热敏灸对恶性肿瘤患者化疗后骨髓抑制的预防效果研究  

Study on preventive effect of heat-sensitive moxibustion on myelosuppression in patients with malignant tumor after chemotherapy

作　　者：丁坤[1] 门晓冰 王翠 李志仙[3] DING Kun;MEN Xiao-bing;WANG Cui(Orthopedic Rehabilitation Department,Weifang Traditional Chinese Medicine Hospital,Weifang 261000,China)

机构地区：[1]潍坊市中医院骨伤康复科,261000 [2]潍坊市中医院创伤骨科,261000 [3]潍坊市中医院肿瘤科,261000

出　　处：《中国实用医药》2023年第22期114-117,共4页China Practical Medicine

摘　　要：目的分析热敏灸对恶性肿瘤患者化疗后骨髓抑制的预防效果。方法50例恶性肿瘤患者为研究对象,随机分为研究组和对照组,各25例。两组患者均给予化疗治疗,对照组患者实施单一的升白药治疗,研究组患者在对照组基础上给予热敏灸治疗。对比两组治疗前后血象变化情况及骨髓抑制程度、不良反应发生情况。结果治疗前,两组患者的白细胞计数(WBC)、血红蛋白(HGB)、血小板计数(PLT)、中性粒细胞(NE)水平对比差异无统计学意义(P>0.05);治疗后,研究组患者的WBC、HGB、PLT、NE分别为(5.33±0.26)×10^(9)/L、(105.36±8.12)g/L、(135.69±9.12)×10^(9)/L、(3.05±0.78)%,均高于于对照组的(4.36±0.25)×10^(9)/L、(100.14±8.11)g/L、(118.23±9.11)×10^(9)/L、(2.41±0.56)%,差异有统计学意义(P<0.05)。研究组患者骨髓抑制程度以Ⅰ度为主,对照组患者骨髓抑制程度以Ⅱ度为主;研究组患者骨髓抑制程度显著优于对照组,差异具有统计学意义(P<0.05)。对照组和研究组不良反应发生率分别为24.00%、4.00%,研究组不良反应发生率低于对照组,差异具有统计学意义(P<0.05)。结论热敏灸用于预防恶性肿瘤患者化疗后骨髓抑制的可行性较高,可提升机体功能恢复速度,改善骨髓抑制程度,临床可积极推广。Objective To analyze the preventive effect of heat-sensitive moxibustion on myelosuppression in patients with malignant tumor after chemotherapy.Methods A total of 50 patients with malignant tumor were studied and randomly divided into a study group and a control group,with 25 cases in each group.Both groups were treated with chemotherapy.The control group was treated with leucogen alone,and the study group was treated with heat-sensitive moxibustion on the basis of the control group.The changes of blood routine examination results before and after treatment,degree of myelosuppression and occurrence of adverse reactions were compared between the two groups.Results Before treatment,there was no statistically significant difference in the levels of white blood cell count(WBC),hemoglobin(HGB),platelet count(PLT)and neutrophil(NE)between the two groups(P>0.05).After treatment,the levels of WBC,HGB,PLT and NE of the study group were(5.33±0.26)×10^(9)/L,(105.36±8.12)g/L,(135.69±9.12)×10^(9)/L and(3.05±0.78)%,which were higher than those of(4.36±0.25)×10^(9)/L,(100.14±8.11)g/L,(118.23±9.11)×10^(9)/L and(2.41±0.56)%in the control group,and the differences were statistically significant(P<0.05).Patients in the study group were predominantly inⅠdegree myelosuppression,and the patients in the control group were predominantly inⅡdegree myelosuppression;the degree of myelosuppression in the study group was significantly better than that in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the control group and the study group were 24.00%and 4.00%,respectively;the incidence of adverse reactions in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Heat-sensitive moxibustion has high feasibility for preventing myelosuppression in patients with malignant tumors after chemotherapy,and can improve the recovery speed of patients'body function,and the degree of myelosuppression,whic

关 键 词：热敏灸 恶性肿瘤 化疗 骨髓抑制 

分 类 号：R246.5[医药卫生—针灸推拿学]