足三里穴位贴敷联合穴位按摩内关穴对化疗所致呕吐的临床护理

The Clinical Nursing Care of Acupoint Application at Zusanli(S36) Combined with Foot Massage at Neig uan(P6) in the Treatment of Vomit Induced by Chemotherapy

目的观察足三里穴位贴敷联合穴位按摩内关穴对化疗所致呕吐的影响。方法选择2017年6月—2017年8月肿瘤科住院接受化疗的患者共83例,其中2例患者因化疗后当天出院,退出试验。将实际入组的81例患者按数字化随机分为观察组40例与对照组41例。对照组给予甲氧氯普胺(多巴胺受体拮抗剂)、托烷司琼(5-羟色胺拮抗剂的衍生物)、地塞米松、奥西康等常规止吐治疗,观察组患者在对照组基础上加用足三里穴位贴敷及穴位按摩内关穴,化疗当天开始,共3 d。观察并比较2组患者1~3 d内的止吐效果。结果观察组治疗急性呕吐及延迟性呕吐的有效率均显著高于对照组,差异有统计学意义(P<0.05)。结论足三里穴位贴敷联合穴位按摩内关穴治疗化疗所致恶心呕吐症状,具有起效快、费用低及安全可靠等优点,在临床上值得推广应用。

Objective To observe the clinical effect of acupoint application at Zusanli（S36） combined with foot massage at Neiguan（ P6） in the treatment of vomit induced by chemotherapy. Methods 83 patient who were undergoing chemotherapy at our oncology department in the period from June 2017 to August were selected. Two of the patients dropped out because of discharging from the hospital same-day after chemotherapy. 81 patients were randomly divided into the experiment group（ 40 cases） and the control group（41 cases）. The control group was treated with Metoclopramide（ dopamine receptor antagonist）, Tropisetron（ 5-serotonin antagonist derivatives）, Dexamethasone, Omeprazole routine antiemetic therapy. Patients in the observation group used both the drugs of control group and acupoint application at Zusanli（S36） combined with foot massage at Neiguan（P6）. These were used when chemotherapy start, a total of 3 days. The antiemetic effect were observed and compared two groups of patients with 1~3 days.Results The effective rate of treatment of acute vomiting and delayed vomiting in the observation group was significantly higher than that in the control group. Differences are statistically significant（ P 〈0.05）. Conclusion Acupoint application at Zusanli（ S36）combined with foot massage at Neiguan（ P6） in the treatment of vomit induced by chemotherapy has the advantages of quick therapeutic effect, low cost and safe and reliable. It should be recommended for a wider use.