文章摘要
中医穴位埋针联合头颈功能锻炼对鼻咽癌患者口干及生活质量的影响
The influence of TCM acupuncture point embedding needle combined with head and neck functional exercise on dry mouth and quality of life in nasopharyngeal cancer patients
投稿时间:2023-02-23  修订日期:2023-02-23
DOI:
中文关键词: 穴位埋针  头颈功能锻炼  鼻咽癌  口干
英文关键词: acupoint embedding  head and neck function exercise  nasopharyngeal cancer  dry mouth
基金项目:浙江省中医药科学研究(2021ZB033)
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中文摘要:
      目的:探讨中医穴位埋针联合头颈功能锻炼对鼻咽癌患者口干及生活质量的影响。方法:采用单盲随机对照法选取浙江省肿瘤医院头颈放疗科2021年 2月至 2022年8月行放疗的鼻咽癌患者60例为观察对象,采用随机数字表法分为实验组与对照组,每组30例。对照组采用放疗常规护理,实验组在对照组基础上采用穴位埋针联合头颈功能锻炼模式。比较两组患者在放疗前、放疗10F、放疗20F、放疗30F、放疗结束后1个月、放疗结束后3个月的口干程度,比较两组患者放疗前、放疗结束后的生活质量情况。结果:放疗前实验组与对照组口干情况差异无统计学意义(P>0.05),随着放疗的延续,两组口干情况逐渐严重,较放疗前差异有统计学意义(P<0.05),在放疗结束后,两组口干严重程度有所好转,而对照组在放疗期间及结束后1月均较实验组口干程度严重(P<0.05),放疗结束三个月后,两组口干程度差异无统计学意义(P>0.05)。放疗前实验组与对照组生活质量的7个领域以及11个单一条目差异均无统计学意义(P>0.05),放疗后两组生活质量的7个领域以及11个单一条目均较放疗前变差,并且对照组生活质量的7个领域及11个单一条目均较实验组更严重,差异均有统计学意义(P<0.05)。 结论:鼻咽癌放疗患者应用中医穴位埋针联合头颈功能锻炼能够明显改善鼻咽癌患者口干症状、提高其生活质量,可以在临床推广应用。
英文摘要:
      Objective: To investigate the effect of acupuncture and neck-head exercises on dry mouth and quality of life in nasopharyngeal carcinoma. Methods: 60 nasopharyngeal carcinoma patients who underwent radiotherapy from February 2021 to April 2022 were divided into experimental group and control group with 30 cases in each group. The control group adopted conventional care with radiotherapy, and the experimental group used acupuncture point embedding needle combined with head and neck functional exercise mode on the basis of the control group. The degree of dry mouth before radiotherapy, 10F, 20F, 30F, 1 month after the completion of radiotherapy and 3 months after the completion of the radiotherapy, and the quality of life was compared. Results: There was no significant difference between the experimental group and the control group (P> 0.05). With the continuation of radiotherapy, the two groups, the difference was statistically significant (P <0.05). After the radiotherapy, the severity of the two groups improved, while the control group was more severe than the experimental group (P <0.05). Three months after the radiotherapy, the difference was significant (P> 0.05). No differences between the quality of life of the experimental group and the control group and 11 single items (P> 0.05), the seven areas of life and 11 single items were worse than before radiotherapy, and the seven areas of quality of life and 11 single items were more serious than the experimental group, the differences were statistically significant (P <0.05). Conclusion: The application of TCM acupuncture point embedding and head and neck function exercise in NPC radiotherapy patients can significantly improve the symptoms of dry mouth and improve their quality of life, which can be applied in clinical practice.
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