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目的:观察足三里穴位封闭联合艾灸治疗顺铂所致呕吐的临床疗效。方法:选取116例经顺铂治疗恶性肿瘤患者作为研究对象,随机分为观察组和对照组各58例,对照组患者在化疗前30min内给予枢星3mg+0.9%的NS 20mL治疗,观察组在对照组基础上采用足三里穴位封闭联合艾灸方法治疗。观察比较两组患者的临床疗效及症状改善情况。结果:观察组患者治疗总有效率为98.27%,明显高于对照组的74.14%,差异具有显著统计学意义(P<0.01)。治疗前,两组患者发热、厌食、恶心、腹痛、便秘等症状无明显差异(P>0.05);治疗后,两组患者症状均明显改善,且观察组患者症状改善情况优于对照组,差异具有统计学意义(P<0.05)。结论:足三里穴位封闭联合艾灸治疗顺铂所致呕吐效果显著,可有效缓解患者呕吐症状,值得临床推广应用。
Objective: To observe the clinical efficacy of Zusanli points combined with moxibustion in the treatment of cisplatin-induced vomiting. Methods: One hundred and sixty-six patients with malignant tumor treated with cisplatin were randomly divided into observation group (58 cases) and control group (58 cases). Patients in the control group were treated with cyclooxygenase 3 mg and 0.9% NS 20 mL within 30 minutes before chemotherapy. The observation group On the basis of the control group, Zusanli point combined with moxibustion was used. The clinical efficacy and symptom improvement of the two groups were observed and compared. Results: The total effective rate of the observation group was 98.27%, which was significantly higher than that of the control group (74.14%), the difference was statistically significant (P <0.01). Before treatment, there was no significant difference in fever, anorexia, nausea, abdominal pain, constipation and other symptoms between the two groups (P> 0.05). After treatment, the symptoms of both groups were significantly improved, and the symptom improvement in the observation group was better than that of the control group Statistically significant (P <0.05). Conclusion: Zusanli points combined with moxibustion treatment of cisplatin-induced vomiting significant effect can effectively alleviate the symptoms of vomiting in patients worthy of clinical application.