基于抑木扶土理论的气交灸联合揿针干预经导管肝动脉化疗栓塞术后疼痛、恶心呕吐的临床研究  

The“suppressing wood-supporting earth”theory-based air moxibustion combined with pushpin-like needle acupuncture in the treatment of pain,nausea and vomiting after TACE:a clinical study

作　　者：沈晓娣[1] 叶盼 边雪梅[1] 孙青 常玉茹 章羽 SHENXiaodi;YE Pan;BIAN Xuemei;SUN Qing;CHANG Yuru;ZHANG Yu(Intervention Ward of Interventional Department,First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine(Zhejiang Provincial Hospital of Traditional Chinese Medicine),Hangzhou,Zhejiang Province 310006,China)

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院)介入病房,浙江杭州310006

出　　处：《介入放射学杂志》2024年第9期1014-1018,共5页Journal of Interventional Radiology

基　　金：浙江省中医药科学研究基金(2021ZA046)。

摘　　要：目的 探索采用基于抑木扶土理论的气交灸联合揿针干预经导管肝动脉化疗栓塞术(TACE)后患者疼痛、恶心呕吐的效果。方法 纳入2020年7月至2023年6月浙江中医药大学附属第一医院介入病房收治的首次行TACE的160例原发性肝癌患者,随机分为4组,每组40例。对照组采用常规护理,揿针组在对照组的基础上采用揿针治疗,气交灸组在对照组的基础上采用气交灸治疗,联合组在对照组的基础上采用揿针和气交灸治疗。对4组患者TACE后疼痛(VAS评分)及恶心呕吐(INVR评分)进行分析。结果 4组患者VAS评分、INVR评分的组别及时间主效应和交互效应差异均具有统计学意义(P<0.05)。揿针组、气交灸组、联合组与对照组差异均具有统计学意义(P<0.05)。联合组与揿针组、气交灸组差异具有统计学意义(P<0.05)。结论 气交灸联合揿针缓解TACE后疼痛、恶心呕吐效果显著,优于单独揿针、气交灸治疗,临床上可借鉴及推广。Objective To investigate the clinical effect of air moxibustion combined with pushpin-like needle acupuncture,which is formulated based on the“suppressing wood-supporting earth”theory in the doctrine of the five elements of Traditional Chinese Medicine(TCM),in the treatment of pain,nausea and vomiting after transcatheter arterial chemoembolization(TACE).Methods A total of 160 patients with hepatocellular carcinoma,who were admitted to the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine of China to receive initial TACE between July 2020 and June 2023,were enrolled in this study.The patients were randomly divided into 4 groups with 40 patients in each group.The patients of the control group received TACE with conventional nursing care,the patients of the pushpin-like needle group received pushpin-like needle acupuncture on the basis of the control group,the patients of the air moxibustion group received air moxibustion treatment on the basis of the control group,and the patients of the combination group received air moxibustion combined with pushpin-like needle acupuncture on the basis of the control group.The post-TACE pain degree(VAS scoring)and nausea/vomiting extent(INVR scoring)were compared between each other among the four groups.Results The differences in the VAS score and INVR score(including main effect and interaction effect)between each other among the four groups were statistically significant(all P<0.05).Statistically significant differences in the VAS score and INVR score existed between the control group and the other three groups(all P<0.05).The differences in the VAS score and INVR score between combination group and pushpin-like needle group,as well as between combination group and air moxibustion group were statistically significant(both P<0.05).Conclusion Air moxibustion combined with pushpin-like needle acupuncture can effectively and remarkably relieve post-TACE pain,nausea and vomiting,which is superior to simple use of air moxibustion or pushpin-like nee

关 键 词：原发性肝癌 TACE 疼痛 恶心 呕吐 抑木扶土理论 气交灸 揿针 

分 类 号：R735.7[医药卫生—肿瘤]