生血方脐疗为主治疗促红细胞生成素拮抗肿瘤相关性贫血的临床观察

Clinical Observation on Umbilical Therapy Mainly with Shengxuefang for Cancer Related Anemia of Erythropoietin Antagonism

目的在肿瘤绿色治疗思想指导下,观察生血方脐疗为主治疗促红细胞生成素(EPO)拮抗肿瘤相关性贫血的临床疗效及不良反应。方法将EPO拮抗肿瘤相关性贫血患者90例随机分成3组各30例,空白组给予对症营养支持治疗;艾灸组在空白组基础上给予艾灸治疗;药灸组在空白组基础上给予生血方敷脐部,再给予艾灸。3组患者均连续治疗14 d。观察治疗前后血常规及EORTC-QLQ-C30量表症状领域评分。结果与空白组比较,艾灸组、药灸组血红蛋白水平均明显升高(P<0.05),药灸组效果最显著,艾灸组、药灸组疲倦、食欲丧失症状评分明显降低(P<0.05)。结论艾灸疗法对改善EPO拮抗肿瘤相关性贫血有一定作用,配合生血方脐疗疗效更好,可改善患者的疲倦、食欲丧失等症状,安全性高。

Objective Under the guidance of the theory of “Tumor Green Therapy”,to observe the curative effect and adverse reactions of umbilical therapy with Shengxuefang for cancer related anemia of erythropoietin.Methods A total of 90 patients with cancer related anemia of erythropoietin antagonism were randomly divided into blank group, moxibustion group and umbilical therapy group.All patients were treated for 14 days.Blood routine and of symptoms score for EORTC-QLQ-C30 were observed.Results Compared with blank group,the hemoglobin level of moxibustion group and umbilical therapy group increased significantly （ P 〈0.05）,while the effect of umbilical therapy group was more significant （ P 〈0.05）.Umbilical therapy group could also significantly reduce the symptom scores of fatigue and appetite loss （ P 〈0.05）.Conclusion Moxibustion therapy has a certain effect on improving erythropoietin antagonistic anemia,but it was better in combination with Shengxuefang umbilical therapy,it was more secure and could improve symptoms of fatigue and appetite.