麦粒灸辅助治疗进展期胃癌回顾性分析

Retrospective Analysis of Efficacy of Moxibustion Adjuvant Therapy on Advanced Gastric Cancer

目的：在前期治疗的基础上，对5年来使用麦粒灸治疗进展期胃癌进行回顾分析，纳入有效病案50例。方法：50例患者均采用麦粒灸法，取足三里、胃俞为主；治疗1月后对消化系统症状如腹胀、纳差、恶心进行统计，同时对患者进行欧洲癌症研究与治疗组织生活质量问卷调查（ EORTC QLQ-C30）评分，6个月后再次进行该评估，记录艾灸治疗时间、起效时间及观察术后5年的中位生存时间。结果：治疗1月后对消化系统症状如腹胀、纳差、恶心等改善明显；对患者进行生活质量问卷调查评分，6个月后再次进行该评估，患者总体健康状况评分较初诊时有明显提高（P＜0．05），疲倦、失眠以及其它消化系统症状等指标有所好转（P＜0．05）；61．5％患者坚持艾灸治疗时间为6个月及以上；患者初次接受麦粒灸治疗后自觉起效时间为7～14天。患者术后5年的中位生存时间为57．2月。结论：麦拉灸辅助治疗进展期胃癌在改善患者消化系统症状及生活质量方面疗效确切，简便易行，值得进一步推广。

Objective：Based on the early effects of treatment , the therapeutic effect was retrospectively ana-lyzed by using grain moxibustion treatment for advanced gastric cancer for five years and 50 cases of effective medical records were included .Methods：50 cases of patients were treated with grain moxibustion and Zusanli （ ST36 ） and Weishu （ B 21 ） were the main acupoints , to observe the digestive symptoms after one month of treatment.Patients were evaluated by using the EORTC QLQ -C30 and repeated the evaluation after six months.Compare with the first medical treatment .The study recorded the time in which the patients were trea-ted with moxibustion and therapeutic effect of moxibustion .The median survival time five years after surgery was recorded .Results：After one month of treatment , the digestive symptoms such as bloating , anorexia , nausea had significantly reduced .Patients were evaluated by using the EORTC QLQ -C30 and repeated the evaluation after six months,compared with the first medical treatment .Overall health score of patients was significantly improved （ P〈0 .05 ） .The scores of fatigue , insomnia , and other digestive symptoms had improved （ P〈0 .05 ）;the time that 61 .5%of patients treated with moxibustion was equal to or more than six months;for the patients who were first received moxibustion treatment , the time of therapeutic effect of moxibustion was 7~14 days.Five years after surgery, the median survival time was 57.2 months.Conclusion：As to the adjuvant therapy for advanced gastric cancer , the moxibustion can relieve digestive symptoms and improve quality of life .Becausee it is effec-tive, simple and easy to operate .In the clinic it is worthy of development and application .