穴位敷贴辅助治疗肺癌术后气虚痰湿型咳嗽的临床观察
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摘要
目的 观察穴位敷贴辅助治疗肺癌术后气虚痰湿型咳嗽的疗效。方法 将 51 例患者按完全随机分组的方法分为治疗组 27 例、对照组 24 例。两组基础治疗均为小青龙汤合四君子汤加减的中药汤剂。治疗组采用穴位敷贴治疗,对照组采用空白穴位敷贴治疗,疗程 14 天。比较两组治疗前、治疗后咳嗽症状变化、咳嗽视觉模拟评分 (visual analogue score,VAS)、外周血清细胞因子水平。结果 治疗 14 天后,治疗组和对照组的有效率分别为 93.6% 和 73.9%,治疗组明显优于对照组(p<0.01)。治疗后,两组VAS评分均有降低,治疗组降低更明显(p<0.001);治疗后,两组外周血细胞因子白介素-2r(interleukin-2r,IL-2r)、白介素-6(interleukin-6,IL-6)均改善,与治疗前比较差异有统计学差异,治疗组改善更明显(p<0.001)。结论 穴位敷贴辅助治疗肺癌气虚痰湿型咳嗽效果显著,可明显改善肺癌术后咳嗽患者的临床症状,有效提高患者生活质量。
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