐疗组和对照组,差异有统计学意义(P<0.05);联合组急性和延迟性的呕吐发生率和恶心发生率均低于其他两组;干预后,三组患者KPS分级情况组间差异有统计学意义(P<0.05);联合组生活功能指数量表得分低于其他两组,差异有统计学意义(P<0.05)。结论姜夏散脐疗联合耳穴埋籽能有效降低卵巢癌患者化疗后急性和延迟性的恶心呕吐发生率及程度,并能提高患者KPS功能状态,改善生活质量。Objective To observe the effect of Jiangxia powder navel therapy combined with ear point seed embedding on the prevention and treatment of gastrointestinal reactions in patients with ovarian cancer chemotherapy.Methods From June 2019 to December 2020,150 patients were randomly divided into control group,navel therapy group and combined group,50 cases in each group.The control group was given routine antiemetic nursing,the navel therapy group was given Jiangxia powder navel treatment 1 hour before chemotherapy on the basis of the control group,and the combined group was given auricular point therapy on the day of chemotherapy on the basis of navel therapy group.The incidence of acute and delayed CINV,Kamofsky performance status(KPS)score and functional living index-emesis(FLIE)was used to evaluate the quality of life of the three groups were compared.Results The frequency and degree of acute vomiting and delayed vomiting in the navel therapy and combined group were significantly lower than those in the control group,the difference was statistically significant(P<0.05);the degree of delayed nausea in the combined group was significantly lower than that in the other two groups,the difference was statistically significant(P<0.05);the incidence of acute and delayed vomiting and nausea in the combination group were significantly lower than those in the other two groups;after the intervention,there was significant difference in KPS grade among the three groups(P<0.05),and the score of life function index in the combined group was lower than that in the other two groups(P<0.05).Conclusion Jiangxia powder navel therapy combined with auricular point therapy can effectively reduce the incidence of acute and delayed nausea and vomiting in patients with ovarian cancer after chemotherapy,reduce the frequency of vomiting,reduce the degree of nausea,improve the functional status of patients with KPS,and improve the quality of life.

关 键 词：脐疗 耳穴埋籽 姜夏散 卵巢癌 胃肠道反应 化疗 

分 类 号：R242[医药卫生—中医临床基础]