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目的:观察内关穴生姜片外敷配合微波深部热疗防治化疗后预期性呕吐的疗效。方法:选择化疗的病人随机分为2组,共56例。观察组29例与对照组各27例。观察组与对照组均于TP(紫杉醇+顺铂)方案化疗前30分钟予昂丹司琼8mg兑入20ml生理盐水中静脉推注1次/日,连用至化疗结束后1天。同时观察组在化疗前2天取本地老生姜,切3×3Cm大小,厚度5mm一片,敷一侧内关穴,敷贴固定,化疗当天同时配合微波深部热疗,化疗同时进行微波照射内关穴处30分钟,微波照射后,生姜继续应用,第二天换新姜重复,每日一次。结果:观察组与对照组比较,观察组患者胃肠道反应明显低于对照组,两组比较,差异有显著性意义(P<0.01)。结论:临床上应用内关穴生姜片外敷配合微波深部热疗防治化疗后预期性呕吐效果良好。
Objective: To observe the curative effect of Neiguan acupoint application with microwave deep hyperthermia in preventing and treating expectant vomiting after chemotherapy. Methods: The patients who underwent chemotherapy were randomly divided into two groups, a total of 56 cases. 29 cases in observation group and 27 cases in control group. The observation group and the control group were given intravenous injection of ondansetron 8mg into 20ml saline once a day for 30 days before TP (paclitaxel + cisplatin) regimen chemotherapy and once daily until the end of chemotherapy. At the same time, the observation group took the local ginger two days before chemotherapy, cut the size of 3 × 3Cm, the thickness of 5mm, deposited on one side of Neiguan, fixed application, the same day combined with microwave deep hyperthermia chemotherapy, chemotherapy at the same time within the scope of microwave irradiation Point for 30 minutes, microwave irradiation, ginger continue to apply the next day for new ginger repeated once a day. Results: Compared with the control group, the gastrointestinal reaction in the observation group was significantly lower than that in the control group. There was significant difference between the two groups (P <0.01). Conclusion: Clinical application of Neiguan acupoint topical application combined with microwave deep hyperthermia in the prevention and treatment of chemotherapy after the expected vomiting good effect.