Effect of Puncturing Neiguan (PC 6) and Zusanli (ST 36) on Chemotherapy-related Vomiting from Platinum-involved Therapeutic Project: A Report of 26 Cases

摘要

Objective: To observe the therapeutic efficacy of puncturing Neiguan (PC 6) and Zusanli (ST 36) on chemotherapy-related nausea and vomiting. Methods: In addition to the routine intervention for vomiting, the 26 malignant cancer patients after the platinum-involved chemotherapy were punctured at bilateral Zusanli (ST 36) and Neiguan (PC 6) twice a day before the chemotherapy lasting until 3 days after the chemotherapy, each treatment lasting 30 min. All the patients were adopted the self-comparison approach, i.e., the needling therapy was used either in the first or the second treatment course. Results: As far as the acupuncture treatment group is concerned, 15 cases got nausea and vomiting, including 6 cases of Ⅰ°, 5 cases of Ⅱ°, 2 cases of Ⅲ° and no reaction of Ⅳ°, 11 cases of acute vomiting, 4 cases of delayed vomiting and no case of premature vomiting; while as far as the control group is concerned, 19 cases got nausea and vomiting, including 5 cases of Ⅰ°, 9 cases of Ⅱ°, 4 cases of Ⅲ° and 1 case of Ⅳ°, 13 cases of acute vomiting, 6 cases of delayed vomiting and no case of premature vomiting. The vomiting occurrence rate and degree in the treatment group were both lower than that of the control group(57.7%vs 73.1%, P < 0.01) and the patients in the treatment group had an improved life quality. Conclusion: Puncturing the bilateral Zusanli (ST 36) and Neiguan (PC 6) can reduce the gastrointestinal reaction to platinum-involved chemotherapy project and improve the patients' life quality.