摘要
目的观察温和灸治疗乳腺癌术后上肢淋巴水肿的临床疗效。方法将符合入组标准的30例乳腺癌术后上肢水肿患者随机分为治疗组和对照组,每组15例。治疗组予温和灸作用于特定腧穴,对照组予气压循环驱动治疗,治疗4周后评估疗效。观察患肢臂围的变化,视觉模拟评分法(VAS评分)评价患者自觉肿胀程度。结果两组患者治疗后患肢臂围均较本组治疗前缩减(P<0.01),且治疗组缩减更为明显(P<0.05);治疗组治疗后总有效率显著高于对照组(P<0.05),差异具有统计学意义;两组患者治疗后VAS自觉肿胀评分较本组治疗前均明显降低(P<0.001),差异具有统计学意义,且治疗组VAS自觉肿胀评分改善更为明显(P<0.05);两组治疗后QOL评分较本组治疗前均明显提高(P<0.01),但两组治疗后比较差异无统计学意义(P>0.05)。结论温和灸治疗乳腺癌术后上肢淋巴水肿疗效显著,能够明显减轻患者患肢肿胀、减轻自觉肿胀感,改善其生存、生活质量,值得临床推广。
Objective The aim of this study was to observe the effect of mild moxibustion therapy on breast cancer related lymphedema(BCRL).Methods 30 patients with BCRL were randomly divided into experimental group and control group,15 patients in the experimental group were treated with mild moxibustion,15 patients in the control group were treated with pneumatic circulation,for 4 weeks of treatment.Observe the changes in the limb circumference of the affected limbs,and evaluate the patient’s conscious swelling by visual analogue scoring(VAS score).Results The arm circumference of the two groups were lower than before and the reduction in the experimental group was significant difference(P<0.05).The total effective rate of the experimental group was significantly higher than that of the control group.After treatment,the swelling score of VAS in experimental group was lower than that in control group(P<0.05).QOL scores of the two groups were improved,while there was no significant difference(P>0.05).Conclusions Mild moxibustion therapy could effectively reduce upper limb lymphedema and improve postoperative quality of life in patients with breast cancer,and was worthy of clinical promotion.
作者
张芙蓉
杨名
裴晓华
陈娜娜
李倩
夏亚茹
郭鱼波
樊英怡
ZHANG Fu-rong;YANG Ming;PEI Xiao-hua;CHEN Na-na;LI Qian;XIA Ya-ru;GUO Yu-bo;FAN Ying-yi(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029;Tongzhou District,Beijing Hospital of Integrated Chinese and Western Medicine,Beijing 101100;Beijing University of Chinese Medicine,Beijing 100029)
出处
《世界中西医结合杂志》
2020年第10期1934-1937,共4页
World Journal of Integrated Traditional and Western Medicine
基金
北京市中医药科技项目(WZF2012-20)
伦理审查批件号(KTPJ-BZYSY-2013-051)。
关键词
乳腺癌相关性淋巴水肿
温和灸
疗效观察
Breast Cancer Related Lymphedema
Mild Moxibustion
Curative Effect Observation
