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耳穴压豆防治化疗所致呕吐的应用时机研究 被引量:6

Study on the application timing of auricular acupoints for preventing and treating vomiting caused by chemotherapy
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摘要 目的观察不同时机应用耳穴压豆,防治化疗所致呕吐的疗效。方法本研究以进行含顺铂方案化疗的患者为观察对象,采用随机分组对照的方法,试验组一的患者采用耳穴压豆联合甲磺酸托烷司琼注射液,于化疗前30min开始应用耳穴,试验组二的患者采用耳穴压豆联合甲磺酸托烷司琼注射液,于化疗前24h开始应用耳穴,试验组三的患者采用耳穴压豆联合甲磺酸托烷司琼注射液,于化疗前48h开始应用耳穴,对照组的患者单纯采用甲磺酸托烷司琼注射液。结果在恶心呕吐症状发生情况方面,四组患者中,试验组二的症状发生率最低,持续时间最短,但与其他三组相比,差异无统计学意义(P>0.05),在整体趋势上,试验组减轻化疗所致呕吐的疗效优于对照组。在试验组二中减少化疗所导致的呕吐的情况较好。结论耳穴压豆对于减轻化疗引起的恶心、呕吐具有一定的作用,在化疗前24h开始应用耳穴压豆,疗效较优。 Objective To observe the curative effect of different application timing of auricular acupoints for preventing and treating vomiting caused by chemotherapy. Methods In this study, patients with cisplatin-containing chemotherapy were enrolled as research object, and were randomly divided into two groups. The patients in the trial group 1 were treated with auricular acupoints(30 minutes before chemotherapy) combined with methanesulfonic acid tropisetron. The patients in the trial group 2 were treated with auricular acupressure(24 hours before chemotherapy) combined with methanesulfonic acid tropisetron injection. The patients in the trial group 3 were treated with auricular acupooints(48 hours before chemotherapy) combined with methanesulfonic acid tropisetron injection. The patients in the control group were simple treated with methanesulfonic acid tropisetron injection. Results In patients of nausea and vomiting in the four groups, the patients in the trial group 2 had the lowest incidence of symptoms and the shortest duration, but there was no statistically significant difference compared to the other three groups(P 〉 0.05). In the whole trend, the efficacy of chemotherapy in the trial group was better than that in the control group. It was better to reduce the vomiting caused by chemotherapy in trial group 2. Conclusion Auricular acupoints can reduce vomiting and nausea caused by chemotherapy, It is effective to apply auricular acupoints 24 hours before chemotherapy.
作者 李阳 王济国
出处 《中国医药科学》 2017年第19期55-57,共3页 China Medicine And Pharmacy
关键词 耳穴压豆 化疗 呕吐 恶心 Auricular acupoints Chemotherapy Vomiting Nausea
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