简易式经皮穴位电刺激缓解肿瘤患者癌因性疲乏的效果

Effect of transcutanclus electrical acupoint stimulation used to alleviate cancer related fatigue in cancerchemotherapy patients

目的探讨经皮穴位电刺激缓解化疗患者癌因性疲乏的效果，提高肿瘤患者的生活质量。方法将60例消化道肿瘤化疗患者，随机分为观察组（n=30）和对照组（n=30）。对照组选用常规治疗和护理，观察组在此基础上采用经皮穴位电刺激治疗。比较两组患者治疗前后Piper疲乏量表评分变化。结果两组患者干预前Piper疲乏量表各维度及总分比较差异均无统计学意义（P〉0．05）；观察组躯体疲乏维度干预前得分为（6．85±0．21）分，干预后为（6．76±0．13）分，差异有统计学意义（t=2．171，P〈0．05）；行为疲乏维度得分及Piper疲乏量表总评分观察组干预后为（5．53±0．18），（6．10±0．09）分，对照组为（5．65±0．22），（6．17±0．11）分，两组比较差异均有统计学意义（t=2．275，2．615；P〈0．05）；两组在行为、认知、情感疲乏维度方面差异无统计学意义（P〉0．05）。结论经皮穴位电刺激对化疗患者癌因性疲乏有一定的缓解作用。

Objective To evaluate the effectiveness of transcutanclus electrical acupoint stimulation used to alleviate cancer related fatigue in cancer-chemotherapy patients and improve the quality of cancer patients＇ life. Methods Gastrointestinal-cancer hospitalized patients, with chemotherapy, who felt fatigue, were randomly assigned to experimental group and control group. The control group used conventional treatment and care. The experimental group, on the same baseline, used TEAS treatment （acupoints： Xuehai, Zusanli and Sanyinjiao）. Patients were observed before and after intervention. The piper fatigue scale （Chinese version） was used to score and determine the effect. Results All dimension scores and total scores were not different （P 〉 0. 05 ） ; Fatigue dimension in experimental group was （6.85±0.21 ） before intervention and （6.76±0.13） after intervention, and the different was significant （t = 2. 171, P 〈 0. 05 ）. Behavioral fatigue score and total piper fatigue score were （5.53±0. 18）, and （6.10±0. 09）, respectively, and （ 5.65±0. 22）, （6.17±0. 11 ） in control group, the differences were significant （ t = 2. 275, 2. 615, respectively, P 〈 0. 05）. In behavioral, cognitive, emotional fatigue dimensions, there were no difference （P 〉 0. 05）. Conclusions TEAS is effective to those cancer related fatigue patients with chemotherapy. However, there are individual differences. Further studies are needed.