针刺加穴位注射治疗化疗药物致骨髓抑制的临床观察与研究

Clinical Observation and Study on Acupoint-Needling plus Injection for Treatment of Arrest of Bone Marrow Induced by Chemotherapeutic Drugs

目的 :探讨针刺加穴位注射治疗化疗药物致骨髓抑制的可行性、有效性。方法 :对 110例恶性肿瘤动脉化疗术的病人行术后骨髓抑制期穴位 (足三里、三阴交、血海、关元、气海 )针刺和针刺加地塞米松 5mg注射治疗。结果 :针刺治疗和针刺加药物注射均有效的改善化疗后骨髓抑制 ,针刺穴注组治疗疗效更佳。结论 :穴位针刺可以有效的刺激骨髓因化疗药物所致的急性短期抑制 ,针刺加注射可以有效地缩短治疗时间及外周血的低血象期 ,二者结合具有明显的协同作用效果 。

Purpose To probe into feasibility and effectivity of acupoint needling, acupoint needling plus injection for treatment of arrest of bone marrow induced by chemotherapeutic drugs. Methods Acupoint needling and acupoint needling plus acupoint injection of 5 mg dexamethasone were used to treat 110 cases of malgnant tumor at the stage of bone marrow arrest after arterial chemotherapy, and the acupoints selected were Zusanli (ST 36), Sanyinjiao (SP 6), Xuehai (SP 10), Guanyuan (CV 4) and Qihai (CV 6). Results Both the acupoint needling and acupoint needling plus acupoint injection could effctivedly improve arrest of bone marrow after chemotherapy, the therapeutic effect of the acupoint needling plus injection being better. Conclusion Acupoint needling can effectively relieve the acute and short term arrest of bone marrow induced by chemotherapeutic drugs, and acupoint injection can effectively shorten therapeutic course and the low hemogram stage of peripheral blood, and their combination has obvious cooperation.