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目的:探讨食管癌术后采用艾灸治疗调理对患者近期疗效、远期生存率和生活质量的影响。方法:128例患者随机分为2组,治疗组采用术后艾灸调理,对照组仅常规治疗,比较两组疗效、生活质量核心量表(QLQ-C30)和3年生存率。结果:治疗组有效率89.06%,对照组有效率71.85%,两组有效率比较差异有统计意义(Ridit=14.632,P=0.000),治疗组疗效优于对照组;治疗2个疗程后,两组患者心理维度改善,疼痛、疲倦、恶心呕吐症状减轻,与对照组相比差异有统计学意义(P<0.05),躯体、社会、认知、角色维度与对照组相比差异无统计学意义(P<0.05);随访3年后治疗组死亡36例,生存率43.75%,对照组死亡42例,生存率34.38%,两组比较差异有统计学意义(χ2=14.562,P=0.000);随访3年后,对生存患者进行QLQ-C30比较发现,两组在躯体、心理、认知3个维度差异有统计学意义(P<0.05),社会、角色两个维度差异无统计学意义(P>0.05),两组疼痛、疲倦、恶心呕吐3个症状差异有统计学意义(P<0.05),治疗组症状轻。结论:食管癌患者术后进行艾灸调理,近可改善患者症状,远期进而提高患者生活质量,提高生存率。
Objective: To investigate the effect of moxibustion on patients with short-term, long-term survival and quality of life after esophageal cancer surgery. Methods: 128 patients were randomly divided into two groups. The treatment group was treated with moxibustion and the control group was treated only routinely. The curative effect, quality of life core scale (QLQ-C30) and 3-year survival rate were compared between the two groups. Results: The effective rate was 89.06% in the treatment group and 71.85% in the control group, with significant difference between the two groups (Ridit = 14.632, P = 0.000). The curative effect in the treatment group was better than that in the control group. After two courses of treatment, Compared with the control group, there was significant difference in the psychological dimension, pain, tiredness and nausea and vomit in the group of patients (P <0.05), while there was no significant difference in the physical, social, cognitive and role dimensions between the two groups (P <0.05). After 3 years of follow - up, 36 patients died in the treatment group, the survival rate was 43.75%, and 42 patients died in the control group. The survival rate was 34.38%. There was significant difference between the two groups (χ2 = 14.562, P = 0.000) After 3 years of follow-up, comparison of QLQ-C30 in survivors showed that there were significant differences in physical, psychological and cognitive dimensions between the two groups (P <0.05), and there was no significant difference in social and role dimensions P> 0.05). There were significant differences in pain, tiredness, nausea and vomiting between the two groups (P <0.05). The symptoms in the treatment group were mild. Conclusion: Moxibustion conditioning in patients with esophageal cancer can improve the symptoms of the patients and improve the quality of life and the survival rate of the patients.