针刺内关及足三里抑制顺铂所致消化道反应的临床分析

目的：研究针刺内关及足三里在抑制顺铂治疗肿瘤所致消化道反应的临床效果。方法：回顾性分析2010年1月-2011年1月在本院住院治疗的94例的恶性肿瘤患者，根据患者的依从性，其中选择联合应用针刺内关及足三里护理治疗的为研究组53例，其余为对照组41例，对Ⅲ度＋IV度呕吐发生率、止呕治疗后副作用的发生率、住院时间、治疗总费用及生活质量评分（Kamofsky）等进行分析。结果：治疗后Ⅲ度＋IV度呕吐发生率、副作用的发生率、住院时间、治疗总费用及生活质量评分研究组分别为7．5％（4／53）、9．4％（5／53）、（7．1±2．3）d、（4400．2±221．6）元、（71．3±2．4）分，对照组分别为21．9％（9／41）、29．3％（12／41）、（10．5±3．6）d、（5612．4±542．3）元、（60．5±5．6）分，差异均有统计学意义（P〈0．05）。结论：针刺内关及足三里能有效抑制顺铂所致的恶心、呕吐发生率、缩短住院时间、减少治疗总费用，获得较高的生活质量评分。

Clinical Analysis of Acupuncture at Neiguan and Zusanli Gastrointestinal Reaction Induced by Cisplatin

Objective： To study clinical analysis of acupuncture at neiguan and zusanli gastrointestinal reaction induced by cisplatin. Method： We retrospectively analyzed 94 cases of malignant tumor patients in our hospital in January 2010 - January 2011, according to the patient＇s compliance, including Neiguan and Zusanli care treatment for the study group in the joint application of acupuncture 53 cases, the rest of the control group of 41 cases, relatively III＋ IV incidence of vomiting, antiemetic treatment, incidence of side effects, duration of hospitalization, the total cost of treatment and quality of life score （ Kamofsky ） were analyzed. Result： After treatment, grade Ⅲ ＋ Ⅳ degree of vomiting incidence, incidence of side effects, duration of hospitalization, treatment of the research group of the total cost and quality of life scores were 7.5% （ 4/53 ）, 9.4% （ 5/53 ）, （ 7.1±2.3 ） d, （ 4400.2 ±221.6 ） $ （ 71.3± 2.4 ） points, the control group were 21.9% （ 9/41 ）, 29.3% （ 12/41 ）, （ 10.5±3.6 ） d （ 5612.4± 542.3 ） $, （ 60.5±5.6 ）, the difference was statistically significant （ P〈0.05 ） . Conclusion： Acupuncture Neiguan and Zusanli can effectively inhibit the cisplatin-induced nausea and vomiting incidence, shorter hospital stays, reducing the total cost of treatment, access to higher quality of life score.