穴位埋线治疗肺癌患者咳喘的临床观察(1)
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[摘要] 目的：观察穴位埋线治疗对肺癌患者的咳嗽、气急、咳痰等症状的治疗效果。方法：采用随机单盲法将我科88例肺癌患者分为穴位埋线配合西医治疗组44例，单纯西医治疗对照组44例；疗程为2个月，2个月后判断疗效，观察两组治疗后的临床症状改善情况。结果：治疗组肺癌患者的咳嗽、气急、咳痰三大主要症状均较对照组明显缓解，其中缓解最明显的是气急症状(P<0.01)，其次为咳痰症状、咳嗽症状(均P<0.05)。结论：穴位埋线治疗能有效改善肺癌患者咳嗽、气急、咳痰等症状，大大减少了西药的使用量，降低因使用西药所致的副作用，提高肺癌患者生活质量，且不良反应少，是一种公认的绿色疗法。
[关键词] 穴位埋线；肺癌；咳喘
[中图分类号] R734.2 [文献标识码] A [文章编号] 1673-7210(2011)12(b)-109-02
Clinical observation on acupoint thread-embedding therapy in the treatment of patients with cough and dyspnea of lung cancer
WANG Zhixiang, SHI Yu
Department of Oncology, Liuzhou Hospital of Traditional Chinese Medicine, Guangxi Zhuang Autonomous Region, Liuzhou 545001, China
[Abstract] Objective: To observe the clinical efficacy of acupoint thread-embedding in the treatment of cough, dyspnea and expectoration of lung cancer patients. Methods: 88 lung cancer patients were randomly divided into treatment group (44 cases) and control group (44 cases). The patients in the treatment group mainly received acupoint thread-embedding therapy. The patients in the control group were given Western medicine therapy only. All the treatment lasted for 2 months. Clinical symptom improving of two groups were observed after 2 months. Results: Cough, dyspnea and expectoration symptom of treatment group were obviously relieved than those of control group, especially dyspnea symptom (P<0.01), the second was expectoration and cough symptom (all P<0.05). Conclusion: Acupoint thread-embedding therapy could effectively improve cough, dyspnea and expectoration symptom of lung cancer, reduce Western medicine using, improve the quality of living of lung cancer patients, and have few adverse reaction.
[Key words] Acupoint thread-embedding; Lung cancer; Cough and dyspnea
肺癌是最常见的恶性肿瘤之一，位居全世界癌症死因的第一名[1]。近年来，肺癌的发病率和病死率呈迅速上升的趋势。咳嗽、气急、咳痰是肺癌患者常见的症状，极大地影响了患者的生活质量。目前临床上对于肺癌患者的咳喘症状多以西医治疗为主，但可待因、糖皮质激素类药物副作用较大。据文献报道运用中医穴位埋线治疗单纯性哮喘取得了较好疗效[2-6]，但运用穴位埋线方法治疗肺癌患者的顽固性咳喘则鲜见报道。为此，2009年12月~2011年6月我科运用中医穴位埋线方法配合西药治疗肺癌患者的咳喘症状，取得良好疗效，现报道如下：
1 资料与方法
1.1 一般资料
选择2009年12月~2011年6月在我科住院治疗的肺癌患者88例，其中67例经病理确诊为支气管肺癌，其余21例经影像学联合临床症状诊断 ......
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