针灸辅助肝动脉化疗栓塞术对原发性肝癌中医证候、生活质量和细胞免疫的影响

Influence of acupuncture and moxibustion assisted transcatheter arterial chemoembolization for TCM syndrome,quality of life and cellular immunity of primary liver cancer

目的:探讨针灸辅助肝动脉化疗栓塞术(TACE)对原发性肝癌中医证候、生活质量和细胞免疫的影响。方法:收治原发性肝癌患者76例,随机分为观察组和对照组。对照组采用TACE及术后常规西药对症治疗,观察组在对照组的基础上加用针灸辅助治疗,比较两组治疗效果。结果:观察组术后第1天T淋巴细胞亚群、NK细胞及术后第5天NK细胞与对照组比较,差异有统计学意义(P<0.05)。治疗后,观察组KPS评分改善情况和中医临床症候总有效率明显优于对照组(P<0.05)。结论:针灸辅助TACE能有效提高原发性肝癌患者的细胞免疫功能及临床疗效,改善患者的生活质量。

Objective:To explore the influence of acupuncture and moxibustion assisted transcatheter arterial chemoembolization(TACE)for TCM syndrome,quality of life and cellular immunity of primary liver cancer.Methods:76patients with primary liver cancer were selected.They were randomly divided into the observation group and the control group.The control group was treated with TACE and conventional western,and the observation group added acupuncture and moxibustion on the basis of the control group.We compared the therapeutic effect of two groups.Results:The differences of lymphocyte subsets and NK cells at the first day after surgery and NK cells at the fifth days after surgery between the observation group and the control group were statistically significant(P<0.05).After treatment,the improvement of KPS score and the total effective rate of TCM syndrome in the observation group were significantly better than those in the control group(P<0.05).Conclusion:Acupuncture and moxibustion assisted transcatheter arterial chemoembolization can effectively improve the cellular immune function and clinical efficacy of patients with primary liver cancer,and improve the quality of life of patients.