艾盐包中脘穴热熨联合盐酸昂丹司琼片预防血液病化疗相关性恶心呕吐临床研究
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Clinical Study Curative Effect of Hot Compress with Moxa-Salt Packet at Zhongwan Point Combined with Ondansetron Hydrochloride Tablets in Preventing Hematopathy Chemotherapy-Induced Nausea and Vomiting
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    摘要:

    目的:探究艾盐包中脘穴热熨联合盐酸昂丹司琼片预防血液病化疗相关性恶心呕吐(CINV) 的临 床效果。方法:选取接受化疗的108例血液病CINV患者为研究对象,按随机数字表法分为对照组和研究组各 54例。对照组给予盐酸昂丹司琼片治疗,研究组给予艾盐包中脘穴热熨联合盐酸昂丹司琼片治疗。比较2组治 疗后临床疗效、中医证候评分、恶心呕吐程度分级、生活功能指数量表(FLIE) 评分及不良反应发生率。结 果:治疗后,研究组总有效率为96.30%,对照组为83.33%,2组比较,差异有统计学意义(P<0.05)。研究组 恶心呕吐程度分级改善优于对照组,差异有统计学意义(P<0.05)。治疗后,研究组嗳气反酸、食欲不振、疲 乏无力等中医证候评分均低于对照组,差异有统计学意义(P<0.05)。治疗后第5天、第21天,研究组FLIE 评分均高于对照组(P<0.05)。治疗期间,研究组不良反应发生率为1.85%,对照组为12.96%,2组比较,差 异有统计学意义(P<0.05)。结论:艾盐包中脘穴热熨联合止吐药治疗血液病患者CINV疗效显著,可有效改 善中医证候,减轻恶心呕吐反应,提高生活质量,且安全性较高。

    Abstract:

    Abstract: Objective: To investigate the clinical effect of hot compress with moxa-salt packet at Zhongwan point (RN12) combined with Ondansetron Hydrochloride Tablets in preventing hematopathy chemotherapy-induced nausea and vomiting (CINV). Methods: A total of 108 cases of patients with hematopathy CINV who received chemotherapy were selected as the study subjects and divided into the control group and the study group according to the random number table method, with 54 cases in each group. The control group was treated with Ondansetron Hydrochloride Tablets, and the study group was treated with hot compress with moxa-salt packet at Zhongwan point combined with Ondansetron Hydrochloride Tablets. The clinical effects, traditional Chinese medicine syndrome scores, grading of nausea and vomiting,Functional Life Index-Emesis (FLIE) scores,and incidence of adverse reactions after treatment were compared between two groups. Results: After treatment, the total effective rate was 96.30% in the study group, and 83.33% in the control group, the difference being significant (P<0.05). The improvement in the grading of nausea and vomiting in the study group was better than that in the control group,the difference being significant (P<0.05). After treatment,the symptom scores of belching and acid reflux, loss of appetite, fatigue and weakness in the study group were lower than those in the control group,the difference being significant (P<0.05). On the fifth and twenty-first day after treatment, the FLIE scores in the study group were higher than those in the control group (P<0.05). During the treatment period, the incidence of adverse reactions was 1.85% in the study group, and 12.96% in the control group, the difference being significant (P<0.05). Conclusion: The combination of hot compress with moxa-salt packet at Zhongwan point and antiemetic drugs has a significant curative effect on CINV in patients with hematopathy. It can effectively improve TCM syndromes, reduce reactions of nausea and vomiting ,improve quality of life,and is relatively safe.

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季美芬,胡巧美,兰义芬.艾盐包中脘穴热熨联合盐酸昂丹司琼片预防血液病化疗相关性恶心呕吐临床研究[J].新中医,2024,56(10):155-158

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  • 在线发布日期: 2024-05-28
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