艾灸联合穴位埋线对非小细胞肺癌化疗患者化疗相关恶心/呕吐及生活质量的影响  

Effect of moxibustion combined with acupoint catgut embedding on chemotherapy-related nausea/vomiting and quality of life in patients with non-small cell lung cancer chemotherapy

作　　者：连娟 刘嫚 刘晓玉 LIAN Juan;LIU Man;LIU Xiaoyu(Department of Intervention,Zhumadian Traditional Chinese Medicine Hospital,Zhumadian,Henan 463000,China)

机构地区：[1]驻马店市中医院介入科,河南驻马店463000

出　　处：《现代医药卫生》2024年第23期4061-4064,4070,共5页Journal of Modern Medicine & Health

摘　　要：目的探讨艾灸联合穴位埋线对非小细胞肺癌(NSCLC)化疗患者化疗相关恶心/呕吐(CINV)及生活质量的影响。方法采用随机数字表法将2021年5月至2023年12月该院收治的NSCLC患者88例分为观察组和对照组,每组44例。对照组采用常规治疗及护理,观察组采用常规治疗及护理联合艾灸及穴位埋线,2组均干预至化疗结束3 d。比较2组患者CINV发生情况、舒适度(Kolcaba舒适状况量表评分)、生活质量(癌症患者生命质量测定量表评分)及护理满意度。结果2组患者急性CINV发生率比较,差异无统计学意义(P>0.05);观察组患者延发性CINVⅡ~Ⅳ级发生率[18.18%(8/44)]明显低于对照组[45.45%(20/44)],干预后Kolcaba舒适状况量表评分[(88.45±8.55)分]、癌症患者生命质量测定量表评分[(87.78±9.10)分],以及护理满意度[95.45%(42/44)]均明显高于对照组[分别为(73.81±7.88)分、(75.76±8.81)分、81.82%(36/44)],差异均有统计学意义(P<0.05)。结论艾灸联合穴位埋线可有效降低NSCLC化疗患者CINV发生率,提高患者生活质量及护理满意度,是一种理想的干预手段。Objective To investigate the effect of moxibustion combined with acupoint catgut embedding on chemotherapy-related nausea/vomiting(CINV)and quality of life in patients with non-small cell lung cancer(NSCLC).Methods A total of 88 patients with NSCLC admitted to our hospital from May 2021 to December 2023 were divided into observation group and control group by random number table method,44 cases in each group.The control group was treated with routine treatment and nursing,while the observation group was treated with routine treatment and nursing combined with moxibustion and acupoint catgut embedding.Both groups were intervened until the end of chemotherapy for three days.The incidence of CINV,comfort(Kolcaba comfort scale score),quality of life(quality of life scale score of cancer patients)and nursing satisfaction were compared between the two groups.Results There was no significant difference in the incidence of acute CINV between the two groups(P>0.05).The incidence of delayed CINVⅡ-Ⅳgrade[18.18%(8/44)]in the observation group was significantly lower than that in the control group[45.45%(20/44)].After intervention,the scores of Kolcaba comfort scale[(88.45±8.55)points],quality of life scale for cancer patients[(87.78±9.10)points]and nursing satisfaction[95.45%(42/44)]were significantly higher than those in the control group[(73.81±7.88)points,(75.76±8.81)points,81.82%(36/44),respectively],and the differences were statistically significant(P<0.05).Conclusion Moxibustion combined with acupoint catgut embedding can effectively reduce the incidence of CINV in patients with NSCLC chemotherapy,improve the quality of life and nursing satisfaction of patients,which is an ideal intervention method.

关 键 词：非小细胞肺癌 艾灸 穴位埋线 化疗 恶心 呕吐 生活质量 

分 类 号：R734.2[医药卫生—肿瘤] R442.1[医药卫生—临床医学]