雷火灸联合穴位按摩改善肺癌术后化疗患者前哨症状的机制分析 [中文引用][英文引用]

目的  探讨雷火灸联合穴位按摩改善肺癌术后化疗患者前哨症状的机制。方法  选取 2024 年 1 月— 9 月本院肿瘤科收治的 144 例肺癌术后化疗患者作为研究对象，采用信封法分别收治在 A 区和 B 区，分别设为对照组和干预组，每组各72 例。对照组患者给予肺癌术后化疗常规护理。干预组患者在对照组的基础上进行雷火灸联合穴位（双侧内关、神门、足三里）按摩，各项干预 30min，每天 1 次。两组均干预 2 个化疗周期。比较两组干预后的消化道症状群、血红蛋白指标、免疫功能及干预前后的生活质量评分。结果  干预后，干预组患者的消化道症状群总分均低于对照组，血红蛋白指标、免疫功能指标均高于对照组，生活质量评分干预前后差值均高于对照组，差异具有统计学意义（均 P<0.001）。结论  雷火灸联合穴位按摩可改善肺癌术后化疗患者的前哨症状、消化道症状群，如降低其前哨症状的严重程度，缓解其症状困扰，进而改善患者营养状况及免疫功能，提高其生活质量。

Objective To explore the mechanism analysis of Thunder-Fire moxibustion combined with acupoint massage therapy to improve sentinel symptom of gastrointestinal symptoms in patients with lung cancer undergoing postoperative chemotherapy. Methods A total of 144 patients with lung cancer and hospitalised in our hospital for postoperative chemotherapy were recruited as research subjects between January and September 2024. A sealed-envelope allocation was employed to randomly assign the patients into Ward A as control group（n=72）and Ward B as intervention group（n=72）. The patients in control group received routine postoperative care，and those in the intervention group received an intervention of Thunder-Fire moxibustion combined with acupoint massage on bilateral Neiguan，Shenmen and Zusanli for 30 minutes once a day，based on to the care offered to the patients in the control group. Both groups were monitored for two consecutive courses of chemotherapy and were compared with in terms of improvement of sentinelsymptoms，severity of gastrointestinal symptoms，serum haemoglobin，immune indices and quality of life. Results Patients in the intervention group demonstrated significantly milder gastrointestinal symptoms as well as a significantly higher serum haemoglobin，immune indicators and scores dlifference value of quality of life before and after the intervention than those in the control group（all P<0.001）. Conclusion The therapy of Thunder-Fire moxibustion combined with acupoint massage can effectively improve gastrointestinal symptoms and alleviate the relevant sentinel symptoms of lung cancer patients who are receiving postoperative chemotherapy. The therapy relieves symptomatic distress，improves nutritional and immune status，hence enhances the quality of life of patients.