Comparative study of hyperbaric oxygen combined with herbal cake-separated moxibustion on umbilicus and retention enema in treating acute radiation proctitis
10.3760/cma.j.cn311847-20210116-00016
- VernacularTitle:高压氧联合隔药脐灸或保留灌肠治疗急性放射性直肠炎疗效的对比研究
- Author:
Guangjun WU
1
;
Xiuqing HAN
1
;
Xiaowei ZHANG
1
;
Ying BA
1
;
Yuefei ZHANG
1
;
Liang LIU
1
;
Qinghui DU
1
Author Information
1. 临沂市中心医院中医肿瘤科，临沂 276000
- Publication Type:Journal Article
- Keywords:
Hyperbaric oxygen;
Herbal cake-separated moxibustion on umbilicus;
Retention enema;
Acute radiation proctitis
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2022;29(3):326-330
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical efficacy of hyperbaric oxygen combined with herbal cake-separated moxibustion on umbilicus and retention enema in treating acute radiation proctitis（ARP），and to statistically analyze their rates of acceptance and satisfaction.Methods:A total of 64 patients with ARP after radiotherapy for cervical cancer treated in Linyi Central Hospital from June 2016 to December 2021 were selected and divided into observation group（ n=32）and control group（ n=32）according to the number table method. The control group was treated with（Smecta and Kangfuxin solution）retention enema combined with hyperbaric oxygen，and the observation group was treated with herbal cake-separated moxibustion on umbilicus combined with hyperbaric oxygen. The degree of rectal injury before and after radiotherapy was evaluated according to the criteria of the Radiation Therapy Oncology Group（RTOG），and the clinical efficacy was analyzed. The symptom score and total score of ARP patients were calculated by international scoring standards for long-term complication of radiotherapy，and the satisfaction rate and acceptance rate of the two groups were analyzed. Results:After four courses of treatment，compared with the same group before treatment，the classifications of clinical symptoms in both the observation group and the control group were significantly improved（ P < 0.01），but there was no significant difference between the observation group and the control group（ P > 0.05）. The acceptance rate and satisfaction rate of patients treated with herbal cake-separated moxibustion on umbilicus in the observation group was significantly higher than that in the control group（ P < 0.01）. Conclusion:Both hyperbaric oxygen combined with herbal cake-separated moxibustion on umbilicus and retention enema in treating ARP can achieve good clinical therapeutic effect. As a non-invasive approach，the herbal cake-separated moxibustion on umbilicus can avoid aggravating rectal mucosa and perianal injury caused by repeated drug enema. Meanwhile，the herbal cake-separated moxibustion on umbilicus is simple and easy to operate，with less pain for patients，high rates of acceptability and satisfaction，which can be popularized and applied.
