芪术穴贴联合有氧运动干预肺癌化疗患者临床研究
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R734.2

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浙江省中医药科技计划项目(2017ZA019)


Clinical Study on Invention of Qizhu Point Plaster Combined with Aerobic Exercise for Lung Cancer Patients with Chemotherapy
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    摘要:

    目的:观察芪术穴贴联合有氧运动对肺癌化疗患者癌因性疲乏、生活质量、免疫功能及炎症反应的改善效果。方法:选取肺癌化疗患者178 例,按随机数字表法分为观察组和对照组各89 例。2 组均给予化疗和常规干预,对照组给予有氧运动,观察组在对照组基础上给予芪术穴贴。比较2 组干预前后Piper 疲乏量表(PFS) 评分,生活质量测定量表(QLQ-C30) 评分,及免疫功能指标[T 淋巴亚群细胞(CD4+、CD3+)、自然杀伤(NK) 细胞、CD4+/CD8+]和炎症指标[血小板与淋巴细胞比值(PLR)、中性粒细胞与淋巴细胞比值(NLR)]水平变化。结果:干预后,2 组PFS 中行为、情感、躯体、认知评分及总分均低于干预前,且观察组各项评分均低于对照组(P<0.05)。干预后,2 组QLQ-C30 评分中功能各维度评分和整体健康评分高于干预前,症状各维度评分低于干预前(P<0.05);且观察组QLQ-C30 评分中功能各维度评分和整体健康评分显著高于对照组,症状各维度评分低于对照组(P<0.05)。干预后,2 组NK 细胞、CD4+、CD3+、CD4+/CD8+、PLR、NLR 均低于干预前(P<0.05),但观察组免疫功能及炎症指标水平优于对照组(P<0.05)。结论:芪术穴贴联合有氧运动可减轻肺癌化疗患者疲乏,增强免疫功能,抑制炎性反应,提高患者生活质量。

    Abstract:

    Abstract: Objective: To observe the improvement effect of Qizhu point plaster combined with aerobic exercise on cancer- related fatigue, quality of life, immune function and inflammatory responses of lung cancer patients with chemotherapy. Methods:A total of 178 cases of lung cancer patients with chemotherapy were divided into the observation group and the control group according to the random number table method,with 89 cases in each group. Both groups were given chemotherapy and routine intervention;the control group was given aerobic exercise,and the observation group was additionally given Qizhu point plaster based on the treatment of the control group. Before and after intervention,the scores of Piper Fatigue Scale(PFS) and Quality of Life Questionnaire Core 30(QLQ- C30), immune function indexes[T lymphocyte subsets(CD4+ and CD3+ ),natural killer(NK) cells and CD4+ /CD8+ ] and inflammatory indexes [platelet to lymphocyte ratio(PLR) and neutrophil to lymphocyte ratio(NLR)] in the two groups were compared. Results: After intervention, the scores of behavior, affective, physical, and cognitive of PFS and the total scores in the two groups were lower than those before intervention,and the scores in the observation group were lower than those in the control group(P<0.05). After intervention, the scores of each domain of functioning as well as general health in QLQ- C30 in the two groups were higher than those before intervention,and the scores of each domain of symptoms were lower(P<0.05);the scores of functioning and general health above in the observation group were significantly higher than those of the control group, and the symptom scores above in the observation group were lower(P<0.05). After intervention,NK cells,CD4+,CD3+,CD4+ /CD8+,PLR and NLR in the two groups were lower than those before intervention(P<0.05),and the immune function and inflammatory values in the observation group were better than those in the control group(P<0.05). Conclusion:Qizhu point plaster combined with aerobic exercise can alleviate fatigue,enhance immune function,inhibit inflammatory responses and improve the quality of life of lung cancer patients with chemotherapy.

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任连杰,徐国暑.芪术穴贴联合有氧运动干预肺癌化疗患者临床研究[J].新中医,2021,53(21):167-170

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  • 在线发布日期: 2021-11-12
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