坎离砂穴位贴敷预防乳腺癌化疗相关性恶心呕吐临床研究
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R737.9

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广东省中医药局资助项目(20221198)


Clinical Study on Point Application with Kanlisha for Preventing Breast Cancer Chemotherapy-Induced Nausea and Vomiting
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    摘要:

    目的:观察坎离砂穴位贴敷预防乳腺癌化疗相关性恶心呕吐(CINV) 的疗效。方法:选取符合纳 排标准的109 例乳腺癌化疗患者为研究对象,按入院先后顺序分为试验组54 例及对照组55 例。对照组使用常 规止吐治疗及饮食指导,试验组在对照组基础上加用坎离砂穴位贴敷治疗。观察2 组化疗24 h 至第7 天恶心 呕吐发生率及严重程度,比较2 组急性呕吐、迟发性恶心呕吐治疗疗效。结果:化疗后24 h~7 d,试验组恶 心发生率及严重程度均低于对照组,差异有统计学意义(P<0.05)。接受治疗后,试验组恶心发生率随着时间 推移而降低,在第3 天对照组恶心发生率达到高峰时,与试验组比较存在显著差异,化疗后第5~7 天,2 组 变化趋势也有明显差异。整体治疗后各时间段试验组恶心发生率均低于治疗组。化疗后24 h~7 d,试验组呕 吐发生率及严重程度均低于对照组,差异有统计学意义(P<0.05)。接受治疗后,对照组呕吐发生率随着时间 推移稍有降低,仍具有较高峰值,试验组呕吐发生率趋于低走势,2 组呕吐发生率变化趋势有明显差异。整体 治疗后各时间段试验组呕吐发生率均低于治疗组。试验组对急性呕吐和迟发性呕吐疗效的有效率均达100%, 对照组急性呕吐疗效有效率为87.3%,迟发性呕吐疗效的有效率为80.0%,试验组疗效均优于对照组,差异均 有统计学意义(P<0.001)。结论:坎离砂穴位可预防乳腺癌CINV 的发生,能有效缓解Ⅰ度以上程度的急 性、迟发性恶心呕吐,操作简便、可行。

    Abstract:

    Abstract: Objective: To observe the clinical effect of point application with Kanlisha on preventing breast cancer chemotherapy- induced nausea and vomiting (CINV). Methods: A total of 109 cases of patients with breast cancer undergoing chemotherapy were selected as the study objects, and were divided into the trial group and the control group according to the order of admission,with 54 and 55 cases in each group respectively. The control group was treated with routine antiemetic therapy and dietary guidance, and the trial group was additionally treated with point application with Kanlisha based on the treatment of the control group. The incidence and severity of nausea and vomiting from 24 hours to 7 days after chemotherapy in the two groups were observed, and the curative effect on acute vomiting and delayed nausea and vomiting was compared between the two groups. Results:In 24 hours to 7 days after chemotherapy,the incidence and severity of nausea in the trial group were lower than those in the control group,the difference being significant (P<0.05). After treatment,the incidence of nausea in the trial group was decreased with the passage of time;there was a significant difference between the control group and the trial group when the incidence of nausea in the control group reached the peak on the third day after chemotherapy,and there was also a significant difference between the two groups on the fifth to seventh day after chemotherapy. The incidence of nausea in the trial group was lower than that in the treatment group at all time points after the overall treatment. From 24 hours to 7 days after chemotherapy, the incidence and severity of vomiting in the trial group were lower than those in the control group, the difference being significant (P<0.05). After treatment,the incidence of vomiting in the control group was slightly decreased with the passage of time but still at a high peak value,while the incidence of vomiting in the trial group tended to a low trend; the change trend of the incidence of vomiting was significantly different between the two groups. After the overall treatment,the incidence of vomiting in the trial group was lower than that in the treatment group at each time point. The curative effective rate of acute vomiting and delayed vomiting was 100% in the trial group;the curative effective rate of acute vomiting was 87.3% in the control group,and the curative effective rate of delayed vomiting was 80.0% in the control group. The curative effect in the trial group was better than that in the control group,differences being significant (P<0.001). Conclusion:Kanlisha point application can prevent the occurrence of CINV in breast cancer and effectively relieve acute and delayed nausea and vomiting above grade Ⅰ,and the operation is simple and feasible.

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付攸缘,黄丽梅,王慧欣,丁玲,林美珍.坎离砂穴位贴敷预防乳腺癌化疗相关性恶心呕吐临床研究[J].新中医,2024,56(3):190-195

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  • 在线发布日期: 2024-02-23
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