药物罐疗法在气阴两虚型肺癌患者中的应用效果

摘要/Abstract

摘要： 目的探讨药物罐疗法在气阴两虚型肺癌患者中的应用效果。方法选取2022年10月—2023年6月江苏省中医院收治的80例气阴两虚型肺癌患者作为研究对象,应用随机数表法将其分为观察组与对照组,每组40例。对照组采取常规干预,观察组在对照组基础上增加药物罐疗法。对比两组中医证候积分,疼痛数字评分法（NRS）评分,血液流变学,以及癌因性疲乏程度与生存质量。结果干预前两组患者主症、次症相关中医证候积分对比,差异无统计学意义（P>0.05）,干预后两组患者主症、次症相关中医证候积分均降低,且观察组低于对照组（P<0.05）;干预前两组患者NRS评分对比,差异无统计学意义（P>0.05）,干预后两组患者评分均降低,且观察组低于对照组（P<0.05）;干预前两组血液流变学指标对比,差异无统计学意义（P>0.05）,干预后两组血浆比粘度、高切全血比粘度、低切全血比粘度均降低,且观察组低于对照组（P<0.05）;干预前两组患者PFS-R、WHOQOL-BREF评分对比,差异无统计学意义（P>0.05）,干预后两组患者PFS-R评分均降低,且观察组低于对照组,WHOQOL-BREF评分升高,且观察组高于对照组（P<0.05）。结论药物罐疗法可改善气阴两虚型肺癌患者中医症状,减轻癌因性疼痛程度,改善血液流变学水平,减轻癌因性疲乏程度,提升患者生存质量。

关键词: 药物罐疗法, 气阴两虚型, 肺癌, 中医证候积分, 癌因性疲乏, 生存质量

Abstract: Objective To investigate the effect of drug canning therapy on lung cancer patients with Qi-yin deficiency. Methods A total of 80 patients with Qi-yin deficiency lung cancer admitted to our hospital from October 2022 to June 2023 were selected as research objects, and were divided into observation group and control group by random number table method, with 40 cases in each group. The control group received routine care, and the observation group added medicine pot therapy on the basis of control group. The changes of TCM syndrome score, pain numerical scale (NRS) score, hemorheology, cancer fatigue degree and quality of life were compared between the two groups. Results There was no significant difference in TCM syndrome scores related to primary and secondary diseases between the two groups before intervention (P>0.05). After intervention, TCM syndrome scores related to primary and secondary diseases were decreased between the two groups, and the observation group was lower than the control group (P<0.05). There was no significant difference in NRS scores between the two groups before intervention (P>0.05), and the scores of the two groups were decreased after intervention, and the observation group was lower than the control group (P<0.05). There was no significant difference in hemorheological indexes between the two groups before intervention (P>0.05). After nursing, the specific viscosity of plasma, the specific viscosity of high cut whole blood and the specific viscosity of low cut whole blood were decreased between the two groups, and the observation group was lower than the control group (P<0.05). There was no significant difference in PFS-R and WHOQOL-BREF scores between the two groups before intervention(P>0.05). After intervention, PFS-R scores of the two groups were decreased, and the observation group was lower than the control group, and the WHOQOL-BREF score was increased, and the observation group was higher than the control group (P<0.05). Conclusion Drug pot therapy can improve the TCM symptoms of patients with Qi-yin deficiency lung cancer, reduce the degree of cancer-induced pain, improve the level of hemorheology, reduce the degree of cancer-induced fatigue, and enhance the quality of life of patients.

Key words: drug cupping therapy, Qi-yin deficiency, lung cancer, TCM syndrome score, cancer related fatigue, quality of life

中图分类号:

R248.1

徐怡, 高霞, 狄侃香, 朱青青, 史志雪. 药物罐疗法在气阴两虚型肺癌患者中的应用效果[J]. 中华养生保健, 2024, 42(17): 20-23.

XU Yi, GAO Xia, DI Kan-xiang, ZHU Qing-qing, SHI Zhi-xue. Application Effect of Drug Canister Therapy in Lung Cancer Patients with Qi-Yin Deficiency[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(17): 20-23.

参考文献

[1] PRISCIANDARO E, BERTOLACCINI L, SEDDA G, et al.Non-intubated thoracoscopic lobectomies for lung cancer: an exploratory systematic review and meta-analysis. Interact Cardiovasc[J]. Thorac Surg,2020,31(4):499-506.
[2] CHENG Y F, HUANG C L, HUNG W H, et al.The perioperative outcomes of uniport versus two-port and three-port video-assisted thoracoscopic surgery in lung cancer: a systematic review and meta-analysis[J]. J Cardiothorac Surg,2022,17(1):284.
[3] 何颖,李雪,张丹静.止痛散穴位贴敷联合耳穴压豆在癌痛患者中的应用[J].中国医药导报,2023,20(11):115-118.
[4] 韩影,方旭.耳穴压豆联合穴位贴敷护理对癌痛患者体力和生活质量的影响[J].四川中医,2022,40(2):206-208.
[5] 李艺文,邝盈妍,陈颖,等.金远林教授运用刺络药物罐疗法经验[J].中医药导报,2021,27(10):198-200.
[6] 中华医学会,中华医学会肿瘤学分会,中华医学会杂志社.中华医学会肺癌临床诊疗指南(2018版)[J].中华肿瘤杂志,2018,40(12):935-964.
[7] 仝战旗. 中医治疗肺癌的几点共识[C]//中华中医药学会内科肺系病专业委员会,世界中医药学会联合会呼吸病分会学术研讨会论文汇编,2008.
[8] 郑筱萸. 中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:15-18.
[9] 吕晨,邹建玲,沈淑华,等.视觉模拟量表和语言评价量表用于术后疼痛评估的比较[J].全科医学临床与教育,2004,2(4):1-3.
[10] 姬艳博,许翠萍,孙菲菲,等.癌因性疲乏自评量表的编制及信效度检验[J].护士进修杂志,2016,31(11):963-967.
[11] 万崇华,孟琼,汤学良,等.癌症患者生命质量测定量表FACT-G中文版评介[J].实用肿瘤杂志,2006,21(1):77-80.
[12] 程君,刘慧,王璐.正念癌症康复训练结合耳穴压豆护理对肠癌化疗患者的影响[J].中国肿瘤临床与康复,2022,29(2):253-256.
[13] 牛潇菲,张畅,李小江.基于CiteSpace的中医药治疗癌痛科学知识图谱分析[J].世界科学技术-中医药现代化,2022,24(1):265-276.
[14] 左晓娜,谢昱伟,庞燕,等.温阳止痛贴阿是穴穴位贴敷联合艾灸治疗虚寒型癌性疼痛患者的疗效及对血清炎性因子的影响[J].世界中西医结合杂志,2022,17(9):1783-1787.
[15] 林惠,钟金灵,彭卓嵛.药物罐联合放血疗法在肝郁型胃食管反流疾病治疗中的应用[J].西部中医药,2022,35(2):105-107.
[16] 张金梅,董洁,李玉梅.基于生命意义理论的晚期肺癌化疗患者叙事护理干预方案构建[J].中国实用护理杂志,2023,39(15):1174-1181.
[17] 许越淇,莫丽莎,柯诗文,等.国医大师洪广祥”以补助攻,留人治病”原则辨治晚期肺癌经验[J].中华中医药杂志,2023,38(3):1078-1081.
[18] 勾迎杰,冯志军.愉快日记式护理对中晚期肺癌化疗患者生活质量及情绪的影响[J].国际精神病学杂志,2023,50(1):183-185,192.