营养支持疗法联合中医艾灸对肺癌根治术后患者生活质量的影响(1)
[摘要]目的 探讨营养支持疗法联合中医艾灸对肺癌根治术后患者营养状况及生活质量的影响。方法 成立联合营养团队，建立合理有效的营养管理模式，选择2013年12月～2016年12月我院行肺癌根治术后患者96例，按照数字随机法分为治疗组和对照组，每组48例。对照组给予西医常规护理，治疗组给予营养支持疗法联合中医艾灸护理。比较两组患者的生活质量改变情况、护理满意度和住院时间。结果 治疗组患者的护理满意度为93.8%，明显高于对照组的79.2%，治疗组住院天数少于对照组，差异均有统计学意义(P<0.05)。治疗组患者的躯体功能、情绪功能、疲乏、恶心呕吐、咳嗽、呼吸困难和胸痛等改善情况明显优于对照组，差异有统计学意义(P<0.05)。结论 营养支持疗法联合中医艾灸可以改善肺癌根治术后患者的营养状况，减少住院时间，提高生活质量。
[关键词]肺癌术后；营养支持；艾灸；生存质量
[中图分类号] R734.2 [文獻标识码] A [文章编号] 1674-4721(2017)10(b)-0062-04
[Abstract]Objective To analyze the effect of nutritional management combined with moxibustion on quality of life in patients with lung cancer after radical operation.Methods Our research team build the nutritional management group，performed the efficiency mode of nutritional management.From December 2013 to December 2016，96 cases patients with lung cancer after radical operation were divided randomly into nutritional support therapy group (n=48) and control group (n=48).All patients followed prescribed therapy，the treatment group were given nutritional support combined with moxibustion.The quality of life，hospital stay and satisfaction rate were compared between two groups.Results The satisfaction rate was 93.8% in treatment group and 79.2% in the control group，there was significant difference between them(P<0.05).The hospital stay in treatment group was lower than the control group(P<0.05).The body function，mood function，fatigue，vomiting eased，cough，breathing problem and chest pain in treatment group were better than control group，there was significant difference between them(P<0.05).Conclusion The nutritional management combined with moxibustion could improved the quality of life，shorten the length of hospital stay，improved the satisfaction rate in patients with lung cancer after radical operation.
[Key words]Lung cancer after radical operation；Nutritional support；Moxibustion；Quality of life
肺癌在全球范围内是一种常见的恶性肿瘤，随着我国老龄化日益加重，肺癌的发病率和病死率逐年升高[1-2]。根治性手术是肺癌的主要治疗方法，术后患者引起各种副反应和肿瘤生物学特性，肺癌术后患者常出现不同程度的营养不良，降低患者的生存质量，进而影响术后疗效和远期生存[3-5]。营养支持疗法可以缓解和预防营养不良，加快损伤的机体组织修复，促进疾病恢复，降低术后并发症[6]；中医艾灸具有活血通络、行气散结、化瘀去湿等功效，尤其适用于肿瘤康复患者。本研究探讨营养支持疗法联合中医艾灸对肺癌根治术后患者的临床疗效，现报道如下。
1资料与方法
1.1一般资料
收集2013年12月～2016年12月我院就诊行肺癌根治术的患者96例，按随机数字表法分为治疗组和对照组，每组48例。治疗组男36例，女12例；年龄29～63岁，平均(46.2±11.4)岁。小细胞肺癌5例，非小细胞肺癌43例(鳞癌29例，腺癌14例)。对照组男35例，女13例；年龄27～67岁，平均(48.4±10.7)岁。小细胞肺癌7例，非小细胞肺癌41例(鳞癌26例，腺癌15例)。纳入标准：术后病理证实为肺癌；依从性好，能积极配合营养支持疗法和中医艾灸治疗；自愿参加问卷调查。排除标准：严重心、肺、肾衰竭患者；精神病患者；中重度营养不良患者。两组患者在性别、年龄、病理分型和营养状况评分等方面差异均无统计学意义(P>0.05)。本研究经医院伦理委员会批准，所有患者均签署知情同意书。, 百拇医药(王丽钦 张娟)
[关键词]肺癌术后；营养支持；艾灸；生存质量
[中图分类号] R734.2 [文獻标识码] A [文章编号] 1674-4721(2017)10(b)-0062-04
[Abstract]Objective To analyze the effect of nutritional management combined with moxibustion on quality of life in patients with lung cancer after radical operation.Methods Our research team build the nutritional management group，performed the efficiency mode of nutritional management.From December 2013 to December 2016，96 cases patients with lung cancer after radical operation were divided randomly into nutritional support therapy group (n=48) and control group (n=48).All patients followed prescribed therapy，the treatment group were given nutritional support combined with moxibustion.The quality of life，hospital stay and satisfaction rate were compared between two groups.Results The satisfaction rate was 93.8% in treatment group and 79.2% in the control group，there was significant difference between them(P<0.05).The hospital stay in treatment group was lower than the control group(P<0.05).The body function，mood function，fatigue，vomiting eased，cough，breathing problem and chest pain in treatment group were better than control group，there was significant difference between them(P<0.05).Conclusion The nutritional management combined with moxibustion could improved the quality of life，shorten the length of hospital stay，improved the satisfaction rate in patients with lung cancer after radical operation.
[Key words]Lung cancer after radical operation；Nutritional support；Moxibustion；Quality of life
肺癌在全球范围内是一种常见的恶性肿瘤，随着我国老龄化日益加重，肺癌的发病率和病死率逐年升高[1-2]。根治性手术是肺癌的主要治疗方法，术后患者引起各种副反应和肿瘤生物学特性，肺癌术后患者常出现不同程度的营养不良，降低患者的生存质量，进而影响术后疗效和远期生存[3-5]。营养支持疗法可以缓解和预防营养不良，加快损伤的机体组织修复，促进疾病恢复，降低术后并发症[6]；中医艾灸具有活血通络、行气散结、化瘀去湿等功效，尤其适用于肿瘤康复患者。本研究探讨营养支持疗法联合中医艾灸对肺癌根治术后患者的临床疗效，现报道如下。
1资料与方法
1.1一般资料
收集2013年12月～2016年12月我院就诊行肺癌根治术的患者96例，按随机数字表法分为治疗组和对照组，每组48例。治疗组男36例，女12例；年龄29～63岁，平均(46.2±11.4)岁。小细胞肺癌5例，非小细胞肺癌43例(鳞癌29例，腺癌14例)。对照组男35例，女13例；年龄27～67岁，平均(48.4±10.7)岁。小细胞肺癌7例，非小细胞肺癌41例(鳞癌26例，腺癌15例)。纳入标准：术后病理证实为肺癌；依从性好，能积极配合营养支持疗法和中医艾灸治疗；自愿参加问卷调查。排除标准：严重心、肺、肾衰竭患者；精神病患者；中重度营养不良患者。两组患者在性别、年龄、病理分型和营养状况评分等方面差异均无统计学意义(P>0.05)。本研究经医院伦理委员会批准，所有患者均签署知情同意书。, 百拇医药(王丽钦 张娟)