中华护理杂志 ›› 2016, Vol. 51 ›› Issue (1): 57-61.DOI: 10.376/j.issn.0254-1796.2016.01.012

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经皮穴位电刺激预防肺癌患者化疗后骨髓抑制的效果观察

  

  • 出版日期:2016-01-05 发布日期:2016-01-05

Effects of percutaneous electrical stimulation on bone marrow suppression after chemotherapy in patients with lung cancer

  • Online:2016-01-05 Published:2016-01-05

摘要: 目的 探讨经皮穴位电刺激对预防肺癌患者化疗后骨髓抑制的效果。方法 选取102例初次化疗的非小细胞肺癌患者按照入院时间先后顺序分为实验组(n=47)和对照组(n=55)。实验组在常规护理基础上实施经皮穴位电刺激方法,对照组给予常规护理方法。 观察两组患者红细胞、白细胞、血小板、血红蛋白等主要反映骨髓抑制的指标以及患者舒适度。 结果 化疗第5天,实验组血小板计数显著高于对照组(P<0.05);第8天白细胞计数、血小板计数、舒适度评分显著高于对照组(P<0.05);第11天实验组血小板计数显著高于对照组(P<0.05);第14天实验组白细胞计数显著高于对照组(P<0.05)。 结论 经皮穴位电刺激能预防肺癌化疗后骨髓抑制进程,并提高患者的舒适度,从而确保患者化疗顺利进行。

关键词: 穴位, 电刺激, 护理, 肺癌, 化疗, 骨髓抑制

Abstract: Objective To investigate the effects of percutaneous electrical stimulation on bone marrow suppression in patients with lung cancer after chemotherapy. Methods A total of 110 non-small cell lung cancer patients with primary chemotherapy were divided into the experimental group and the control group(55 patients in each group). The control group received routine nursing care,the experimental group received nursing care of acupoint electric stimulation. Red blood cell count,white blood cell count,platelet count and hemoglobin count mainly reflecting inhibition of bone marrow were measured and general comfort questionnaire was used. Results On the 5th day of chemotherapy,the platelet count in the experimental group was significantly higher than that in the control group (P<0.05);on the 8th day,the white blood cell count, platelet count and comfort score were significantly higher than those in the control group(P<0.05);on the 11th day,the platelet count was significantly higher than that in the control group (P<0.05);on the 14th day,the white blood cell count was significantly higher than that in the control group (P<0.05). Conclusion Percutaneous acupoint electric stimulation can prevent bone marrow suppression of lung cancer patients after chemotherapy and promote patients‘ comfort which ensure the smooth progress of chemotherapy.

Key words: Acupoint, Electric Stimulation, Nursing, Lung Cancer, Chemotherapy, Bone Marrow Suppression