多穴位贴敷联合耳穴针刺在剖宫产术后的干预效果观察

目的观察剖宫产术后采用多穴位贴敷联合耳穴针刺干预的效果。方法选取剖宫产产妇62例,依据干预方法的不同分为联合干预组和常规干预组,各31例。常规干预组产妇术后采用常规干预,联合干预组产妇术后在常规干预基础上给予多穴位贴敷联合耳穴针刺干预。比较两组产妇中医证候积分、宫底高度、恶露消失时间、血清胃泌素水平、疼痛发作次数、疼痛持续时间、疼痛程度、舒适度、术后切口瘢痕程度、日常生活活动能力、产后并发症发生情况、胃肠功能恢复情况、住院时间。结果干预后,联合干预组产妇的嗳气积分、纳差积分、肠鸣积分、腹胀积分、宫底高度、静息痛评分、动态痛评分、宫缩痛评分、温哥华瘢痕评定量表(VSS)评分、汉密尔顿抑郁量表(HAMD)评分均低于常规干预组,疼痛发作次数少于常规干预组,血清胃泌素水平、Kolcaba的舒适状况量表(GCQ)评分、改良Barthel指数评定量表(MBI)评分均高于常规干预组,恶露消失时间、疼痛持续时间短于常规干预组(P<0.05)。联合干预组产妇的产后并发症发生率3.23%低于常规干预组的25.81%(P<0.05)。联合干预组产妇的肠鸣音恢复时间(13.86±2.35)h、首次肛门排气时间(15.02±2.31)h、首次排便时间(33.75±5.46)h、住院时间(5.27±1.54)d均短于常规干预组的(19.35±3.40)h、(22.75±3.44)h、(42.84±7.5)h、(6.58±1.06)d(P<0.05)。结论产妇剖宫产术后采用多穴位贴敷联合耳穴针刺干预的效果好。

多穴位中药贴敷辅助化疗治疗中晚期胃癌的增效减毒作用研究

探讨多穴位中药贴敷对胃癌化疗的增效减毒作用。方法 选择2022年01月至2022年12月我院收治的60例中晚期胃癌患者为研究对象,纳入化疗组、联合组,每组30例,2组分别采用常规化疗方案、化疗+多穴位中药贴敷方案,比较2组患者化疗4个疗程后的近期疗效;化疗前、化疗4个疗程血浆CD3+、CD4+、CD8+以及CD4+/CD8+水平;化疗前后患者体力状况、生活质量评分;化疗毒副反应发生情况及其严重程度以及临床获益情况。结果 联合组患者近期化疗疗效、血浆CD3+、CD4+、CD8+以及CD4+/CD8+水平、体力状况及生活质量评分、临床获益情况均好于化疗组患者,P<0.05;化疗毒副反应发生率低于化疗组患者,P<0.05。结论 对胃癌中晚期患者展开多穴位中药贴敷治疗可获得良好增效减毒作用,提高患者体力状况及生活质量,可推广应用。

Jiāwèi Wǔbèizǐsǎn(Supplemented Galla Chinensis Powder) application on the navel for different syndromes of profuse sweating after tumor chemotherapy

Objective To observe the clinical efficacy of Jiāwèi Wǔbèizǐ sǎn（加味五倍子散,Supplemented Galla Chinensis Powder） application on the different syndromes of profuse sweating after tumor chemotherapy.Methods One hundred and sixty patients with profuse sweating after tumor chemotherapy were randomly divided into a control group（n=80） and a treatment group（n=80）.Placebo application was carried out in the control group,and traditional Chinese medicine application was conducted in the treatment group.Treatment for 7 days was considered as 1 course of treatment.Results In treatment group,48 patients were cured,improvement was found in25 cases,and ineffectiveness was seen in 7 cases.For the patients with lungwei insecurity syndrome,19 cases were cured,improvement was found in10 cases,and ineffectiveness was seen in 1 case;for the patients with deficiency of both qi and yin,27 cases were cured,improvement was found in 9 cases,and ineffectiveness was seen in 2 cases;for the patients with vigorous fire due to yin deficiency,3 cases were cured,improvement was found in5 cases,and ineffectiveness was seen in 4 cases.According to statistical analysis,the total efficacy of treatment group was superior to that of control group（P0.05）.The efficacy on lung-wei insecurity and deficiency of both qi and yin of treatment group was superior to that of control group（both P0.05）,but there was no obvious difference between treatment group and control group in the efficacy on vigorous fire due to yin deficiency（P0.05）.Conclusion Supplemented Galla Chinensis Powder application on the navel can effectively improve the profuse sweating syndrome of patients in the types of lung-wei insecurity and deficiency of both qi and yin after tumor chemotherapy,but the efficacy is not so good for the patients in the type of vigorous fire due to yin deficiency.