网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
丁香柿蒂散穴位贴敷治疗化疗相关性呃逆的观察研究
作者:石磊1  刘继斌2  徐金华3  杨洋1  许春明1  倪雪娇1  卫国华1 
单位:1. 南通市肿瘤医院 中西医结合科, 江苏 南通 226000;
2. 南通市肿瘤医院 科教科, 江苏 南通 226000;
3. 南通市卫生健康委员会 办公室, 江苏 南通 226000
关键词:丁香柿蒂散 穴位贴敷 化疗 呃逆 
分类号:R273
出版年·卷·期(页码):2024·52·第六期(915-919)
摘要:

目的: 探究丁香柿蒂散穴位贴敷治疗化疗相关性呃逆的临床疗效。方法: 纳入60例化疗期间出现呃逆的肿瘤患者,随机分为对照组和治疗组两组,对照组(30例)予西医常规疗法,治疗组(30例)在对照组的基础上联合丁香柿蒂散穴位贴敷加温灸,通过比较对照组和治疗组的临床有效率,治疗前后的呃逆症状评分,治疗前后的睡眠、饮食、精神状态等生活质量评分及有无不良反应等情况评估丁香柿蒂散穴位贴敷的临床效果。结果: 治疗组患者疗效总有效率(83.33%)显著高于对照组患者疗效总有效率(50.00%)(P<0.05);治疗后两组的呃逆症状评分均较治疗前均有所改善(P<0.05);其中治疗组治疗前后呃逆症状评分改善情况显著优于对照组(P<0.05);治疗组及对照组两组患者在治疗期间均未出现不良反应。结论: 丁香柿蒂散穴位贴治疗化疗相关性呃逆临床疗效显著,有助于肿瘤患者化疗的顺利进行,且对患者生活质量无显著影响,又因其操作便利、价格实惠、患者接受度高、依从性好,值得在临床推广。

Objective: Exploring the clinical efficacy of Dingxiang Shidi San acupoint application in the treatment of chemotherapy related hiccup. Methods: 60 tumor patients who experienced hiccup during chemotherapy were randomly divided into two groups: a control group and a treatment group. The control group(30 cases) was given conventional Western medicine treatment, the treatment group(30 cases) was given Dingxiang Shidi San acupoint application combined with warming moxibustion on top of the conventional Western medicine treatment. The clinical efficacy of Dingxiang Shidi San acupoint application was assessed by comparing the clinical effective rate, the hiccup symptom scores before and after treatment, the scores of quality of life such as sleep, diet, mental state and the presence of adverse reactions before and after treatment in the control group and the treatment group. Results: The total effective rate of the treatment group patients(83.33%) was significantly higher than that of the control group patients(50.00%), P<0.05;the score of hiccup symptoms improved in both groups after treatment compared to before treatment, P<0.05;the improvement of hiccup symptom score in the treatment group before and after treatment was significantly better than that in the control group, P<0.05;no adverse reactions were observed in both treatment and control groups during the treatment period. Conclusion: The clinical efficacy of Dingxiang Shidi San acupoint application in the treatment of chemotherapy related hiccup is significant, which contributes to the smooth progress of chemotherapy in tumor patients and has no significant impact on the quality of life of the patients, but also because of the convenience of its operation, affordable price, high acceptance of patients, good compliance, it is worthy of promotion in the clinic.

参考文献:

[1] 黄榕彬,刘文辉,谷铁波,等.含铂化疗相关性呃逆的不良反应临床分析[J].实用药物与临床,2019,22(11):1199-1220.
[2] 张翔,姜莹莹,施玥,等.福沙匹坦预防中重度致吐性方案所致化疗相关性呕吐的临床研究[J].现代医学,2022,50(10):1269-1274.
[3] 吴晨荻,龙柳伊,侯天将,等.化疗相关性呃逆外治方法探究[J].云南中医药杂志,2016,37(3):10-12.
[4] 陈丽.丁香柿蒂汤积实导滞丸联合甲氧氯普胺足三里穴位注射治疗肿瘤化疗顽固性呱逆随机平行对照研究[J].实用中医内科杂志,2014,28(3):39-41.
[5] 胡岱君,孙靖辉,康晋,等.丁香柿蒂代赭石联合治疗中风后顽固性呃逆临床观察[J].北华大学学报(自然科学版),2019,20(3):370-372.
[6] 肖雅丽.加味丁香柿蒂汤治疗顽固代谢障碍性呃逆临床研究[J].实用中医药杂志,2021,37(2):193-195.
[7] 刘越美,丁淑强.顽固性呃逆的病因及中医治疗进展[J].中华针灸电子杂志,2022,11(1):22-24.
[8] 王丛礼,邹华,殷明.穴位贴敷临床应用进展[J].中国中医药现代远程教育,2023,21(24):191-193.
[9] 孙传兴.临床疾病诊断依据治愈好转标准[M].北京:人民军医出版社,2002:319.
[10] 周仲英.中医内科学[M].北京:中国中医药出版社,2012:220.
[11] 陈家旭,陈世伟.2010-2019年国内外甲氧氯普胺不良反应文献病例对比分析[J].河南预防医学杂志,2021,32(10):760-767.
[12] 蔡飞.氯丙嗪联合氯唑沙宗治疗呃逆38例疗效观察[J].基层医学论坛,2021,25(16):2297-2298.
[13] 姚丹,徐苗.氯丙嗪治疗脑梗塞患者呃逆的试验研究[J].中西医结合心血管病电子杂志,2020,8(24):84.
[14] 段虎平.托烷司琼治疗顽固性呃逆[J].甘肃医药,2012,31(6):62-64.
[15] 王锐,马燕,杨丽娟.穴位按摩联合穴位贴敷治疗化疗后顽固性呃逆临床研究[J].新疆中医药,2018,36(2):31-33.
[16] 邓中甲.方剂学[M].北京:中国中医药出版社,2017:10.
[17] 张丽月,刘秀峰,刘佩山.丁香药性的本草考证[J].中国中医药现代远程教育,2020,18(17):73-75.
[18] 李莎莎,李凡,李芳,等.丁香的化学成分与药理作用研究进展[J].西北药学杂志,2021,36(5):863-868.
[19] 洪天国,钟海岩,黄光胜,等.丁香超微粉对离体大鼠肠活动影响的量效关系研究[J].时珍国医国药,2011,22(11):2647-2648.
[20] 丁芳芳,彭修娟,唐文强,等.基于整合药理学分析丁香柿蒂汤降逆止呃的分子机制[J].中国实验方剂学杂志,2019,25(3):100-107.
[21] 赵庆华.柿蒂提取物抑制大鼠离体膈肌收缩的作用机制及其有效部位的研究[D].石家庄:河北医科大学,2005.
[22] 王欢欢,孔巧丽,郭琴,等.生姜的古代文献沿革分析及现代药理研究进展[J].中药新药与临床药理,2021,32(10):1582-1590.
[23] 翟田田.吸入性芳香疗法缓解顺铂化疗相关性恶心呕吐的临床疗效研究[D].兰州:兰州大学,2020.
[24] WAZQAR D Y,THABET H A,SAFWAT A M.A quasi-experimental study of the effect of ginger tea on preventing nausea and vomiting in patients with gynecological cancers receiving cisplatin-based regimens[J].Cancer Nurs,2021,44(6):513-519.
[25] 杨珊,赵暖暖,杨鑫,等.人参活性成分及药理作用研究进展[J].中医药导报,2023,29(1):105-107,116.
[26] 温长路.实用方剂歌诀[M].北京:中国中医药出版社,2014:11.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 820765 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

本系统由北京博渊星辰网络科技有限公司设计开发 技术支持电话:010-63361626

苏ICP备09058541