| Objective:To observe the effects of warm acupuncture and moxibustion zusanli and guan yuan on blood images,TCM clinical symptoms and physical conditions of cancer patients undergoing chemotherapy.To evaluate the clinical effect of warm acupuncture on bone marrow suppression induced by chemotherapy in tumor patients.Methods:47 cases of malignant tumor patients meeting the inclusion criteria were selected.According to the principle of randomization,the patients were divided into treatment group(Needle warming moxibustion group)and control group.During the treatment process,4 patients were separated from the group due to their own factors,and 43 cases were actually included in the statistics.Both groups of patients received chemotherapy,and the occurrence of toxic side effects were treated with conventional western medicine.The treatment group received western medicine to prevent the side effects of chemotherapy and combined with Needle warming moxibustion.The patient remained supine,and the main point was selected as Zusanli(bilateral)and Guan yuan.During the treatment,Qi hai,Zhong wan,Neiguan and other acupoints were added according to the actual situation of the patients.Patients in both groups were treated for two weeks,and myelosuppression was observed after two weeks.Blood routine examination was performed on the first day before treatment,the seventh day after treatment,the 14 th day after treatment,and the 21 st day after treatment.White blood cell count,neutrophils count,platelet count and hemoglobin count were included in the observation range,and the degree of myelosuppression in each group was observed according to the scale.The above four indicators were the main comparison range after the completion of treatment,and the KPS score,the improvement of TCM clinical symptoms and the change of body weight were observed before and after treatment.Results:1)Gender,age and tumor type of the patients were counted,and SPSS was used for data analysis,showing no statistical significance(P>0.05).The two groups were comparable.2)On the 7th day after treatment,all blood indexes showed a downward trend,but there was no significant difference between the two groups(P >0.05).3)On the 14 th day after treatment,the blood indexes of the two groups showed an upward trend,with the exception of hemoglobin,other indexes showed differences(P < 0.05),and the upward trend of the treatment group was higher than that of the control group.On the 21 st day after treatment,there was no significant difference between the indexes of the treatment group and those before treatment(P >0.05).Compared with the control group before treatment,all the indicators except hemoglobin were significantly different(P < 0.05),which was lower than the level before treatment.After chemotherapy,patients in the two groups began to show different degrees of myelosuppression,but no severe myelosuppression occurred.On the 7th day after chemotherapy,there was no significant difference in the inhibition degree of all indicators between the two groups(P >0.05).On the 14 th day after chemotherapy,except for platelets and hemoglobin,the difference in the degree of leukocyte and granulocyte inhibition was statistically significant(P <0.05),and the degree of inhibition in the treatment group was significantly lower than that in the control group.4)After the treatment,the two groups were scored according to the KPS scale,and P< 0.05 was statistically tested.The scores of the treatment group were significantly higher than that of the control group.There was a significant difference between the control group before and after treatment(P < 0.05),and the score of the control group after treatment was significantly lower than that before treatment.There was no significant difference in the scores of the treatment group before and after treatment(P >0.05).The treatment group(77.27%)was significantly higher than the control group(38.90%).5)According to the score of TCM clinical symptom scale after treatment,the difference between the control group and the treatment group was statistically significant(P < 0.05),and the score of the treatment group was significantly lower than that of the control group.In terms of efficacy,the effective rate of the treatment group(72.72%)was significantly higher than that of the control group(33.33%).6)After the treatment,the two groups were weighed and measured.After t test,P <0.05,there was a big difference between the control group and the treatment group,and the weight of the patients in the treatment group was significantly lower than that in the control group.There was no significant difference between the treatment group and the treatment group before and after treatment(P >0.05).In terms of body weight stability,the treatment group(81.82%)was significantly higher than the control group(42.86%).Conclusion:Needle warming moxibustion can effectively improve the myelosuppression of patients after chemotherapy.Needle warming moxibustion can improve the clinical symptoms of TCM,improve the physical condition of patients and improve the quality of life.It has the characteristics of high quality and low price and relatively convenient operation.It can be used as adjuvant therapy after chemotherapy in clinic. |
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