针灸改善化疗胃肠道不良反应临床研究进展  

Clinical Research Progress of Acupuncture and Moxibustion in Improving Gastrointestinal Adverse Reactions of Chemotherapy

作　　者：程碧琳 孙士玲[1] 张俊萍[2] 蔡小平[2] 关徐涛[1] 唐铮芳 CHENG Bi-lin;SUN Shi-ling;ZHANG Jun-ping;CAI Xiao-ping;GUAN Xu-tao;TANG Zheng-fang(Department of Hematology and Oncology,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450046 Henan,China;Henan Provincial Hospital of Integrated Traditional Chinese and Western Medicine(Henan Academy of Traditional Chinese Medicine),Zhengzhou 450046 Henan,China)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450046 [2]河南省中西医结合医院(河南省中医药研究院),河南郑州450004

出　　处：《中医肿瘤学杂志》2024年第2期86-93,共8页Journal of Oncology in Chinese Medicine

基　　金：国家自然科学基金(编号:82305349);第七批全国老中医药专家学术经验继承工作指导项目(编号:20230522);河南省高等学校重点科研项目计划(编号:24A360006);河南中医医院中医药文化现状及发展策略(编号:TCM2022013);河南省中青年骨干教师培养计划(编号:2023GGJS083)。

摘　　要：检索有关针刺、艾灸及其他相关治疗如温针灸、电针、穴位贴敷、穴位注射等治疗恶性肿瘤化疗相关性胃肠道不良反应的临床研究文献。概述针刺、艾灸及其他相关治疗干预化疗相关性胃肠道不良反应的研究进展,如化疗恶心、呕吐、呃逆、腹胀、腹痛、腹泻、便秘等,临床应用中常使用单纯针刺、艾灸或联合中医外治、中医内治法,以提高疗效,主要选取穴位有足三里、内关、中脘、神阙等穴位。针灸改善化疗相关胃肠道不良反应的应用已较为普遍,较单独西医治疗具有明显优势,常通过减少相关症状发病频率、缓解临床症状、缩短持续时间、提高生活质量的方式起效,值得临床进一步推广。The clinical research literature on acupuncture,moxibustion,and other related treatments such as warm acupuncture,electroacupuncture,acupoint application,and acupoint injection in the treatment of chemotherapy-related gastrointestinal adverse reactions of malignant tumors was retrieved.The research progress of acupuncture,moxibustion,and other related treatments in the intervention of chemotherapy-related gastrointestinal adverse reactions was overviewed.Acupuncture,moxibustion and with combination of external treatment or internal treatment of traditional Chinese medicine are commonly used to improve curative effect in clinical practice,such as chemotherapy-related nausea,vomiting,hiccup,abdominal distension,abdominal pain,diarrhea,constipation,and so on.The acupoints mainly selected are Zusanli(ST 36),Neiguan(PC 6),Zhongwan(CV 12),Shenque(CV 8),and so on.Acupuncture and moxibustion have been widely used to improve chemotherapy-related gastrointestinal adverse reactions,and have obvious advantages compared with western medicine treatment alone.They often take effect by reducing the frequency of related symptoms,relieving clinical symptoms,shortening the duration,and improving the quality of life,which is worthy of further promotion in clinical practice.

关 键 词：针灸 化疗 胃肠道不良反应 研究进展 

分 类 号：R273[医药卫生—中西医结合] R245[医药卫生—中医肿瘤科]