摘要
目的:探讨中医穴位帖敷在预防肝癌介入术后恶心呕吐中的应用效果。方法:选取2017年1月~2019年9月本院收治的134例肝癌患者,根据治疗方案差异分为对照组69例(常规治疗)、观察组65例(常规治疗+中医穴位帖敷治疗)。比较两组术后当日和术后第3日不适症状发生率及预防恶心、呕吐的疗效,记录并观察两组肝功能指标及生活质量改善情况。结果:(1)与手术当日比较,观察组术后第1日呕吐、胃部不适发生率均明显下降(P<0.05),但对照组无明显变化(P>0.05);观察组术后第1日呕吐、胃部不适发生率均显著低于对照组(P<0.05)。(2)观察组预防恶心、呕吐总有效率93.85%显著高于对照组81.16%(P<0.05)。(3)与术后1d比较,术后3d两组ALT、AST及STB水平明显降低,Alb水平明显升高(P<0.05);术后3d,观察组ALT、AST及STB水平显著低于对照组,Alb水平显著高于对照组(P<0.05)。(4)与术后1d比较,术后3d两组KPS量表评分均升高(P<0.05);观察组KPS量表评分显著高于对照组(P<0.05)。(5)两组均无严重不良反应发生。结论:中医穴位帖敷可有效预防肝癌介入术后恶心呕吐发生率,可促进肝功能恢复,安全性高,有助于提高患者的生活质量。
Objective:To explore the application effect of TCM acupoints application in the prevention of nausea and vomiting for patients with hepatic carcinoma after interventional therapy.Methods:134 patients with liver cancer admitted to this hospital from January 2017 to September 2019 were divided into a controlled group with 69 cases(conventional treatment)and the observation group with 65 cases(conventional treatment+TCM acupoints application)according to the difference in treatment plan.The incidence of discomfort symptoms and the efficacy in preventing nausea and vomiting were compared between the two groups on the day of the surgery and on the third day after surgery.The improvement of liver function indexes and quality of life were observed in the two groups.Results:(1)Compared those on the day of surgery,the incidences of vomiting and stomach discomfort on the first day after surgery in the observation group significantly reduced(P<0.05),but the incidences in the controlled group did not change significantly(P>0.05).The incidences of vomiting and stomach discomfort on the first day after surgery in the observation group were significantly lower than those in the controlled group(P<0.05).(2)The total effective rate of preventing nausea and vomiting in the observation group was 93.85%,which was significantly higher than 81.16%in the controlled group(P<0.05).(3)Compared with those on the first day after surgery,the levels of ALT,AST and STB in the two groups significantly reduced on the third day after surgery,and the level of Alb significantly increased(P<0.05).On the third day after operation,the ALT,AST and STB levels of the observation group were significantly lower than those of the controlled group,and the Alb level was significantly higher than that of the controlled group(P<0.05).(4)Compared with those on the first day,the KPS scale scores of the two groups increased on the third day after operation(P<0.05),and the KPS scale score of the observation group was significantly higher than that of the controlled group(P<0.05).(5)No serious adverse reactions occurred in the two groups.Conclusion:TCM acupoints application can effectively prevent the incidence of nausea and vomiting of patients with hepatic carcinoma after interventional therapy,promote the recovery of liver function,have high safety,and help improve the quality of life of patients.
作者
甘朵
王子娟
周利
赖建红
王月
胡幸
毕成玉
刘颖
庞华容
GAN Duo;WANG Zijuan;ZHOU Li(Department of Intervention,Sichuan Provincial Cancer Hospital,Chengdu Sichuan 610041,China)
出处
《四川中医》
2022年第10期207-210,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
中医穴位帖敷
肝癌介入术
恶心呕吐
预防效果
TCM acupoints application
Interventional surgery for liver cancer
Nausea and vomiting
Preventive effect
