针刺治疗中等量恶性胸腔积液疗效观察

摘要

Objective To observe the clinical efficacy of acupuncture in treating malignant pleural effusion (MPE).Method Eighteen MPE patients confirmed by histopathological and/or cytological examinations were treated by acupuncture by selecting Yunmen (LU 2), Qimen (LR 14), Zhangmen (LR 13), Jingmen (GB 25), Guanyuan (CV 4), Zhongji (CV 3), Shuidao (ST 28), and Guilai (ST 29) as the major points. The treatment was given once every other day, 3 times a week, 4 weeks as a treatment course, and the therapeutic efficacy was evaluated 1 course later.Result Of the 18 patients, 6 got complete remission, 9 got partial remission, 2 achieved stable condition, while 1 didn’t respond to the treatment, and the total effective rate was 83.3%. Of the 5 cases with encapsulated pleural effusion, 2 got complete remission and 3 got partial remission, and the total effective rate was 100.0%. The amount of pleural effusion (anteroposterior diameter of the fluid), comprehensive score of symptoms, item scores of the symptoms, and Karnofsky Performance Status (KPS) score were changed significantly after treatment (P<0.01).Conclusion Acupuncture is an effective method in treating MPE of moderate volume, and it can swiftly improve the symptoms and promote the quality of life.%目的：观察针刺治疗恶性胸腔积液的临床疗效。方法18例经病理组织学和(或)细胞学检查确诊的恶性胸腔积液患者,选用云门、期门、章门、京门、关元、中极、水道、归来为主穴进行针刺治疗。隔日治疗1次,每星期治疗3次,4星期为1个疗程,治疗1个疗程后评价疗效。结果18例患者治疗后完全缓解6例,部分缓解9例,稳定2例,无效1例,总有效率为83.3%。其中5例包裹性胸腔积液患者治疗后完全缓解2例,部分缓解3例,总有效率为100.0%。患者治疗前后胸水量(液体前后径)、临床症状综合评分、各项临床症状评分及KPS评分比较,差异均具有统计学意义(P＜0.01)。结论针刺是一种治疗中等量恶性胸腔积液的有效方法,能迅速改善症状,提高患者生活质量。