护理干预对白血病化疗药物副作用发生的影响

目的探讨护理干预对白血病化疗药物副作用的影响。方法选择在我院接受化疗的42例白血病患者,随机分成实验组和对照组,每组21例。两组患者性别、年龄、病程、病情、用药方面的差异无显著性(P>0.05)。对照组化疗前按常规予以健康宣教;实验组除常规宣教外,由责任组长负责全程护理干预。两组均在实施白血病缓解期巩固化疗半年后进行遵医行为调查,并观察两组的效果。结果未实施全程护理干预的对照组不遵医行为、化疗后并发症发生率明显高于实验组(P<0.05)。结论在白血病患者化疗期间,通过全程护理干预减少了化疗药物副作用的发生。

调任通督针刺法对乳腺癌化疗药物副作用的影响探讨

明确对乳腺癌化疗药物引起的副作用患者实施调任通督针刺法治疗的有效性。方法:采用双盲分组法将我院收治的78例乳腺癌化疗药物副作用患者分成两组,针对参照组39例患者实施对症处理干预,针对治疗组39例患者实施调任通督针刺法干预,对比两组患者的治疗效果差异。结果:两组乳腺癌患者治疗后,就中医症状积分、焦虑评分来说,治疗组的对应指标值明显低于参照组,而从生存质量评分、白细胞水平来看,治疗组的各数值更高,组间数据存在较为显著的差异(P<0.05);治疗组乳腺癌患者干预后的治疗优良率(92.31%,36/39)显著高于参照组乳腺癌患者(71.80%,28/39),治疗组的疗效更佳,组间数据存在较为显著的差异(P<0.05)。结论:针对乳腺癌化疗后药物副作用患者开展调任通督针刺法治疗的有效性较为显著,改善患者遭遇的副作用,缓解患者由于副作用产生的不良心理,改善患者的生存质量水平,促进患者预后。

穴位封闭治疗化疗药致白细胞减少的研究

化疗是治疗恶性肿瘤的主要手段.但化疗在杀伤癌细胞的同时也破坏了正常细胞,尤其对骨髓造血系统损伤严重,引起外周血白细胞下降,制约了化疗的顺利进行,且导致机体抵抗力下降,易出现并发症.应用地塞米松穴位注射,简便易行,取得了良好疗效,现报告如下.

Therapeutic observation of grain-sized moxibustion for chemotherapy-induced myelosuppression for non-small cell lung cancer

Objective: To observe the clinical efficacy of grain-sized moxibustion in treating chemotherapy-induced myelosuppression for non-small cell lung cancer (NSCLC) and its effect on quality of life (QOL). Methods: Eighty NSCLC patients admitted to the Inpatient Department of Zhejiang Cancer Hospital between September 2016 and March 2018 were recruited and divided into an observation group and a control group by random number method, with 40 cases in each group. The two groups both received chemotherapy with paclitaxel plus cisplatin (TP regimen). The control group received oral administration of leucogen tablets starting from the first day of chemotherapy, 20 mg each time, three times a day, for consecutive 14 d;the observation group was additionally given grain-sized moxibustion, once a day, five days per week at a two-day interval, until the fourteenth day. The myelosuppression severity was observed and compared between the two groups prior to chemotherapy, at the 3rd, 7th and 14th days of chemotherapy;the QOL in the two groups was evaluated before chemotherapy, at the 14th and 21st days of chemotherapy. Results: Regarding myelosuppression, the peripheral blood indicators increased significantly at the 3rd day of chemotherapy in both groups (P<0.05 or P<0.01);at the 7th and 14th days of chemotherapy, the peripheral blood indicators presented a decreasing tendency in the two groups, but the level in the observation group was still significantly higher than that before chemotherapy (P<0.01);at the 3rd, 7th and 14th days of chemotherapy, the peripheral blood indicators in the observation group were higher than those in the control group (P<0.05 or P<0.01);the occurrence rate of myelosuppression in the observation group was significantly lower than that in the control group (P<0.01). The QOL score in the observation group was markedly higher than that in the control group at the 14th and 21st days of chemotherapy (both P<0.05). Conclusion: Grain-sized moxibustion can effectively improve myelosuppression after chemotherapy for NSCLC, reducing its occurrence and enhancing the patient's QOL.

Scalp acupuncture combined with body acupuncture for 32 cancer cases with intractable hiccups after radiochemotherapy

Objective： To observe the therapeutic effect of scalp acupuncture combined with body acupuncture in treating cancer patients with intractable hiccups after radiochemotherapy. Methods; Thirty-two cancer patients with intractable hiccups after radiochemotherapy who met the inclusion criteria were selected. The Line 2 Lateral to Forehead （MS 3） of scalp stimulation areas as well as body acupoints including Danzhong （CV 17）, Zhongwan （CV 12）, bilateral Cuanzhu （BL 2）, Neiguan （PC 6）, Zusanli （ST 36） and Taichong （LR 3） were punctured. The treatment was given once a day, 5 treatments constituted a course, and the efficacy was evaluated after 2 treatment courses. Results： After 10 treatments, 26 cases were cured, 4 cases were improved, and 2 cases were invalid, and the total effective rate was 93.8%. Conclusion： Scalp acupuncture combined with body acupuncture in treating intractable hiccups in cancer patients after radiochemotherapy has reliable therapeutic effect, and it is easy-to-operate and can effectively alleviate the suffering of patients with less adverse reaction.

Observation of therapeutic effects of point application at Shenque(CV 8)plus moxa-salt hot compress for prevention of gastrointestinal adverse reactions after chemotherapy for non-Hodgkin Iymphoma

Objective:To observe the clinical efficacy of point application with De Huang(Rhizome Rhei Crude)powder at Shenque(CV 8)plus moxa-salt hot compress on the umbilicus for preventing gastrointestinal adverse reactions after chemotherapy for non-Hodgkin lymphoma(NHL).Methods:A total of 60 cases with NHL under chemotherapy were divided into two groups by hospitalization order,with 30 cases in each group.The control group was treated with routine nursing and the observation group was additionally given point application with Da Hueng(Rhizome Rhei Crude)powder plus moxa-salt hot compress on the umbilicus,to compare the effect in preventing gastrointestinal adverse reactions after chemotherapy between the two groups.Results:The occurrence rates of constipation,nausea,vomiting and poor appetite on the second day and fifth day after chemotherapy were obviously lower in the observation group than those in the control group,with statistically significant differences between the two groups(all P〈0.05).Conclusion;The point application with De Hueng(Rhizome Rhei Crude)powder at Shenque(CV 8)plus maxa-salt hot compress on the umbilicus can produce more significant efficacy in preventing the gastrointestinal adverse reactions after chemotherapy for NHL than routine nursing.Moreover,it is simple and easy to be used and popularized.