艾灸联合中药足浴对胃肠道肿瘤化疗患者癌因性疲乏的影响

Effect of moxibustion combined with foot-bath on cancer-related fatigue of patients undergoing chemotherapy for gastrointestinal cancer

目的探讨艾灸足三里穴联合中药足浴改善胃肠道肿瘤化疗患者癌因性疲乏的效果。方法胃肠道肿瘤化疗患者95例分为对照组和观察组。对照组48例患者给予常规护理及有氧运动干预,观察组47例患者在对照组基础上,给予艾灸足三里穴联合中药足浴干预。分别于干预前和干预后评价患者癌因性疲乏程度和睡眠质量。结果干预后16周,观察组简易疲乏评估量表(BFI)评分(2.35±3.27)分,低于对照组的(3.82±4.36)分;观察组匹兹堡睡眠质量指数(PSQI)评分(6.08±5.21)分,低于对照组的(9.49±3.72)分,差异有统计学意义(P<0.01)。结论艾灸足三里穴联合中药足浴能一定程度上减轻胃肠道肿瘤化疗患者疲乏的程度,改善睡眠质量。

Objective To investigate the effect of moxibustion combined w ith traditional Chinese medicine（ TCM） foot-bath on cancer-related fatigue（ CRF） of patients undergoing chemotherapy for gastrointestinal cancer. Methods Totally 95 patients undergoing chemotherapy for gastrointestinal cancer w ere assigned to the control group（ n = 48） and the observation group（ n =47）. Patients of both tw o groups received routine care and aerobic exercise during chemotherapy,and those of the observation group w ere given moxibustion combined w ith TCM foot-bath. The CRF degree and sleep quality of patients w ere evaluated before and after the intervention. Results After 16 w eeks of intervention,patients of the observation group achieved low er scores of Brief Fatigue Inventory（ 2. 35 ± 3. 27 vs. 3. 82 ± 4. 36,P 〈0. 01） and Pittsburgh Sleep Quality Index（ 6. 08 ± 5. 21 vs. 9. 49 ± 3. 72,P 〈0. 01） compared with those of the control group. Conclusion The combined therapy of moxibustion and TCM foot-bath is effective to relieve the CRF and improve the sleep quality of patients undergoing chemotherapy for gastrointestinal cancer.