药艾灸治疗乳腺癌相关淋巴水肿的临床观察

Clinical Observation of Drug Moxibustion and Simple Moxibustion in the Treatment of Breast Cancer Related Lymphedema

目的观察药艾灸治疗乳腺癌相关淋巴水肿的临床疗效。方法采用随机对照临床研究,将40例符合乳腺癌术后相关性淋巴水肿的患者按照1∶1的比例随机分为清艾组(对照组)和药艾组(观察组),分别施以清艾灸和药艾灸治疗,疗程2个月,以患肢臂围周径值,患肢臂围患侧-健侧差值,自觉肿胀感评分(VAS),Piper疲乏量表(RPFS)作为疗效指标。结果清艾组和药艾组在改善患肢臂围周径值、患侧-健侧差值,自觉肿胀感VAS评分,疲乏程度RPFS评分方面比较差异有统计学意义(P<0.05),且在肘横纹上10 cm的臂围测量以及自觉肿胀感VAS评分方面,药艾灸比清艾组更具优势(P<0.05)。结论清艾灸和药艾灸都可有效缩减患者臂围,在改善自身肿胀感方面,药艾相对于清艾疗效更显著。

Objective To observe the clinical effect of moxibustion with mixed drugs on breast cancer related lymphedema.Methods A randomized control group clinical study was conducted.40 patients with postoperative breast cancer related lymphedema were randomly divided into moxibustion group(control group)and mixed drug moxibustion group(observation group)at a ratio of 1∶1.At the same time,we treated the two groups with simple moxibustion and mixed moxibustion.The course of treatment was 2 months.the value of the circumference of the affected limb,the difference between the affected side and the uninfected side of the affected limb,the perceived swelling score(VAS),and the piper fatigue scale(RPFS)are used as the efficacy indicators.Results There were statistically significant differences in the improvement of periarm diameter value of the affected limb,the difference between the affected side and the healthy side of the affected limb,VAS and RPFS between the pure moxibustion group(control group)and the mixed moxibustion group(observation group)(P<0.05).In terms of the measurement of arm circumference 10 cm above the horizontal band of elbow of the affected limb and the sense of self-conscious swelling,moxibustion with drugs had more therapeutic advantages than simple moxibustion(P<0.05).Conclusion Moxibustion can effectively reduce the patient’s arm circumference.In terms of improving the feeling of swelling,moxibustion with mixed drugs is more effective than simple moxibustion.