耳穴贴压法治疗肺结核化疗所致胃肠道反应的临床研究

Clinical study of auricular pressure treatment of tuberculosis chemotherapy-induced gastrointestinal reactions

目的探讨耳穴贴压法治疗肺结核患者化疗所致胃肠道反应的疗效。方法 60例肺结核化疗出现胃肠道反应的患者随机分成两组,每组30例,对照组应用常规的止吐、护胃治疗,治疗组在应用对照组相同治疗方法的基础上加用耳穴贴压法。记录两组治疗后第1、7、14d的恶心、呕吐的反应率以及完全控制率。结果对照组与治疗组化疗后第1、7、14d胃肠道恶心、呕吐的反应率比较,第1d两组恶心、呕吐的反应率差异无统计学意义(P>0.05);第7、14d两组的恶心、呕吐的反应率差异均有统计学意义(均P<0.05),治疗组恶心、呕吐的反应率更少;治疗后第1、7、14d对照组与治疗组胃肠道反应的完全控制率分别为60%与70%、26.67%与53.33%、40%与66.67%。第ld两组完全控制率差异无统计学意义(P>0.05),第7、14d两组的完全控制率差异均有统计学意义(均P<0.05)治疗组的完全控制率更高。结论耳穴贴压法对控制肺结核患者化疗过程中的肠道反应疗效较好,值得临床推广。

Objective To observe the efficacy of tuberculosis chemotherapy-induced gastrointestinal reactions by auricular pressure treatment. Methods 60 cases of tuberculosis chemotherapy in patients with gastrointestinal reactions were randomly divided into two groups of 30 cases. The control group received conventional anti-emetic and stomach-protecting treatment, while the treatment group received auricular pressure treatment based on using the same method of the control group＇ s. The response rate of nausea and vomiting, full control rate were recorded at the first, 7th and 14th day after chemotherapy. Results The response rate of nausea and vomiting between the two groups on the first day was no significant difference （P0.05）, while those were statistically significant （both P0.05）, on the 7th and 14th day. The response rate of the treatment group was lower than that of the control group. The full control rates of the control group and the treatment group at the first, 7th and 14th day respectively were 60%and 70%,26.67%and 53.33%,40%and 66.67%. The full control rate between the two groups on the first day was no significant difference （P0.05）, while those were statistically significant （both P0.05） on the 7th and 14th day.The full control rate of the treatment group was higher than that of the control group. Conclusion The auricular pressure treatment is good to the efficacy of tuberculosis chemotherapy-induced gastrointestinal reactions, is worth the clinical promotion.