| ObjectivesWe used Piper fatigue scale(Piper) and MD.Anderson symptom inventory-Traditional Chinese Medicine(MDASI-TCM) to assess the effectiveness of heat measurement of meridians and needling on Back-Shu points for Cancer-related Fatigue (CRF) in patients with lung cancer or colorectal cancer. So as to ex-plore the efficacy and safety of acupuncture therapy in the treatment of cancer-related fatigue.MethodsUsing the clinical randomized controlled methods,60 cases of cancer patients in our hospital were randomly divided into treatment and control groups, each group contains 30 patients. The control group received routine chemotherapy combined western symptomatic treatment. The treatment group on the basis of drug therapy, with heat measurement of meridians and needling on Back-Shu points, from one day before chemotherapy to six day after che-motherapy as a course of treatment. All data was coordinated and analyzed with SPSS 17.0 software for t test and rank sum test.Piper fatigue points and MDASI-TCM score were observed before and after treatment in the two groups.Result①Based on clinical practice and expertise,60 included patients with cancer-related fatigue was divided into six syndromes. Their major symptoms were concluded as follows according to their frequency:Syndrome of phlegm-dampness due to deficiency of spleen qi; Stagnation of liver qi; Qi deficiency and blood stasis;Deficiency of liver and kidney yin;Deficiency of qi and blood;Deficiency of spleen and kidney yang.②Before therapy, the differentiations of MDASI-TCM scores of two groups were not evident in statistics (P＞0.05). After chemotherapy, the total scores of the control group became higher than before(P＜0.05), while the treatment group had not evident in statistics (P＞0.05). In control group, the difference of symptom scores between the pretreatment and post-treatment were significantly higher than that of the treatment group. After treatment, the scores of fatigue and drowsiness of the two groups became higher than before (P ＜0.05).In control group, some tumor associated clinical symptom scores such as poor appetite, nausea, emesis, constipation and numbness were significantly higher than that of the treatment group.③efore therapy, the differentiations of cancer-related fatigue scores of two groups were not evident in statistics (P＞0.05). After chemotherapy, the Piper scores of the two groups became higher than before(P＜0.05). In control group, the difference of all dimensions’scores between the pretreatment and post-treatment were significantly higher than that of the treatment group. The RPFS score and sensory, behavioral and affective meaning dimensions’scores of treatment group were significantly lower than that of the control group (P＜0.05).ConelusionThe heat measurement of meridians and needling on Back-Shu points can reduce the degree of cancer-related fatigue and some tumor associated cli-nical symptoms for patients with lung cancer or colorectal cancer after che-motherapy treatment. The use of acupuncture should also be tested to be the most effective and convenient method for CRF. |
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