中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2015年
7期
32-36
,共5页
穴位按压%生姜敷贴%恶心%呕吐
穴位按壓%生薑敷貼%噁心%嘔吐
혈위안압%생강부첩%악심%구토
acupressure%ginger applicator,nausea%vomit
目的：探讨内关穴按压联合内关穴生姜敷贴对缓解妇科恶性肿瘤化疗患者恶心呕吐干呕症状（ chemotherapy－induced nausea， vomiting and retching，CINV）的效果。方法选择2009年1月至2014年6月在广州市荔湾区第二人民医院治疗的249例妇科恶性肿瘤患者的临床资料，按照是否接受内关穴位按压（ A因素）和内关穴位生姜敷贴（ B因素）分为4组：联合干预组62例、穴位按压组62例、生姜敷贴组62例、安慰剂对照组63例。采用R－INVR量表在干预前、干预后12 h、24 h评估患者的恶心、呕吐、干呕症状，采用析因设计的方差分析评价内关穴位按压与内关穴位生姜敷贴的主效应及交互效应。结果4组患者干预前CINV基线评分比较差异无统计学意义（ P＞0.05）；在析因方差分析中，内关穴位按压在干预后12 h、24 h的恶心、呕吐症状的主效应均无统计学意义（ P ＞0.05）；但干呕症状在干预后12 h、24 h的主效应均有统计学意义（P＜0.05）。生姜敷贴在干预后12 h、24 h的恶心、呕吐症状的主效应均有统计学意义（P＜0.05），但在干呕维度中12 h、24 h主效应均无统计学意义（ P＞0.05）。结论内关穴位处姜片敷贴对于缓解妇科恶性肿瘤患者化疗后的恶心和呕吐症状有较好的效果，内关穴位处按压对于缓解妇科恶性肿瘤患者化疗后的干呕症状有较好的效果。
目的：探討內關穴按壓聯閤內關穴生薑敷貼對緩解婦科噁性腫瘤化療患者噁心嘔吐榦嘔癥狀（ chemotherapy－induced nausea， vomiting and retching，CINV）的效果。方法選擇2009年1月至2014年6月在廣州市荔灣區第二人民醫院治療的249例婦科噁性腫瘤患者的臨床資料，按照是否接受內關穴位按壓（ A因素）和內關穴位生薑敷貼（ B因素）分為4組：聯閤榦預組62例、穴位按壓組62例、生薑敷貼組62例、安慰劑對照組63例。採用R－INVR量錶在榦預前、榦預後12 h、24 h評估患者的噁心、嘔吐、榦嘔癥狀，採用析因設計的方差分析評價內關穴位按壓與內關穴位生薑敷貼的主效應及交互效應。結果4組患者榦預前CINV基線評分比較差異無統計學意義（ P＞0.05）；在析因方差分析中，內關穴位按壓在榦預後12 h、24 h的噁心、嘔吐癥狀的主效應均無統計學意義（ P ＞0.05）；但榦嘔癥狀在榦預後12 h、24 h的主效應均有統計學意義（P＜0.05）。生薑敷貼在榦預後12 h、24 h的噁心、嘔吐癥狀的主效應均有統計學意義（P＜0.05），但在榦嘔維度中12 h、24 h主效應均無統計學意義（ P＞0.05）。結論內關穴位處薑片敷貼對于緩解婦科噁性腫瘤患者化療後的噁心和嘔吐癥狀有較好的效果，內關穴位處按壓對于緩解婦科噁性腫瘤患者化療後的榦嘔癥狀有較好的效果。
목적：탐토내관혈안압연합내관혈생강부첩대완해부과악성종류화료환자악심구토간구증상（ chemotherapy－induced nausea， vomiting and retching，CINV）적효과。방법선택2009년1월지2014년6월재엄주시려만구제이인민의원치료적249례부과악성종류환자적림상자료，안조시부접수내관혈위안압（ A인소）화내관혈위생강부첩（ B인소）분위4조：연합간예조62례、혈위안압조62례、생강부첩조62례、안위제대조조63례。채용R－INVR량표재간예전、간예후12 h、24 h평고환자적악심、구토、간구증상，채용석인설계적방차분석평개내관혈위안압여내관혈위생강부첩적주효응급교호효응。결과4조환자간예전CINV기선평분비교차이무통계학의의（ P＞0.05）；재석인방차분석중，내관혈위안압재간예후12 h、24 h적악심、구토증상적주효응균무통계학의의（ P ＞0.05）；단간구증상재간예후12 h、24 h적주효응균유통계학의의（P＜0.05）。생강부첩재간예후12 h、24 h적악심、구토증상적주효응균유통계학의의（P＜0.05），단재간구유도중12 h、24 h주효응균무통계학의의（ P＞0.05）。결론내관혈위처강편부첩대우완해부과악성종류환자화료후적악심화구토증상유교호적효과，내관혈위처안압대우완해부과악성종류환자화료후적간구증상유교호적효과。
Objective To explore the effect of ginger combined with acupressure on neiguan acupuncture point to alleviate chemotherapy-induced nausea, vomiting and retching in gynecologic cancer patients.Methods Clinical data of 249 gynecologic cancer patients in The Second People's Hospital of Liwan District from Jan 2009 to Jun 2014 were collected, who were divided into 4 groups:combined intervention group (n=62), acupressure group (n=62), ginger applicator group (n=62), placebo group (n=63).Using R-INVR Scale before the intervention, 12 h, 24 h after intervention to assess the patient's nausea, vomiting, retching symptom, using factorial design variance analysis after intervention to determine the main effect and interaction of acupressure and acupuncture applicator of ginger.Results CINV baseline scores of 4 groups before intervention had no statistically difference ( P>0.05).In the factorial analysis of variance, main effects of nausea and vomiting in 12 h, 24 h after acupressure had no statistically significance ( P>0.05) .The main effect of retching symptoms in 12 h, 24 h after acupressur had statistically significance ( P<0.05).The main effects of nausea and vomiting in 12 h, 24 h after ginger applicator had statistically significance (P<0.05).The main effect of retching symptoms in 12 h, 24 h after ginger applicator had no statistically significance ( P>0.05 ) .Conclusion Ginger applicator at neiguan acupuncture point can relieve nausea and vomiting after chemotherapy in gynecologic cancer patients, while acupressure has a better effect in relieving retching symptoms.
