| ObjectiveAs China gradually enters the aging society,the incidence of tumor is constantly increasing.While the disease is getting effectively treated,the improvement of the quality of life of patients has also been given greater importance.Cancer-related fatigue(CRF)is a kind of fatigue related to the whole body,which is a highly subjective multi-dimensional experience.This kind of fatigue cannot be accurately measured and evaluated,which also increases the clinical difficulty.Cancer-related fatigue of breast cancer patients persists over a longer duration,and with high severity,and it consumes a lot of energy,often out of proportion to and unrelated to the patient’ s behavior and activities-After completing cancer treatment,there will be a certain period of fatigue,and this feeling of fatigue has a serious impact on the patient’ s physical strength,social,spirit,psychology and cognition.Therefore,it is a problem that needs to be addressed in clinical practice and treatment methods that can be accepted by patients with good results must be explored.Far infrared moxibustion is one such treatment method that has gradually become a green and efficient treatment method for cancer-related fatigue patients in clinical practice.This study discussed the therapeutic effect of far infrared moxibustion on breast cancer patients suffering from cancer-related fatigue.Methods64 cases of malignant breast cancer patients with cancer-related fatigue were enrolled in our study,using a randomized control method.They were divided into the far infrared moxibustion treatment group and the control group,the control group patients received conventional medicine treatment,the far infrared moxibustion treatment group received far infrared moxibustion treatment in addition to conventional medicine.Each far infrared moxibustion session lasted for 45 minutes once a day,five times a week and the treatment cycle was 2 weeks.We selected the following acupoints for treatment:Baihui,Yintang,bilateral Taiyan,bilateral Neiguan,bilateral Hegu,bilateral Sanyinjiao,bilateral Yinlingquan,bilateral Zusanli,bilateral Yanglingquan,bilateral Taichong,bilateral Taixi,bilateral Yongquan,and Zhongwan,Qihai,Guanyuan.Before and after treatment,PIPER,anorexia cachexia syndrome functional evaluation,Athens Insomnia Scale,HADS-14,PPS,changes in symptoms of Traditional Chinese Medicine(TCM),and changes in body temperature,qi value,white blood cell count and other indicators were observed.ResultsA total of 60 samples were included in this study finally.The general data before the treatment group and the control group were comparable(P>0.05).The PIPER scale score after treatment was lower in both groups than before treatment(P<0.05).The difference in score of functional assessment form of anorexia cachexia syndrome between the two groups was statistically significant(P<0.05).On the Athens Insomnia Scale,HADS-14 and PPS,the results indicated that the difference between before and after treatment was statistically significant(P<0.05)for the treatment group,while there was no statistical difference between the before and after treatment for the control group(P>0.05).In terms of TCM symptoms,there were changes in the distribution of syndrome types.The proportion of liver-stagnation-and-spleen-deficiency increased,while the proportion of spleen-kidney Yang deficiency and liver-kidney Yin deficiency decreased.There were significant differences before and after treatments.After treatments,the proportion of severe CRF in the liver-stagnation-and-spleen-deficiency group and the spleen-kidney Yang deficiency group disappeared while the proportion of mild and moderate CRF in the same group increased.In the liver-kidney Yin deficiency groups,the number of mild cases increased while all the moderate CRF cases disappeared,and there were no severe cases.The distribution of syndrome types in the control group did not change before and after treatments.In terms of body temperature,qi value and white blood count,there was statistical significance before and after treatment for the treatment group(P<0.05),but the changes in blood pressure were smaller.In this treatment,no adverse effects were found in the far infrared moxibustion treatment.Conclusions1.Far infrared moxibustion is a safe treatment for breast cancer patients with cancer-related fatigue.2.Far infrared moxibustion has an active therapeutic effect on breast cancer patients with cancer-related fatigue.3.Far infrared moxibustion can improve the TCM symptoms and quality of life of breast cancer patients with cancer-related fatigue. |
