捏筋脉位疗法联合昂丹司琼预防顺铂所致恶心呕吐的临床研究
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中国中医科学院广安门医院国家中医临床研究示范基地科研专项(2017S399);中国中医科学院优秀青年科技人才(创新类)培养专项(ZZ13-YQ-023);中国中医科学院科技创新工程项目(CI2021A01810,CI2021B009);国家中医药管理局中医药创新团队项目(ZYYCXTD-C-202205)


Clinical Trial of Nie Jinmaiwei Massage Combined with Ondansetron for Chemotherapy-induced Nausea and Vomiting
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    摘要:

    目的:观察捏筋脉位疗法联合昂丹司琼预防顺铂所致恶心呕吐的疗效。方法:选取2019年4月至2020年1月中国中医科学院广安门医院肿瘤科收治的恶性肿瘤患者65例作为研究对象,根据入院顺序分为观察组(n=34)和对照组(n=31)。2组均给予静脉注射昂丹司琼,观察组给予捏筋脉位手法操作,对照组给予假按摩治疗。比较2组急性期、延迟期化疗所致呕吐控制率(CIV-CR)、化疗所致恶心控制率(CIN-CR)、完全控制率(CCR)、恶心严重程度、呕吐次数和生命质量(QoL)。结果:与对照组比较,观察组延迟性CIV-CR增加了27.8%(P=0.018),延迟性CIN-CR增加了27.4%(P=0.022),在延迟期的呕吐次数和恶心严重程度均显著下降(P=0.013;P=0.016)。但2组在急性期的CIV-CR(P=0.413)、CIN-CR(P=0.804)、CCR(P=0.152)、呕吐次数(P=0.308)和恶心严重程度(P=0.514),差异无统计学意义(P>0.05)。此外,捏筋脉位疗法改善了QoL(P=0.003),特别是在身体健康(P=0.001)和功能健康方面(P=0.023)。结论:捏筋脉位疗法联合昂丹司琼可改善延迟期的CIN-CR、CIV-CR、呕吐次数、恶心严重程度以及生合质量。

    Abstract:

    To observe the clinical efficacy of Nie Jinmaiwei massage in preventing nausea and vomiting caused by cisplatin-included chemotherapy regimens.Methods:A total of 65 cases who received cisplatin-included chemotherapy regimens in Guang'anmen Hospital,China Academy of Chinese Medical Sciences from April 2019 to January 2020 were selected as research subjects.They were divided into observation group(n=34) and control group(n=31) according to the order of admission.In addition to intravenously administered ondansetron in both groups,the observation group was given Nie Jinmaiwei massage and the control group received sham massage treatment.The chemotherapy-induced vomiting control rate(CIV-CR),chemotherapy-induced nausea control rate(CIN-CR),complete control rate(CCR),severity of nausea,number of vomiting and quality of life(QoL) in acute and delayed phases were compared between the two groups.Results:Compared with the control group,the observation group had 27.8% increase in delayed CIV-CR(P=0.018),and 27.4% in delayed CIN-CR(P=0.022),and the number of vomiting and the severity of nausea were less in the observation group than those in the control group(1.1 vs.5.0,P=0.013; 2.2 vs.3.9,P=0.016,respectively) in delayed phase.However,there were no differences in CIV-CR(P=0.413),CIN-CR(P=0.804),CCR(P=0.152),number of vomiting(P=0.308) and severity of nausea(P=0.514) in acute phase.Furthermore,Nie Jinmaiwei massage improved QoL(90.7 vs.83.5,P=0.003),especially in terms of functional well-being(24.1 vs.21.9,P=0.023).Conclusion:Nie Jinmaiwei massage combined with ondansetron for chemotherapy-included nausea and vomiting could improve CIN-CR,CIV-CR and QoL,and decrease the number of vomiting and the severity of nausea in delayed phase..

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胡佳奇,陈顺泰,葛少侠,郑红刚,花宝金,张葛.捏筋脉位疗法联合昂丹司琼预防顺铂所致恶心呕吐的临床研究[J].世界中医药,2022,(11).

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  • 收稿日期:2022-04-20
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  • 在线发布日期: 2022-07-27
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