针灸足三里对抗化疗呕吐反应临床的研究.docVIP

针灸足三里对抗化疗呕吐反应临床的研究 　　(泰兴市人民医院,江苏225400)T 　　[摘　要]　目的: 比较不同针灸方 法对抗化疗呕吐的作用特点,为临床上根据不同的病人采用不同的针灸疗法,提供了一定的 研究依据。方法:选取足三里穴,分别使用温针灸、针刺和艾 灸三种不同的治疗方法,以呕 吐症状的积分为主要临床观察指标,以观察针灸足三里穴对抗化疗呕吐反应的临床疗效。 HT5结果:不同的针灸方法,其即时止呕效应和持续止呕效应不尽相 同,针刺的即时止呕效应优于 温针灸和艾灸,而温针灸的持续止呕效应优于针刺和艾灸。? 　　[主题词]　抗肿瘤药/副作用;呕吐/针灸疗法;穴,足三 里? 　　Clinical Study on Antagonism of Acupuncture and Moxibustion at Zusanli Point on Vomiting Caused by Chemotherapy Shen Guowei,Xiao Yang,Gao Yongkang(Taixing Municipal People?s Hospital,Jia ngsu 225400)? 　　[Abstract]　Purpose　To compare chara cteristics of antagonism of different ac upunctrue and moxibustion methods on vom iting caused by chemotherapy,so as to p r ovide a certain basis for adopting diffe rent acupuncture and moxibustion methods based on diffferent patients. Methods　Zusanli (ST36) point was s elected and warm acup?moxibustion,acupun cture and moxibustion were used respecti vely,cumulative score of vomiting symptom was used as main clinical index,and the clinical therapeutic effect of acupunct ure and moxibustion at Zusanli (ST36) po in t on vomiting caused by chemotherapy was observed.Results　The tr ansient stopping vomiting effect of acup uncture was superior to those of warm ac up?moxibustion and moxibustion,and the c ontinuous stopping vomiting effect of wa rm acup?moxibustion was superior to tho se of acupuncture and moxibustion.Conclusion　Different acu puncture and moxibustion methods have di fferent transient stopping vomiting effe ct and continuous stopping vomiting eff ect.? 　　[Key words]　Antineoplast ic Agents/adv eff;Vomiting/acup ther;Poi nt ST36(ZUSANLI);?? 　　 　　1　临床资料 　　本研究所有病例均来自我院肿瘤病区,共80例。根据单盲、随机的分组原则将80例 研究对象分为3个治疗组和1个对照组,各20例。一般情况见表1。? 　　 　　2　治疗方法 　　2.1　温针灸组(A组) 　　患者取仰卧位,充分暴露足三里穴部位,常规消毒后,以指切法进针,得气后先行平补平泻 手法1分钟,然后在针柄上套上2 cm长的灸条,点燃,连续灸2壮,留针30分钟。? 　　2.2　针刺组(B组) 　　患者取仰卧位,穴位局部皮肤消毒后,用指切法进针,得气后行平补平泻1分钟,间歇行针 每5分钟1次,每次行针1分钟,留针30分钟。? 　　2.3　艾灸组(C组) 　　患者取仰卧位,充分暴露腧穴部位,点燃灸条,灸双侧足三里,灸火距皮肤2～3 cm, 采用温和悬灸法,以患者感到皮肤温热而不灼痛为度,时间为30分钟。 　　以上3组以1个化疗周期作为观