穴位敷贴王不留行籽按摩对肝癌介入术后栓塞综合征的效果

Acupoint application of Wangbuliu Xingzi with massage for post-embolization syndrome in patients with hepatocellular carcinoma after interventional therapy:analysis of its clinical effect

目的探讨穴位敷贴王不留行籽按摩对肝癌介入术后患者栓塞综合征的影响。方法将266例原发性肝癌行TACE术出现栓塞综合征的患者随机分成两组,观察组133例患者行王不留行籽穴位敷贴按摩,对照组133例患者只行对症处理。采用数字评分法(NRS)评定患者疼痛及恶心呕吐程度,评价两组患者介入TACE术后栓塞综合征反应程度、舒适度和满意度。结果观察组与对照组栓塞综合征的表现差异有统计学意义,观察组患者疼痛程度和恶心呕吐程度持续时间明显低于对照组(P<0.05);观察组患者的舒适度和对护士的满意度明显高于对照组,差异有统计学意义(P<0.05)。结论穴位贴敷王不留行籽按摩能有效减轻肝癌介入术后患者栓塞综合征的症状,减轻患者的痛苦,提高了患者的舒适度和生活质量。

Objective To investigate the clinical effect of acupoint application of Wangbuliu Xingzi,i.e.cowherb seeds(a Chinese herb),with massage for post-embolization syndrome(PES)in patients with hepatocellular carcinoma(HCC)after receiving transcatheter arterial chemoembolization(TACE)therapy.Methods A total of 266 HCC patients,who received TACE,were randomly divided into observation group(n=133,receiving acupoint application of Wangbuliu Xingzi with massage)and control group(n=133,receiving symptomatic treatment).Numeric rating scale(NRS)score was used to evaluate the degree of pain,nausea and vomiting,the response degree to PES,the patient comfort level and the patient satisfaction with the nurses in both groups after TACE.Results The differences in the manifestations of PES between the two groups were statistically significant.The degree and duration of pain in the observation group were obviously lower than those in the control group(P<0.05).The degree and duration of nausea and vomiting were remarkably lower than those in the control group(P<0.05).The patient comfort level and the patient satisfaction with the nurses in the observation group were prominently better than those in the control group(P<0.05).Conclusion Acupoint application of Wangbuliu Xingzi with massage can effectively alleviate the symptoms of PES in HCC patients after receiving TACE,thus,reducing the degree of pain and improving the comfort and quality of life of patients.(J Intervent Radiol,2022,31:259-262)