浙江中医药大学学报2025，Vol.49Issue(5)：611-616,6.DOI:10.16466/j.issn1005-5509.2025.05.013
基于"以俞调枢"理论探讨艾灸背俞穴预防化疗相关性恶心呕吐的临床效果
Exploring the Clinical Effect of Moxibustion on Back-Shu Points in Preventing Chemotherapy-Induced Nausea and Vomiting Based on the"Regulating Shu Points to Regulate the Pivot"Theory
摘要
Abstract
[Objective]To discuss the clinical efficacy of moxibustion at the back-Shu points in preventing chemotherapy-induced nausea and vomiting,based on the theory of"regulating Shu points to regulate the pivot".[Methods]A total of 94 patients who received chemotherapy at The First Affiliated Hospital of Zhejiang Chinese Medical University from September 2021 to December 2023 were selected.The patients were divided into experimental group and control group using a random number table,with 47 patients in each.The control group received conventional treatment and care,while the experimental group received additional moxibustion treatment at the back-Shu points(specific acupoints)along with the conventional treatment and care.The incidence of nausea and vomiting in both groups from the 1st to the fifth day,seventh day,and the 14th day after chemotherapy were compared,as well as the incidence of adverse reactions to chemotherapy-related drugs including constipation,headache,fatigue and drowsiness.[Results]Statistical analysis shows,the incidence of nausea in the experimental group was lower than that in the control group on the first day after chemotherapy,but the difference was not significant(P>0.05).However,on the third day to the fifth day and the seventh day after chemotherapy,incidence of nausea in the experimental group was significantly lower than that in the control group(P<0.05).Similarly,on the second day to the fifth and the seventh day after chemotherapy,the incidence of vomiting in the experimental group was also lower than that in the control group(P<0.05).Additionally,the incidence of adverse reactions caused by chemotherapy such as constipation,headache,fatigue and somnolence in the experimental group was 23.4%,4.3%,34.0%,and 10.6%,respectively,all of which were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).[Conclusion]Moxibustion at the back-Shu points can be used as effective adjunctive therapy to reduce the incidence of nausea and vomiting during chemotherapy,while also alleviate other common side effects caused by chemotherapy.关键词
以俞调枢/背俞穴/艾灸/化疗/恶心/呕吐/化疗药物相关不良反应/中医外治法Key words
regulating Shu points to regulate the Pivot/back-Shu points/moxibustion/chemotherapy/nausea/vomiting/adverse reactions related to chemotherapy/traditional medicine external treatment methods分类
医药卫生引用本文复制引用
朱玲兰,蔡亚红,张碧碧..基于"以俞调枢"理论探讨艾灸背俞穴预防化疗相关性恶心呕吐的临床效果[J].浙江中医药大学学报,2025,49(5):611-616,6.基金项目
浙江省中医药科技计划项目(2021ZB116) Zhejiang Traditional Chinese Medicine Science and Technology Plan Project(2021ZB116) （2021ZB116）
