摘要
目的:观察雷火灸对乳腺癌化疗患者气虚型癌因性疲乏(CRF)的临床疗效。方法:气虚型CRF的乳腺癌化疗患者随机分为雷火灸组30例和常规护理组30例。雷火灸组取腰背部两侧膀胱经节段和腹部任脉节段,予雷火灸温补法,每日1次,每次30min。常规护理组予健康宣教等常规护理,均治疗14d。评价两组患者治疗前后的简易疲乏量表(BFI)、中医证候积分,比较两组患者临床疗效,同时观察两组患者的白细胞变化。结果:治疗后两组患者的BFI和中医证候积分均较治疗前降低,白细胞计数较化疗5d后升高(P<0.01);治疗后两组患者的BFI、中医证候积分和白细胞计数比较,雷火灸组较常规护理组改善更为明显(P<0.01,P<0.05)。雷火灸组总有效率为83.3%(25/30),常规护理组总有效率为36.7%(11/30),雷火灸组明显高于常规护理组(P<0.01)。结论:雷火灸可以有效减轻患者的疲乏程度,改善气虚症状,且患者易于接受。
Objective To observe the clinical effect of thunder-fire moxibustion in the treatment of qi deficiency-induced fatigue in breast cancer patients undergoing chemotherapy.Methods Sixty breast cancer patients undergoing chemotherapy were randomly divided into thunder-fire moxibustion（Moxi）and conventional nursing（nursing）groups（n=30 in each group）.Patients in the Moxi group were treated with thunder-fire moxibustion applied to the back part of body from Pishu（BL 20）to Qihaishu（BL 24）on the bilateral sides and to the abdominal part from Zhongwan（CV 12）to Guanyuan（CV 4）for 30 min,once a day for14 days.Patients in the nursing group were treated with health education and conventional nursing care.The simple fatigue scale,traditional Chinese medicine（TCM）syndrome score,clinical curative effect were observed before and after the treatment,and white blood cell（WBC）count was observed 5 days ofter chemotherapy and after the treatment respectively.Results After the treatment,the simple fatigue scales and TCM syndrome scores were significantly decreased and WBC counts were significantly increased in both groups relevant to their individual pre-treatment（P0.01）.The therapeutic effect of the Moxi group was apparently superior to that of the nursing group in lowering the simple fatigue scale and TCM syndrome score and in up-regulating WBC count（P0.01,P0.05）.The total effective rate of the Moxi group was significantly higher than that of the nursing group（83.3%[25/30]vs 36.7% [11/30],P0.01）.Conclusion Thunder-fire moxibustion can effectively relieve the degree of fatigue and the symptoms of qi deficiency in breast cancer patients undergoing chemotherapy.
作者
卢璐
李薇晗
郭小川
符文彬
LU Lu;LI Wei-han;GUO Xiao-chuan;FU Wen-bin(Department of Traditional Chinese Medicine, the 5~＇ Hospital Af- filiated to Guangzhou Medical University;Guangzhou 510700, China ~ 2The 2＇~ Clinical Medical College of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405)
出处
《针刺研究》
CAS
CSCD
北大核心
2018年第2期110-113,共4页
Acupuncture Research
基金
广州中医药大学校级项目(No.A 1-AFD 015151Z1558)
广东省中医院中医药科学技术研究专项(No.YK 2013BIN 04)
关键词
雷火灸
乳腺癌
癌因性疲乏
临床研究
Thunder-fire moxibustion
Breast cancer
Cancer-related fatigue
Clinical research
