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督灸对化疗期间肿瘤患者癌因性疲乏的影响 被引量:16

Effect of Governor Vessel Moxibustion on Cancer-related Fatigue During Chemotherapy in Patients with Tumor
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摘要 目的通过对化疗期间患者采用督灸,观察督灸对改善肿瘤患者癌因性疲乏(CRF)的影响。方法将240例肿瘤化疗患者按2:1随机分为治疗组和对照组。治疗组给予正常化疗方案及常规护理,并在化疗开始第1天,同时行督灸治疗;对照组只给予正常化疗方案及常规护理。观察两组治疗前后PFS-12量表评分,并比较两组临床疗效。结果对照组治疗前后PFS-12量表评分比较,差异无统计学意义(P>0.05)。治疗组治疗前后PFS-12量表行为项总分和疲乏程度、情感项中除异常程度、感觉项除强壮程度评分和总分比较,差异有统计学意义(P<0.05)。治疗组总有效率为38.3%,对照组总有效率为24.4%,治疗组总有效率明显优于对照组,差异有统计学意义(x~2=4.517,P=0.034)。结论督灸对改善肿瘤化疗患者的CRF有一定作用,值得临床应用。 Objective To observe the effect of Governor Vessel moxibustion in improving cancer-related fatigue(CRF)in patients with tumor by treating them with Governor Vessel moxibustion during chemotherapy.Method A total of 240 patients with tumor undergoing chemotherapy were randomized into a treatment group and a control group at 2:1.The treatment group was given normalized chemotherapy protocol and conventional nursing,with Governor Vessel moxibustion conducted from chemotherapy day 1;the control group only received the normalized chemotherapy protocol and conventional nursing.The Piper Fatigue Scale-12(PFS-12)score was observed before and after treatment in the two groups,and the clinical efficacies were compared.Result The change in the PFS-12 score was insignificant after treatment in the control group(P>0.05).In the treatment group,significant change was found in the total score of the behavioral subscale and the severity of fatigue score,affective subscale scores except for abnormal intensity,sensory subscale scores except for the degree of feeling strong,and the total score of PFS-12 after treatment(P<0.05).The total effective rate was 38.3%in the treatment group and 24.4%in the control group,and the treatment group was significantly superior to the control group(x~2=4.517,P=0.034).Conclusion Governor Vessel moxibustion can produce certain effects in improving CRF in tumor patients and is worthy of clinical application.
作者 陈露 孔天东 王留晏 段方方 王涛 周寒丽 张玉洁 张彦华 CHEN Lu;KONG Tian-dong;WANG Liu-yan;DUAN Fang-fang;WANG Tao;ZHOU Han-li;ZHANG Yu-jie;ZHANG Yan-hua(Tumor Hospital of Zhengzhou Affiliated to Henan University,Zhengzhou 450000,China;The Third People’s Hospital of Zhengzhou,Zhengzhou 450000,China;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)
出处 《上海针灸杂志》 2021年第1期44-48,共5页 Shanghai Journal of Acupuncture and Moxibustion
基金 河南省中医药管理局专项课题(2018ZY3019)。
关键词 灸法 间接灸 督灸 疲乏 肿瘤 化疗 药物相关的副作用和不良反应 PFS-12量表 Moxibustion Indirect moxibustion Governor Vessel moxibustion Fatigue Neoplasms Drug therapy Drug-related side effects and adverse reactions Piper Fatigue Scale-12
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