艾灸、穴位按摩联合护理治疗化疗恶心呕吐30例临床观察

Moxibustion,Acupressure combined with Nursing Interventions to Treat Nausea and Vomiting of 30 Cases

[目的]观察艾灸、穴位按摩联合护理治疗化疗恶心呕吐疗效。[方法]使用前瞻性设计方法,将30例住院患者治以护理：心理指导、健康宣教、常规制酸护胃药物等。心理护理：做好心理安慰,调养精神与生活,排除不利于治疗的有关心理、外在因素。健康宣教：以清淡易消化饮食为主,忌食燥热肥腻之品,少量多餐;向病人介绍疾病特点、化疗药物作用和副作用。奥美拉唑制酸护胃。艾灸：取足三里,点燃艾条,距皮肤约2-3cm,以局部皮肤发红、温热感、无灼痛为宜;冬季注意腿部保暖。化疗前1d始,1次/d,每次5-10min。穴位按摩：取内关,大拇指垂直按压,有酸麻感后5s放掉,隔1-2s再按压;化疗前1d始,2次/d,每次5-10min。连续治疗5d为1疗程。观测临床症状、恶心、呕吐、不良反应。治疗1疗程,判定疗效。[结果]显效14例,有效11例,无效5例,总有效率83.33%。[结论]艾灸、穴位按摩联合护理治疗化疗恶心呕吐疗效满意,无严重不良反应,值得推广。

[Objective]To observe moxibustion,massage therapy combined with chemotherapy nausea and vomiting treatment efficacy.[Methods]Using a prospective design,30 inpatients treatment with care： psychological counseling,health education,regular antacid Huwei drugs.Psychological care：do psychological comfort,tone the spirit and life,excluding unfavorable treatment related to psychological and external factors.Health education：to light digestible diet mainly eat hot fatty goods,smaller meals;to assist patients in disease characteristics,and side effects of chemotherapy drugs.Huwei omeprazole acid.Moxibustion： acupoints Zusanli,lit moxa from the skin about 2-3cm,with local skin redness,warm feeling,no burning is appropriate;pay attention to the legs warm in winter.1d before chemotherapy starts,1 times/d,every 5-10min.Acupressure： in acupoints off,thumb vertical press,tingling feeling after 5s let go,every 1-2s pressed again;1d beginning before chemotherapy,2 times/d,every 5-10min.5d continuous treatment course of treatment. Observation of clinical symptoms,nausea,vomiting and adverse reactions.One course of treatment,to determine efficacy.[Results]14 cases markedly effective in 11 cases,five cases,the total efficiency of 83.33%.[Conclusion]Moxibustion,massage therapy combined with chemotherapy nausea and vomiting treatment results were satisfactory,no side effects,worthy of promotion.