中医护理对化疗胃肠道反应的干预探讨

Discussion of TCM nursing intervention on gastrointestinal reaction to chemotherapy

目的:探讨中医护理对化疗患者胃肠道反应的影响。方法:93例使用顺铂化疗的肿瘤患者随机分为对照组46例和观察组47例。对照组化疗前给予格雷司琼、地塞米松静脉注射及常规护理,观察组在此基础上增加中医情志护理、饮食调护、艾灸足三里、内关、穴位按摩等中医护理干预。比较两组胃肠道反应情况。结果:对照组出现重度胃肠道反应4例,中度7例,轻度20例;观察组中度胃肠道反应4例,轻度7例,无1例出现重度胃肠道反应。两组比较差异有统计学意义(P<0.01)。结论:中医护理干预可明显减轻化疗患者胃肠道反应。

Objective： To explore the effect of TCM nursing intervention on gastrointestinal reaction to chemotherapy. Methods： 93 patients who received the Cisplatin chemotherapy treatment were randomly divided into the control group （46 cases） and the observation group （47 cases）. The control group received granisetron, dexamethasone vein injection and routine care before Cisplatin chemotherapy treatment while the observation group received TCM nursing intervention such as TCM mental nursing, diet intervention, moxibustion on Zusanli acupoint, Neiguan acupoint and acupoint massage. The gastrointestinal reaction of two groups was compared. Results： In the control group, there were 4 cases of severe gastrointestinal reaction, 7 cases of mild gastrointestinal reaction and 20 cases of light gastrointestinal reaction while in the observation group, there were 4 cases of mild gastrointestinal reaction, 7 cases of light gastrointestinal reaction and 0 case of severe gastrointestinal reaction. The difference was statistically significant （P 〈 0.01）. Conclusion： TCM nursing intervention could significantly relieve the gastrointestinal reaction to chemotherapy.