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目的:观察耳穴压豆配合穴位按摩预防化疗后恶心呕吐的效果。方法:将90例行化疗后呕吐肿瘤患者随机分为观察组和对照组,各45例。2组均化疗。对照组采用昂丹司琼注射液,静脉推注;观察组在对照组的基础上采用耳穴压豆配合穴位按摩,并给予心理干预和中医饮食调护。记录2组恶心呕吐、食欲影响和生活质量(KPS评分)变化。结果:治疗后总有效率观察组93.33%,对照组73.33%,2组比较,差异有统计学意义(P<0.05)。治疗后观察组恶心呕吐、食欲影响评分低于对照组,KPS评分高于对照组,2组比较,差异均有统计学意义(P<0.01)。结论:耳穴压豆配合穴位按摩能有效减轻化疗所致恶心呕吐,提高患者耐受度。
OBJECTIVE: To observe the effect of auricular point pressure bean combined with acupoint massage in preventing nausea and vomiting after chemotherapy. Methods: Ninety patients with vomiting tumor after chemotherapy were randomly divided into observation group and control group, 45 cases in each group. Both groups were treated with chemotherapy. The control group received ondansetron injection and intravenous injection; the observation group used auricular point pressure beans combined with acupressure on the basis of the control group, and provided psychological intervention and traditional Chinese medicine diet nursing. Nausea and vomiting, appetite effects and quality of life (KPS score) changes were recorded in the 2 groups. Results: After treatment, the total effective rate was 93.33% in the observation group and 73.33% in the control group. There was a significant difference between the two groups (P<0.05). After treatment, the scores of nausea, vomiting and appetite in the observation group were lower than those in the control group. The KPS score was higher in the observation group than in the control group. The difference between the two groups was statistically significant (P<0.01). Conclusion: Auricular point pressure bean combined with acupoint massage can effectively reduce the nausea and vomiting caused by chemotherapy and improve patient tolerance.