温通火熨联合刺络放血治疗化疗后手足麻木的临床效果OA
Clinical Effect of Warming Fire Ironing Combined with Collateral Pricking and Bloodletting in the Treatment of Hand-Foot Numbness after Chemotherapy
目的:探究温通火熨联合刺络放血治疗化疗后手足麻木的临床效果.方法:选取赣州市肿瘤医院 2024 年 6 月—2025 年 6 月收治的 60 例化疗后手足麻木患者,以摸球法分为两组,每组 30 例.两组均给予基础治疗,在此基础上,对照组予以刺络放血,观察组予以温通火熨联合刺络放血,两组均持续治疗 14 d.对比两组临床疗效、中医证候积分(刺痛、肢体沉重、畏寒肢冷)、神经传导功能[腓总神经运动传导速度(MCV)、正中神经感觉传导速度(SCV)]、生活质量、不良反应.结果:观察组总有效率高于对照组(P<0.05).治疗后,观察组刺痛[(1.34±0.16)分]、肢体沉重[(1.73±0.22)分]、畏寒肢冷[(1.38±0.26)分]评分低于对照组[(2.21±0.37)、(2.68±0.36)、(2.44±0.32)分](P<0.05).治疗后,观察组腓总神经 MCV[(38.62±4.56)m/s]、正中神经 SCV[(36.85±4.18)m/s]高于对照组[(35.24±4.38)、(33.56±4.05)m/s](P<0.05).治疗后,观察组感觉症状、运动症状、自主神经症状评分低于对照组(P<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论:化疗后手足麻木患者使用温通火熨联合刺络放血治疗,不仅可改善临床症状与神经传导功能,还有助于提升生活质量,临床疗效显著.
Objective:To explore the clinical efficacy of warming fire ironing combined with collateral pricking and bloodletting in the treatment of hand-foot numbness after chemotherapy.Method:A total of 60 patients with hand-foot numbness after chemotherapy admitted to Ganzhou Cancer Hospital from June 2024 to June 2025 were selected and divided into two groups by ball-touching method,with 30 cases in each group.Both groups received basic treatment.On this basis,the control group was treated with collateral pricking and bloodletting,while the observation group was treated with warming fire ironing combined with collateral pricking and bloodletting.Both groups were treated continuously for 14 days.The clinical efficacy,traditional Chinese medicine syndrome scores(stabbing pain,heavy limbs,cold limbs),nerve conduction function[motor conduction velocity(MCV)of common peroneal nerve,sensory conduction velocity(SCV)of median nerve],quality of life and adverse reactions were compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the scores of stabbing pain[(1.34±0.16)points],heavy limbs[(1.73±0.22)points]and cold limbs[(1.38±0.26)points]in the observation group were lower than those in the control group[(2.21±0.37),(2.68±0.36),(2.44±0.32)points](P<0.05).After treatment,the MCV of common peroneal nerve[(38.62±4.56)m/s]and SCV of median nerve[(36.85±4.18)m/s]in the observation group were higher than those in the control group[(35.24±4.38),(33.56±4.05)m/s](P<0.05).After treatment,the scores of sensory symptoms,motor symptoms and autonomic nerve symptoms in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:For patients with hand-foot numbness after chemotherapy,the combined therapy of warming fire ironing and collateral pricking and bloodletting can not only improve clinical symptoms and nerve conduction function,but also help enhance the quality of life and remarkable clinical efficacy.
彭抒玲;田贞;胡咪咪;刘承彬;陈翠琴
赣州市肿瘤医院胸部肿瘤内科 江西 赣州 341000赣州市肿瘤医院胸部肿瘤内科 江西 赣州 341000赣州市肿瘤医院胸部肿瘤内科 江西 赣州 341000赣州市肿瘤医院胸部肿瘤内科 江西 赣州 341000赣州市肿瘤医院胸部肿瘤内科 江西 赣州 341000
医药卫生
温通火熨刺络放血化疗手足麻木
Warming fire ironingCollateral pricking and bloodlettingChemotherapyHand-foot numbness
《中国医学创新》 2026 (25)
37-42,6
赣州市指导性科技计划项目(2025ZSFCE0684)
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