分期脾胃调护法对肺癌患者围化疗期辅助治疗疗效观察

Observation on the effect of stage spleen-stomach regulating nursing in patients with lung cancer

目的:观察分期脾胃调护法用于肺癌患者围化疗期辅助治疗疗效。方法:选取2018-03~2020-01就诊本院的肺癌行化疗辅助治疗患者106例,采用随机数字表法平均分为对照组及观察组,两组均进行呼吸内科常规护理,对照组采用中医辨证饮食护理,观察组采用分期脾胃调护法,比较两组患者化疗期间不良反应、癌因疲乏程度、营养水平变化情况。结果:观察组患者化疗期间恶心呕吐、厌食、骨髓抑制、腹泻、便秘及不良反应发生率均显著低于对照组(P<0.05);观察组患者化疗后7d的躯体疲乏、认知疲乏及癌因性疲乏程度总分降低更为显著,且均低于对照组同期(P<0.05);两组患者化疗后7d的ALB、TP、PA均低于化疗前2d(P<0.05);观察组患者化疗后7d的ALB、TP、PA水平更接近化疗前2d,且高于对照组同期(P<0.05)。结论:肺癌患者围化疗期应用分期脾胃调护法能够有效降低化疗不良反应,缓解躯体疲乏程度,改善机体营养水平。

Objective:To observe the effect of staging spleen-stomach conditioning nursing in adjuvant treatment of lung cancer patients during chemotherapy.Methods:From March 2018 to January 2020,106 patients with lung cancer were treated by chemotherapy.The two groups were divided into control group and observation group,the control group was treated with traditional Chinese medicine diet nursing,the observation group was treated with spleen and stomach nursing by stages,The changes of adverse reactions,cancer-induced fatigue and nutritional level were compared between the two groups.Results:During chemotherapy,the incidence of nausea,vomiting,anorexia,bone marrow suppression,diarrhea,constipation and adverse reactions were significantly lower in the observation group than in the control group(P<0.05).The total scores of body fatigue,cognitive fatigue and cancer-related fatigue were significantly lower than those of control group(P<0.05).The total scores of body fatigue,cognitive fatigue and cancer-related fatigue were significantly lower than those of control group(P<0.05).Conclusion:It can effectively reduce the adverse reaction of chemotherapy,relieve the body fatigue and improve the nutrition level of lung cancer patients.