穴位揿针辅助治疗原发性肝癌TACE术后疼痛、恶心呕吐的疗效观察  

Observation of the therapeutic effect of acupressure needle assisted treatment for postoperative pain,nausea,and vomiting in primary liver cancer after TACE surgery

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作  者:刘敏华 曾敬科 钱日红 兰非 王丽英 杨沛华 赖小欢 刘惠 Liu Minhua;Zeng Jingke;Qian Rihong;Lan Fei;Wang Liying;Yang Peihua;Lai Xiaohuan;Liu Hui(First Clinical School of Gannan Medical University,Ganzhou,Jiangxi 341000,China;Ganzhou Fifth People's Hospital,Ganzhou,Jiangxi 341000,China)

机构地区:[1]赣南医科大学第一临床医学院,江西赣州341000 [2]江西省赣州市第五人民医院,江西赣州341000

出  处:《首都食品与医药》2025年第5期150-153,共4页Capital Food Medicine

基  金:江西省中医药管理局科技计划项目(编号:2022A150)。

摘  要:目的探究穴位揿针辅助治疗原发性肝癌(PHC)患者肝动脉化疗栓塞术(TACE)后疼痛、恶心呕吐的疗效.方法共纳入本院收治的首次行TACE治疗的80例PHC患者,时间为2022年6月-2024年5月,以随机数表法分为两组,即对照组(n=40)、试验组(n=40),对照组予以常规治疗,基于此,试验组予以穴位揿针辅助治疗,治疗3d,比较两组疗效;于术后24h、48h、72h时,比较两组疼痛度[视觉模拟评分法(VAS)];比较术后72h内止痛药追加人数、不良反应(恶心、呕吐及头晕)发生率.结果与对照组(77.50%)比较,试验组(95.00%)总有效率更高(P<0.05);术后24h、48h、72h时,试验组VAS评分低于对照组(P<0.05);试验组术后72h内止痛药追加人数少于对照组,恶心、呕吐发生率低于对照组(P<0.05).结论穴位揿针辅助治疗PHC患者,能够减轻TACE术后疼痛度,降低恶心、呕吐发生率,减少止痛药追加人数.Objective To investigate the efficacy of acupressure needle assisted treatment for pain,nausea,and vomiting in patients with primary liver cancer(PHC)after hepatic artery chemoembolization(TACE).Methods A total of 80 PHC patients who underwent TACE treatment for the first time in our hospital from June 2022 to May 2024 were randomly divided into two groups using a random number table:a control group(n=40)and an experimental group(n=40).The control group received conventional treatment,while the experimental group received acupuncture assisted treatment for 3 days.The efficacy of the two groups was compared;compare the pain levels of the two groups using Visual Analog Scale(VAS)at 24 hours,48 hours,and 72 hours postoperatively;compare the number of patients who received additional painkillers and the incidence of adverse reactions(nausea,vomiting,and dizziness)within 72 hours after surgery.Results Compared with the control group(77.50%),the experimental group(95.00%)had a higher effective rate(P<0.05);at 24 hours,48 hours,and 72 hours postoperatively,the VAS scores of the experimental group were lower than those of the control group(P<0.05);the number of patients in the experimental group who received additional painkillers within 72 hours after surgery was less than that in the control group,and the incidence of nausea and vomiting was lower than that in the control group(P<0.05).Conclusion Acupoint pressing needle assisted treatment for PHC patients can reduce postoperative pain,decrease the incidence of nausea and vomiting,and reduce the number of additional painkillers.

关 键 词:原发性肝癌 肝动脉化疗栓塞术 揿针 疼痛 恶心呕吐 

分 类 号:R735.7[医药卫生—肿瘤]

 

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