上海针灸杂志2019，Vol.38Issue(2)：146-150,5.DOI:10.13460/j.issn.1005-0957.2019.02.0146
四缝穴点刺联合背俞穴挑治治疗三阴性乳腺癌化疗后消化不良临床观察
Clinical Observation of Puncturing Sifeng Points (EX-UE10) plus Pricking Back-Shu Points for Dyspepsia Due to Chemotherapy for Triple-negative Breast Cancer
覃霄燕 1李鸿章 2李培培 1许娜丽1
作者信息
- 1. 郑州市肿瘤医院,郑州 450000
- 2. 河南省中医院,郑州 450000
- 折叠
摘要
Abstract
Objective To assess the effectiveness of puncturing Sifeng points (EX-UE10) and pricking Back-Shu points in treating dyspepsia due to chemotherapy for triple-negative breast cancer (TNBC). Method Sixty patients were randomized into an observation group (30 cases) and a control group (30 cases). The observation group was intervened by puncturing Sifeng points and pricking Back-Shu points, once a week. The selected Back-Shu points included bilateral Pishu (BL20), Weishu (BL21) and Geshu (BL17). The control group was treated by promoting gastrointestinal motility (itopride hydrochloride 50 mg) and supplementing digestive enzymes (compound azintamide tablets). The two groups were observed before and after treatment in terms of traditional Chinese medicine (TCM) symptom score, nutritional status score and Karnofsky Performance Score (KPS). The therapeutic efficacies were also assessed. Result The total effective rate was 93.3％ (28/30) in the observation group versus 70.0％ (21/30) in the control group, and the between-group difference was statistically significant (P<0.05). The TCM symptom score showed significant improvement in both groups after treatment (P<0.01), and the improvement in the observation group was more significant than that in the control group (P<0.01). After treatment, the score of Patient Generated-Subjective Global Assessment (PG-SGA) decreased significantly in both groups (P<0.01), while there was no significant difference in the score between the two groups (P>0.05). The KPS score increased significantly in both groups after treatment (P<0.01), and there was a significant difference between the two groups (P<0.05), indicating a more significant improvement of KPS score in the observation group. Conclusion Puncturing Sifeng plus pricking Back-Shu points is effective in treating dyspepsia due to chemotherapy for TNBC. It can improve patient's appetite and quality of life.关键词
消化不良/三阴性乳腺癌/穴,四缝/穴,背俞/挑治/点刺Key words
Dyspepsia/Triple negative breast neoplasms/Point, Sifeng (EX-UE10)/Point, Back-Shu/Pricking therapy/Pricking needling分类
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覃霄燕,李鸿章,李培培,许娜丽..四缝穴点刺联合背俞穴挑治治疗三阴性乳腺癌化疗后消化不良临床观察[J].上海针灸杂志,2019,38(2):146-150,5.
