不同针灸疗法对化疗后胃动力的调节作用.pdfVIP

J．Acupunct．Tuina．Sci．2011，9(6)：362—366 D0I：10．1007／s11726—0l1—0552一 Special plicStudy AcupunctureandM oxibustionRegulationfor Post．．chemotherapyGastricM otility 一 不同针灸疗法对化疗后胃动力的调节作用 ShenGuowei(沈国伟)，ZhaoJingsheng(赵京生) 1TaixingPeople’SHospital，Jiangsu225400，R R．China 2No．2ClinicalMedicalCollege，NanjingUniversityofTraditionalChineseMedicine，Jiangsu210029，RR．China 【摘要 】 目的：观察针灸对化疗后呕吐患者胃动力的调节作用。方法：选取足三里穴，分别采用温针灸、 针刺和艾灸 3种治疗方法，观察 胃电频谱、波形、频率和波幅指标的变化。结果：针刺的即时效应优于 温针灸和艾灸，而温针灸的持续效应优于针刺和艾灸。结论：不同的针灸方法，其即时效应和持续效应 不尽相同，在临床上可根据患者的具体情况采用适合的针灸疗法。化疗早期介入针灸治疗比在后期使用 能更好的调节 胃动力。 【关键词】 针灸疗法；针刺疗法；温针疗法；灸法；呕吐；肿瘤；药物疗法 【中图分类号】R246．5 【文献标志码】A [Abstract] Objective：Toobservetheregulationofacupunctureandmoxibustionforgastricmotilityof patientswhoexperiencedvomitingfollowingchemotherapy．Methods：ApplywarlTlneedling，needlingaloneand suspendedmoxibustiontoZusanli(ST36)andobservethechangesingastricelectricfrequencyspectrum， waveform，frequencyandwaveamplitude．Results：Acupuncutreobtainedbetterimmediateeffectsthanwarn-i needling and moxibustion．However,warln needling obatined better lasting effects than needling and moxibustion．Conclusion：Differentacupunctureandmoxibustionmethodscanproducedifferentimmediateand lastingeffects．Itisadvisabletoemploy individualizedmethodsinclinicalpractice．Regardingregulationofr post—chemotherapygastricmotility,acupunctureandmoxibustioninearlystagechemotherapycanproducebetter resultsthaninlatestage． 【Key Words】Acupuncutre—moxibustion Therapy；Acupuncutre Therapy；NeedleWarming Therapy； MoxibustionTherapy；Vomiting；Neoplasms；DrugTherapy Gastrointestinal damage iS one of the most 1ClinicalData commonadversereactionsduringchemotherapyofr malignantcancer．Patientsmayexperiencenauseaand 1．1Observationsubjects vomiting．In severecases，gastricmucosableeding