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Observing The Clinical Effects Parameters Of The Combination Treatment Of Shi Pi With Scientific Pressure On Ear Acupoint For TACE Postoperative Syndrome

Posted on:2012-07-07Degree:MasterType:Thesis
Country:ChinaCandidate:Y Q Z OuFull Text:PDF
GTID:2154330335967645Subject:Medical imaging and nuclear medicine
Abstract/Summary:PDF Full Text Request
ObjectiveTo observe the clinical efficacy parameters of the combination treatment of shi-pi with scientific pressure on ear acupoint for percutaneous transcatheter arterial chemoembolization (TACE) postoperative syndrome. To investigate the necessity of the combination treatment of shi-pi with scientific pressure on ear acupoint for TACE postoperative syndrome.MethodsAll the 60 patients from the clinical departments (mainly in oncology) of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine were diagnosed with primary liver cancer, receiving TACE treatment from March 2010 to March 2011. They were randomly divided into experimental group (which receiving the combination treatment of shi-pi with scientific pressure on ear acupoint) and control group (only treated group) of 30 cases. The control group were received the treatment for conventional Western medicine, the experimental group of the combination treatment for shi-pi with scientific pressure on ear acupoint yet based on the Western treatment. During the time from 7 days before the TACE surgery to 7 days after, patients received real shi-pi Chinese medicine, one dose per day,14 days as a treatment. The day after TACE Vaccaria seeds will stick in the relevant ear acupoint (stomach, liver, spleen, sympathetic, subcortical, Shenmen acupoint). press the ear acupoint 3-5 times per day, Each pressing time should be more than 20 seconds, a week as a treatment. TACE syndromes were observed as followed primary liver cancer, nausea and vomiting, drug-induced fever, Abdominal pain caused by non-neoplastic, Abdominal distension and ascites, Serum bilirubin and liver function (Alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase). Between the two groups for gender, Pre-treatment hepatic carcinoma stages, the Karnofsky score classification of behavior before and after treatment, alpha-fetoprotein (AFP) reduction rate (%) before Intervention and TACE Syndrome between two groups were analyzed by variance, the total score of TACE Syndrome was analyzedwith X2 test. Between the two groups for age and the AFP after Intervention was analyzed with t testResults Between the two groups for age, gender, Pre-treatment hepatic carcinoma stages, the Karnofsky score classification of behavior before and after treatment and AFP values, their counts were analyzed by statistics, P> 0.05, there are no significant differences and statistical significance, and yet, the improvement of classification the Karnofsky score classification of behavior before and after treatment as well as the AFP reduction rate (%), whose counts were analyzed by statistics, P<0.05, there are significant difference and statistical significance. By comparison, two groups of HCC for TACE syndrome counts of the different sub-degree, Between the two groups for nausea, vomiting, drug-induced fever, alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT), non-cancer caused pain, their counts were analyzed by statistics, P< 0.05, there are significant difference and statistical significance, and yet, Between the two groups for Abdominal distension and ascites, Serum bilirubin, their counts were analyzed by statistics, P> 0.05, there are no significant difference and statistical significance. Between the two groups fo TACE syndrome total score, P=0.000, ie P<0.01, there are significant differences and statistical significance, In the experimental group the incidence of postoperative syndrome of TACE are lower than that in the control group.ConclusionThe combination treatment of shi-pi with scientific pressure on ear acupoint can reduce TACE syndrome including nausea and vomiting, drug-induced fever, alkaline phosphatase, aspartate aminotransferase and alanine aminotransferase enzymes, especially is effective in the alleviation of nausea and vomiting, aspartate aminotransferase, Alanine Aminotransferase, the un-tumor pain, while serum bilirubin, non-neoplastic aspects of clinical pain did not change significantly.
Keywords/Search Tags:primary carcinoma of the liver, TACE, shi-pi, scientific pressure on ear acupoint, syndrome
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