雷宇新

摘要] 目的 探讨艾灸治疗老年晚期肿瘤患者癌因性疲乏的护理临床疗效。方法 临床纳入2011年1月—2014年1月间该院收治的60例老年晚期肿瘤患者，根据治疗方案不同分为研究组与对照组。研究组治疗上给予中医护理艾灸联合西药治疗，对照组仅给予常规护理联合西药治疗。观察两组患者治疗前后KPS评分、Piper疲乏量表（RPFS）评分以及T淋巴细胞亚群水平等。结果 治疗后，研究组患者KPS评分较治疗前明显升高，与对照组治疗后比较，差异有统计学意义（P<0.05）；疲乏量表方面，研究组患者RPFS总分、行为、感觉得分显著低于治疗组，差异有统计学意义（P<0.05）；T淋巴细胞亚群水平方面，研究组患者治疗后CD3+、CD4+、NK均较治疗前有了明显升高，与对照组相比差异有统计学意义（P<0.05）。结论 老年晚期肿瘤患者实施护理艾灸治疗，能够有效提高患者的生活质量，较大程度上改善患者的癌因性疲乏情况。此外，艾灸治疗还有助于提高老年晚期肿瘤患者的机体免疫力。

[关键词] 艾灸；老年；晚期肿瘤；癌因性疲乏；疗效

[中图分类号] R24 [文献标识码] A [文章编号] 1674-0742（2015）02（b）-0159-03

Moxibustion in treatment of elderly patients with advanced cancer tumor fatigue

LEI Yuxin

Liao ning Dandong Hospital of Traclitional Chinese Medicine， Liaoning Dandong，18000，China

[Abstract] Objective To observe the nursing clinical curative effect of moxibustion treatment for elderly patients with advanced cancer tumor fatigue. Methods 60 cases of elderly patients with advanced cancer were selected in our hospital. According to the different treatment plan， they were divided into the study group and control group. The study group were treated with traditional Chinese medicine nursing moxibustion combined with western medicine treatment， the control group were only received routine nursing combined with western medicine treatment. Two groups were observed before and after treatment in patients with KPS scores， Piper Fatigue Scale（RPFS） score and T lymphocyte subsets level. Results After the treatment， the study group patients with KPS score were higher significantly than before treatment. After treatment， compared with the control group， the difference was significant （P<0.05）；In aspect of fatigue scale， the study group patients with total score of RPFS， behavior， feeling scores were significantly lower in the treatment group， the difference was significant （P<0.05）； In aspect of the level of T lymphocyte subsets， CD3+， CD4+， NK of the study group patients after treatment were higher than before treatment， they had significantly increased， compared with the control group， the difference was significant （P<0.05）. Conclusion The elderly patients with advanced cancer were treated nursing moxibustion treatment，which can effectively improve the quality of life of patients， improve fatigue of patients with cancer to large extent. In addition， the moxibustion treatment can improve immunity of elderly patients with advanced tumor.

[Key words] Moxibustion； Elderly； Advanced cancer； Cancer related fatigue； Curative effect

肿瘤是目前威胁人类健康的一大杀手，据相关报道，2008年全球因癌症死亡的人数达到760万，该比例仍具有逐年升高的趋势[1-2]。放、化疗是目前临床上治疗肿瘤的重要方法。但是，上述治疗能够不但造成患者机体的损害，还对患者的心理带来较大的影响。疲乏是肿瘤患者接受放、化疗等治疗后较为多见的一类症状，特别在患者接受密集化疗或者高强度治疗后，疲乏情况尤为明显，较大程度上影响了患者继续治疗的信心以及生活质量[3-5]。美国国家肿瘤综合网络（National comprehensive cancer network，NCCN）在2000年曾发布癌因性疲乏（Cancer-related fatigue，CRF）指南。目前，国内外用于治疗CRF的方案较多。但是，治疗的目标主要集中在纠正代谢紊乱、治疗抑郁和失眠、改善认知、改善睡眠以及营养支持等[6-7]。祖国医学中，虽然没有CRF病名，但是根本CRF的临床表现，可以将其归属于“虚劳”、“虚证”等范畴。目前，临床上采用中医防治CRF的文献并不多见。……