摘要
Objective To observe the effect of acupoint catgut-embedding therapy on adverse reaction in chemotherapy of breast cancer. Methods Fifty-four cases were randomly divided into a comprehensive acupuncture and moxibustion group and a western medicine group, 27 cases in each group. All the postoperative cases with breast cancer used the CAF chemotherapy regimen. In the comprehensive acupuncture and moxibustion group, acupoint catgut-embedding therapy was applied to Tiānshū （天枢 ST 25）, Wèishū （胃俞 BL 21） and Zúsānlǐ （足三里 ST 36）, etc., and moxibustion was used at Zúsānlǐ （足三里 ST 36）. In the western medicine group, Ondansetron Hydrochloride, Metoclopramide, Metoclopramide and Qianglishengbai Tablets for oral administration were prescribed. A course was 28 days, and the whole treatment included 6 courses. The status of intake, nausea and vomiting were observed, and the leukocyte was detected before and after chemotherapy. Results After treatment, The status of intake in the comprehensive acupuncture and moxibustion group was superior to that in the western medicine group （P〈0.05）. The total effective rate on controlling nausea and vomiting in the comprehensive acupuncture and moxibustion group was 88.9% （24/27）, which was higher than that of 51.8% （14/27） in the western medicine group （P〈0.05）, the improving leukocyte effective rate was 92.6% （25/27） in comprehensive acupuncture and moxibustion group, which was higher than that of 77.8% （21/27） in western medicine group （P〈0.05）. Conclusion Acupoint catgut-embedding therapy can relieve the gastrointestinal reaction and improve patients’ immunity and quality of life during chemotherapy.
目的:观察穴位埋线为主对乳腺癌术后化疗不良反应的影响。方法:将54例患者随机分为针灸综合组和西药组,每组27例。两组均采用CAF化疗方案,针灸综合组采用穴位埋线治疗,穴取脾俞、胃俞、足三里等,并于足三里施灸;西药组口服盐酸昂丹司琼片、胃复安、地塞米松和强力升白片,28天为一疗程,共治疗6个疗程。观察两组患者的进食情况、恶心呕吐情况,在化疗开始前以及结束后化验白细胞。结果:针灸综合组治疗后进食情况较西药组改善明显(P<0.05);针灸综合组恶心、呕吐反应总有效控制率为88.9%(24/28),优于西药组的51.8%(14/28)(P<0.05);在升高白细胞方面,针灸综合组总有效率为92.6%(25/27),亦优于西药组的77.8%(21/27)(P<0.05)。结论:穴位埋线为主可以减轻乳腺癌术后化疗患者胃肠道症状,提高患者的抵抗力。
