揿针联合西黄丸治疗实证肝癌化疗栓塞术后临床观察  

Effect of Thumb-Tack Needle Combined with Xihuang Pill on Clinical Efficacy of Hepatic Carcinoma Patients After Chemoembolization

作　　者：徐佳丽[1] 陆凯娟 周芦忠 Xu Jiali;Lu Kaijuan;Zhou Luzhong(Oncology Department,Qidong City Hospital of Traditional Chinese Medicine,Qidong 226200,China)

机构地区：[1]启东市中医院肿瘤科,江苏启东226200

出　　处：《亚太传统医药》2024年第5期96-99,共4页Asia-Pacific Traditional Medicine

摘　　要：目的:对揿针联合西黄丸治疗实证肝癌化疗栓塞术后的临床疗效进行观察研究。方法:将某院就诊的原发性肝癌患者随机分为对照组和观察组,各48例。对照组采用三阶梯药物止痛法治疗,观察组在对照组治疗的基础上给予揿针联合西黄丸治疗,比较两组患者治疗前后的腹痛(VAS)评分、中医证候积分、生活质量(KPS)评分以及血清AFP和GAS水平。结果:观察组总有效率为95.83%,显著高于对照组的89.58%(P<0.05);治疗后观察组中医证候积分、腹痛评分以及AFP水平均显著低于对照组和治疗前(P<0.05),生活质量KPS评分以及血清GAS水平显著高于对照组和治疗前(P<0.05)。结论:揿针联合西黄丸治疗实证肝癌腹痛患者疗效显著,可显著降低患者的疼痛评分,提高患者生活质量,值得临床推广应用。Objective:To investigate the clinical efficacy of Thumb-tack needle combined with Xihuang Pill in the treatment of hepatic carcinoma patients after chemoembolization.Methods:hepatic carcinoma patients after chemoembolization were randomly divided into control group(n=48)and observation group(n=48).The control group was treated with three-step drug analgesia,and the observation group was treated with Thumb-tack needle combined with Xihuang Pill on the basis of the control group.The abdominal pain(VAS)scores,TCM syndrome scores,quality of life(KPS)scores and serum AFP and GAS levels were compared between the two groups before and after treatment.Results:The total effective rate of observation group was 95.83%,which was significantly higher than 89.58%of control group(P<0.05).After treatment,TCM syndrome score,abdominal pain score and AFP level in observation group were significantly lower than those in control group and before treatment(P<0.05),quality of life KPS score and serum GAS level were significantly higher than those in control group and before treatment(P<0.05).Conclusion:Thumb-tack needle combined with Xihuang Pill has significant effect on hepatic carcinoma patients after chemoembolization,which can significantly reduce the pain score,improve the quality of life,and thus is worthy of clinical application.

关 键 词：肝癌 腹痛 三阶梯药物止痛法 西黄丸 揿针 

分 类 号：R245[医药卫生—针灸推拿学]