The"suppressing wood-supporting earth"theory-based air moxibustion combined with pushpin-like needle acupuncture in the treatment of pain,nausea and vomiting after TACE:a clinical study
10.3969/j.issn.1008-794X.2024.09.017
- VernacularTitle:基于抑木扶土理论的气交灸联合揿针干预经导管肝动脉化疗栓塞术后疼痛、恶心呕吐的临床研究
- Author:
Xiaodi SHEN
1
;
Pan YE
;
Xuemei BIAN
;
Qing SUN
;
Yuru CHANG
;
Yu ZHANG
Author Information
1. 310006 浙江杭州 浙江中医药大学附属第一医院(浙江省中医院)介入病房
- Keywords:
primary hepatocellular carcinoma;
transcatheter arterial chemoembolization;
pain;
nausea;
vomiting;
"suppressing wood-supporting earth"theory;
air moxibustion;
pushpin-like needle acupuncture
- From:
Journal of Interventional Radiology
2024;33(9):1014-1018
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of air moxibustion combined with pushpin-like needle acupuncture,which is formulated based on the"suppressing wood-supporting earth"theory in the doctrine of the five elements of Traditional Chinese Medicine(TCM),in the treatment of pain,nausea and vomiting after transcatheter arterial chemoembolization(TACE).Methods A total of 160 patients with hepatocellular carcinoma,who were admitted to the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine of China to receive initial TACE between July 2020 and June 2023,were enrolled in this study.The patients were randomly divided into 4 groups with 40 patients in each group.The patients of the control group received TACE with conventional nursing care,the patients of the pushpin-like needle group received pushpin-like needle acupuncture on the basis of the control group,the patients of the air moxibustion group received air moxibustion treatment on the basis of the control group,and the patients of the combination group received air moxibustion combined with pushpin-like needle acupuncture on the basis of the control group.The post-TACE pain degree(VAS scoring)and nausea/vomiting extent(INVR scoring)were compared between each other among the four groups.Results The differences in the VAS score and INVR score(including main effect and interaction effect)between each other among the four groups were statistically significant(all P＜0.05).Statistically significant differences in the VAS score and INVR score existed between the control group and the other three groups(all P＜0.05).The differences in the VAS score and INVR score between combination group and pushpin-like needle group,as well as between combination group and air moxibustion group were statistically significant(both P＜0.05).Conclusion Air moxibustion combined with pushpin-like needle acupuncture can effectively and remarkably relieve post-TACE pain,nausea and vomiting,which is superior to simple use of air moxibustion or pushpin-like needle acupuncture.Therefor,the combination use of air moxibustion and pushpin-like needle acupuncture should be popularized in clinical practice.
