中药贴敷改善胃肠道肿瘤化疗患者食欲减退的疗效观察

Effect of herbal plaster on appetite loss of patients with gastrointestinal cancer undergoing chemotherapy

目的 探讨中药贴敷对胃肠道肿瘤化疗患者食欲减退的干预效果.方法 采用便利抽样法选取南京中医药大学附属医院肿瘤科2015年8月—2016年8月的66例患者作为研究对象,将患者随机分为两组,对照组给予常规护理,观察组在对照组的基础上给予中药贴敷疗法,通过观察患者食欲及BMI变化情况来评价干预效果.结果 疗程完成后,观察组患者食欲状况得分为（4.55±1.32）分,对照组得分为（2.22±1.43）分,差异具有统计学意义（t=5.48,P〈0.05）;观察组患者BMI与对照组相比,差异无统计学意义（t=0.89,P〉0.05）.结论 中药贴敷作为传统中医外治法中的一项特色技术,可在一定程度上辅助改善患者食欲减退症状,提高临床治疗效果.但今后仍需加强临床量效研究,使研究结果更具严谨性,以便中医传统护理技术更好地普及和推广,为化疗所致食欲减退的临床应用提供新的思路及辅助疗法.

Objective To investigate the intervention effect of herbal plaster on appetite loss of patients with gastrointestinal cancer undergoing chemotherapy.Methods Sixty-six patients treated in Department of Oncology, Affiliated Hospital of Nanjing University of Chinese Medicine from August 2015 to August 2016 were selected by convenient sampling, and were divided randomly into two groups. Patients in the control group were given conventional nursing, while patients in the observation group were given extra application of herbal plaster. The effect of intervention was evaluated by change of the patients＇ appetite and BMI.Results After completion of the treatment, appetite scores of patients in the observation group were （4.55±1.32） points, with that in the control group （2.22±1.43） （t=5.48,P〈0.05）; difference of BMI between the two groups showed no statistic significance （t=0.89,P〉0.05）.Conclusions Herbal plaster, as a characteristic technique in external treatment of traditional medicine, can help the patients regain their appetite to a certain extent and thus improve clinical outcomes. Still, clinical quantity-effect researches need to be strengthened in the future, so as to make the results more stringent, to better popularize and promote traditional Chinese nursing technology, and to provide new ideas and complementary therapy for clinical application of appetite loss caused by chemotherapy.