耳穴埋豆联合穴位按摩对消化道恶性肿瘤化疗患者恶心呕吐及睡眠质量的影响
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R248;R273

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Effect of Auricular Point Seed-Pressing Combined with Acupoint Massage for Nausea and Vomiting and Sleep Quality in Patients Undergoing Chemotherapy for Digestive Tract Malignant Tumor
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    摘要:

    目的:观察耳穴埋豆联合穴位按摩对消化道恶性肿瘤化疗患者恶心呕吐及睡眠质量的影响。方 法:回顾性分析133 例消化道恶性肿瘤化疗患者的临床资料,按治疗方式的不同分为常规组76 例和中医干预 组57 例。其中常规组剔除及脱落39 例,最终纳入37 例,中医干预组剔除及脱落17 例,最终纳入40 例。常 规组给予西药常规止吐,中医干预组在常规组基础上给予耳穴埋豆联合穴位按摩治疗。比较2 组化疗3 个疗程 后(治疗后) 恶心呕吐分级情况,以及治疗前后胃功能指标[胃蛋白酶原Ⅰ(PGⅠ)、胃蛋白酶原Ⅱ(PGⅡ)、 胃泌素(GAS) 水平] 和匹兹堡睡眠质量指数(PSQI) 评分。结果:治疗后,中医干预组恶心呕吐分级低于常 规组,差异有统计学意义(P<0.05)。2 组血清PGⅠ、PGⅡ、GAS 水平均较治疗前降低,中医干预组血清 PGⅠ、PGⅡ、GAS 水平均高于常规组,差异均有统计学意义(P<0.05)。2 组睡眠情况、药物使用情况、白 天功能情况评分及PSQI 总分均较治疗前升高,中医干预组睡眠情况、药物使用情况、白天功能情况评分及 PSQI 总分均低于常规组,差异均有统计学意义(P<0.05)。结论:耳穴埋豆联合穴位按摩可有效缓解消化道 恶性肿瘤化疗患者恶心呕吐症状,改善胃功能和睡眠质量。

    Abstract:

    Abstract:Objective:To observe the effect of auricular point seed- pressing combined with acupoint massage for nausea and vomiting and sleep quality in patients undergoing chemotherapy for digestive tract malignant tumor. Methods: The clinical data of 133 patients undergoing chemotherapy for digestive tract malignant tumor were given retrospective analysis, and were divided into the routine group and the Chinese medicine intervention group according to different treatment methods, with 76 and 57 cases in each group respectively. In the routine group, 39 cases were removed or lost, and 37 cases were eventually included. In the Chinese medicine intervention group , 17 cases were removed or lost , and 40 cases were eventually included. The routine group was treated with routine western medicine to stop vomiting, and the Chinese medicine intervention group was treated with auricular point seed- pressing combined with acupoint massage based on the treatment of the routine group. The grading of nausea and vomiting after 3 courses of chemotherapy (after treatment) between two groups, as well as the gastric function indicators [levels of pepsinogenⅠ(PGI),pepsinogenⅡ(PGⅡ),and gastrin (GAS)] and Pittsburgh Sleep Quality Index (PSQI) scores were compared before and after treatment. Results: After treatment, the grading of nausea and vomiting in the Chinese medicine intervention group was lower than that in the routine group,difference being significant (P<0.05). The levels of PGⅠ,PGⅡ,and GAS in serum in the two groups were decreased when compared with those before treatment,and the levels of PGⅠ,PGⅡ, and GAS in serum in the Chinese medicine intervention group were higher than those in the routine group, differences being significant (P<0.05). The sleep status, medication use, daytime function scores, and total scores of PSQI in the two groups were increased when compared with those before treatment,and the sleep status, medication use, daytime function score, and total score of PSQI in the Chinese medicine intervention group were lower than those in the routine group,differences being significant (P< 0.05). Conclusion:Auricular point seed-pressing combined with acupoint massage can effectively alleviate nausea and vomiting symptoms in patients undergoing chemotherapy for digestive tract malignant tumor, and improve their gastric function and sleep quality.

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陈伟芳,刘路.耳穴埋豆联合穴位按摩对消化道恶性肿瘤化疗患者恶心呕吐及睡眠质量的影响[J].新中医,2023,55(22):166-170

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  • 在线发布日期: 2023-11-28
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