艾灸治疗老年晚期肿瘤患者癌因性疲乏的疗效.docVIP

艾灸治疗老年晚期肿瘤患者癌因性疲乏的疗效 　　摘要] 目的 探讨艾灸治疗老年晚期肿瘤患者癌因性疲乏的护理临床疗效。方法 临床纳入2011年1月―2014年1月间该院收治的60例老年晚期肿瘤患者，根据治疗方案不同分为研究组与对照组。研究组治疗上给予中医护理艾灸联合西药治疗，对照组仅给予常规护理联合西药治疗。观察两组患者治疗前后KPS评分、Piper疲乏量表（RPFS）评分以及T淋巴细胞亚群水平等。结果 治疗后，研究组患者KPS评分较治疗前明显升高，与对照组治疗后比较，差异有统计学意义（P0.05）；疲乏量表方面，研究组患者RPFS总分、行为、感觉得分显著低于治疗组，差异有统计学意义（P0.05）；T淋巴细胞亚群水平方面，研究组患者治疗后CD3+、CD4+、NK均较治疗前有了明显升高，与对照组相比差异有统计学意义（P0.05）。结论 老年晚期肿瘤患者实施护理艾灸治疗，能够有效提高患者的生活质量，较大程度上改善患者的癌因性疲乏情况。此外，艾灸治疗还有助于提高老年晚期肿瘤患者的机体免疫力。 　　[关键词] 艾灸；老年；晚期肿瘤；癌因性疲乏；疗效 　　[中图分类号] R24 [文献标识码] A [文章编号] 1674-0742（2015）02（b）-0159-03 　　Moxibustion in treatment of elderly patients with advanced cancer tumor fatigue 　　LEI Yuxin 　　Liao ning Dandong Hospital of Traclitional Chinese Medicine， Liaoning Dandong，18000，China 　　[Abstract] Objective To observe the nursing clinical curative effect of moxibustion treatment for elderly patients with advanced cancer tumor fatigue. Methods 60 cases of elderly patients with advanced cancer were selected in our hospital. According to the different treatment plan， they were divided into the study group and control group. The study group were treated with traditional Chinese medicine nursing moxibustion combined with western medicine treatment， the control group were only received routine nursing combined with western medicine treatment. Two groups were observed before and after treatment in patients with KPS scores， Piper Fatigue Scale（RPFS） score and T lymphocyte subsets level. Results After the treatment， the study group patients with KPS score were higher significantly than before treatment. After treatment， compared with the control group， the difference was significant （P0.05）；In aspect of fatigue scale， the study group patients with total score of RPFS， behavior， feeling scores were significantly lower in the treatment group， the difference was significant （P0.05）； In aspect of the level of T lymphocyte subsets， CD3+， CD4+， NK of the study group patients after treatment were higher than before treatment， they had signific