Volume 19 Issue 9
Sep.  2021
Turn off MathJax
Article Contents
LENG Yu-ling, WU Yong, ZHOU Xian-yang, XU heng, HAO Wan-rong, DING Yan-qi, ZENG Yong-lei, XIA Ke-chun. Effect of Pei86tu Guben Moxibustion on chemotherapy-related cancer-related fatigue of gastrointestinal tumour[J]. Chinese Journal of General Practice, 2021, 19(9): 1565-1568. doi: 10.16766/j.cnki.issn.1674-4152.002113
Citation: LENG Yu-ling, WU Yong, ZHOU Xian-yang, XU heng, HAO Wan-rong, DING Yan-qi, ZENG Yong-lei, XIA Ke-chun. Effect of Pei86tu Guben Moxibustion on chemotherapy-related cancer-related fatigue of gastrointestinal tumour[J]. Chinese Journal of General Practice, 2021, 19(9): 1565-1568. doi: 10.16766/j.cnki.issn.1674-4152.002113

Effect of Pei86tu Guben Moxibustion on chemotherapy-related cancer-related fatigue of gastrointestinal tumour

doi: 10.16766/j.cnki.issn.1674-4152.002113
Funds:

 皖卫教研2017[30号]

 1608085MH233

  • Received Date: 2020-12-23
    Available Online: 2022-02-15
  •   Objective  To investigate the clinical effect of the Peitu Guben Moxibustion in the chemotherapy-related cancer-related fatigue and its effect on the levels of adrenocorticotropic hormone (ACTH) and cortisol hormone (COR).  Methods  Total 50 patients with cancer-related fatigue caused by gastrointestinal cancer who were admitted to the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2018 to November 2020 were selected and divided into treatment group (25 cases) and control group (25 cases) according to random number table method. The two groups were treated with standard chemotherapy regimen. On this basis, the treatment group was treated with the Peitu Guben Moxibustion therapy regimen, once a day, once a week as a course of treatment, for two courses of continuous treatment. After the treatment, the change of cancer-related fatigue degree and quality of life (EORTC-QLQ-C30) before and after treatment were compared between two groups. The levels of ACTH and COR were compared between the two groups before and after treatment, and investigated the correlation with cancer-related fatigue.  Results  After treatment, the mild fatigue, medium fatigue and severe fatigue patients in the treatment group were respectively 14 cases, 8 cases and 3 cases; in the control group, the mild fatigue, medium fatigue and severe fatigue patients were respectively 2 cases, 14 cases and 9 cases. The difference between the two groups after treatment was statistically significant (Z=-3.435, P=0.001). After treatment, the improvement of physical function, role function and emotional function in the treatment group was better than that in the control group (all P < 0.05). There were no significant changes in cognitive function and social function (all P>0.05). After treatment, the COR level of treatment group was higher than that of control group (P < 0.05), while the ACTH level of treatment group was lower than that of control group (P < 0.05).  Conclusion  The Peitu Guben Moxibustion in the treatment of chemotherapy-related cancer-related fatigue can effectively improve the fatigue symptoms and improve the quality of life score of patients, and increase the level of COR and decrease the level of ACTH in patients. The changes of COR and ACTH levels may be related to the degree of cancer-related fatigue.

     

  • loading
  • [1]
    National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology. cancer-relatedfatigue, 2019, version 2[EB/OL]. [2019-10-08]. https://www.nccn.org/professionals/physiciangls/pdf/fatigue.pdf.
    [2]
    王务萍, 林海燕, 钱媛媛, 等. 淋巴瘤化疗患者癌因性疲乏现状及影响因素分析[J]. 中华全科医学, 2019, 17(6): 1042-1045. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201906042.htm
    [3]
    钟紫外, 陆华东, 陆晨, 等. 共情式心理干预对自体DC/CIK细胞维持治疗肺腺癌患者癌因性疲乏、希望水平的影响[J]. 中华全科医学, 2018, 16(6): 1025-1028. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201806048.htm
    [4]
    TARIMAN J D, DHORAJIWALA S. Genomic variants associated with cancer-related fatigue: A systematic review[J]. Clin J Oncol Nurs, 2016, 20(5): 537-546. doi: 10.1188/16.CJON.537-546
    [5]
    李晓霞, 王亚军. 针灸治疗癌因性疲乏特点分析[J]. 中医肿瘤学杂志, 2020, 2(2): 58-62. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZL202002013.htm
    [6]
    杨丽惠, 胡凯文, 田桢, 等. 灸法治疗癌因性疲乏选穴规律分析[J]. 中医学报, 2019, 34(12): 2708-2712. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZK201912050.htm
    [7]
    AMIN M B, EDGE S B, GEENE F L, et al. AJCC cancer staging manual[M]. 8th ed. Chicago: Springer, 2017.
    [8]
    郑筱萸. 中药新药临床研究指导原则(试行)[M]. 北京: 中国医药科技出版社, 2002: 378-383.
    [9]
    NCCN. NCCN guidelines version 1.2018 cancer-related fatigue[EB/OL]. Fort Washington: NCCN, 2018. https://www.nccn.org/professionals/physician-gls/pdf.
    [10]
    谢晓冬, 张潇宇. 癌因性疲乏最新进展——NCCN(2018版)癌因性疲乏指南解读[J]. 中国肿瘤临床, 2018, 45(16): 817-820. doi: 10.3969/j.issn.1000-8179.2018.16.676
    [11]
    BRAY F, FERLAY J, SOERJOMATARAM I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6): 394-424. doi: 10.3322/caac.21492
    [12]
    朱云峰, 王乐, 沈永洲, 等. 1977—2018年浙江省海宁市结直肠癌流行趋势分析[J]. 中国肿瘤, 2020, 29(11): 833-837. doi: 10.11735/j.issn.1004-0242.2020.11.A008
    [13]
    张娜, 于宏杰, 王英鉴, 等. 上海市嘉定区1996—2016年结直肠癌流行规律分析[J]. 复旦学报(医学版), 2020, 47(5): 707-714. doi: 10.3969/j.issn.1672-8467.2020.05.010
    [14]
    郑桃云, 龙清华, 徐波, 等. 王平从培调元气论治癌因性疲乏经验撷要[J]. 中华中医药杂志, 2018, 33(4): 1428-1431. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201804062.htm
    [15]
    栗琼洋. 结直肠癌患者癌因性疲乏的证候特征和相关因素分析[D]. 北京: 北京中医药大学, 2019.
    [16]
    孙春. 艾灸治疗癌因性疲乏的临床研究[D]. 合肥: 安徽中医药大学, 2018.
    [17]
    王静, 况时祥. 免疫系统与HPA轴相关性的研究进展[J]. 湖北中医药大学学报, 2017, 19(2): 110-114. doi: 10.3969/j.issn.1008-987x.2017.02.31
    [18]
    吴人杰, 谢长生. 癌因性疲乏发病机制及治疗的研究进展[J]. 肿瘤学杂志, 2020, 26(3): 240-244. https://www.cnki.com.cn/Article/CJFDTOTAL-XHON202003015.htm
    [19]
    司小敏, 张消, 焦婉, 等. 康复期结肠癌患者癌因性疲乏与血清内分泌激素水平的相关性[J]. 广西医学, 2020, 42(24): 3148-3150, 3155. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX202024004.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (199) PDF downloads(2) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return