超声脉冲电导联合耳穴埋豆对肝癌动脉灌注化疗患者生活质量的效果评价

  目的  探讨超声脉冲电导联合耳穴埋豆对肝癌动脉灌注化疗患者生活质量的临床效果。  方法  回顾性分析2020年9月—2021年2月在温州医科大学附属第二医院治疗的92例肝癌动脉灌注化疗患者的诊疗资料，根据治疗方法不同分为对照组(42例，一般常规治疗)和观察组(50例，超声脉冲电导联合耳穴埋豆)。干预2个月后，比较2组患者干预前后营养状况总蛋白(TP)、ALB、血红蛋白(HGB)]，肝功能(ALT、AST)，并采用Karnofsky功能状态评分(KPS)量表和生活质量评分量表(QOL)评价患者生活质量。  结果  观察组干预后血清TP(76.53±9.79)g/L]、ALB(49.08±5.56)g/L]、HGB(126.56±18.17)g/L]及KPS(81.91±8.07)分]、QOL(47.84±6.75)分]评分明显高于对照组(70.10±9.32)g/L、(45.79±5.70)g/L、(118.20±18.09)g/L、(75.46±8.32)分、(40.30±6.96)分，t=3.207、2.795、2.203、3.765、5.262，均P＜0.05]。干预后，观察组ALT(42.68±9.71)U/L]、AST(43.29±9.48)U/L]明显低于对照组(47.15±9.20)U/L、(49.03±9.42)U/L，t=2.253、2.901，均P＜0.05]。  结论  超声脉冲电导联合耳穴埋豆可明显改善肝癌动脉灌注化疗患者营养状况、肝功能，提升患者生活质量。 

Effects of ultrasonic pulsed conductance therapy combined with auricular point pressing with beans on the quality of life of patients with liver cancer undergoing arterial perfusion chemotherapy

  Objective  To investigate the intervention effect of ultrasonic pulsed conductance therapy combined with auricular point pressing with beans on the quality of life of patients with liver cancer undergoing arterial perfusion chemotherapy.  Methods  The clinical data of 92 patients with liver cancer undergoing arterial infusion chemotherapy in the Second Affiliated Hospital of Wenzhou Medical University from September 2020 to February 2021 were retrospectively selected. According to the different treatment methods, they were divided into the control group (42 cases, general routine treatment) and experimental group (50 cases, ultrasonic pulse conductance therapy combined with auricular point pressing with beans). At 2 months after the intervention, the nutritional status total protein (TP), albumin (ALB) and haemoglobin (HGB)], liver function alanine aminotransferase (ALT) and glutamic-oxaloacetic aminotransferase (AST)] before and after the intervention were analysed and compared between the two groups, and Karnofsky functional status scale (KPS) and quality of life (QOL) scale were used to evaluate patients' quality of life.  Results  Compared with the control group after the intervention, the serum TP (76.53±9.79) g/L], ALB (49.08±5.56) g/L], HGB (126.56±18.17) g/L], KPS (81.91±8.07) points] and QOL (47.84±6.75) points] in the experimental group were significantly higher than those in the control group (70.10±9.32) g/L, (45.79±5.70) g/L, (118.20±18.09) g/L, (75.46±8.32) points and (40.30±6.96) points, t=3.207, 2.795, 2.203, 3.765 and 5.262, all P < 0.05]. Compared with the control group after the intervention, ALT (42.68±9.71) U/L] and AST (43.29±9.48) U/L] in the experimental group were significantly lower than those in the control group (47.15±9.20) U/L and (49.03±9.42) U/L; t=2.253, 2.901, all P < 0.05].  Conclusion  Ultrasonic pulsed conductance therapy combined with auricular point pressing with beans can significantly improve the nutritional status and liver function of patients with liver cancer undergoing arterial perfusion chemotherapy, which also can improve the quality of life of patients.