俞云切脉针灸治疗中晚期肝癌的疗效观察

Curative Effect of YU Yun Pulse-feeling-based Acupuncture Therapy for Treatment of Middle-late Liver Cancer

【目的】探讨俞云切脉针灸治疗中晚期肝癌的临床效果。【方法】采用分层随机法将60例中晚期肝癌患者随机分为对照组和治疗组,每组各30例。对照组按照临床路径给予适宜的中西医治疗(包括血管介入治疗、分子靶向治疗、化学药物治疗、放疗和局部消融治疗等抗癌治疗和中医药辨病辨证治疗)。治疗组在对照组上述治疗的基础上加用俞云切脉针灸疗法,完成12周的治疗,比较2组患者的治疗效果。【结果】治疗组在提高生存率、延长生存期、改善临床证候积分、稳定瘤体、改善患者体力状况[提高卡氏评分(KPS)]等方面均优于对照组,差异均有统计学意义(P<0.05或P<0.01)。【结论】用俞云切脉针灸治疗中晚期肝癌有较好的疗效。

Objective To investigate the curative effect of YU Yun pulse-feeling-based acupuncture therapy for the treatment of middle-late liver cancer. Methods A total of 60 middle-late liver cancer patients were divided into control group and treatment group by stratified randomization method,30 cases in each group. The control group was given integrated Chinese and western medicine therapy according to the clinical pathway, including anti-cancer treatment such as vascular interrention,molecular targeted therapy,chemotherapy,radio therapy,and focal ablation therapy,as well as chinese medicine treatment based on disease differentiation and syndrome differentiation. And the treatment group was given YU Yun pulse-feeling-based acupuncture therapy on the basis of treatment for the control group. The two groups received 12-week treatment, and then their curative effects were compared. Results The treatment group had better effect on increasing the survival rate, prolonging survival time, improving the scores of clinical symptoms, stabilizing tumor size, and increasing the scores of Karnofsky Performance Status（KPS） than the control group,the difference being significant（P 0.05 or P 0.01）. Conclusion YU Yun pulse-feeling-based acupuncture therapy exerts certain curative effect for the treatment of middle-late liver cancer.