中藥封包聯合溫針灸在膀胱癌術后吉西他濱膀胱灌注中的護理效果

Nursing Effect of Traditional Chinese Medicine Encapsulation Combined withWarm Acupuncture in Postoperative Gemcitabine Bladder Perfusionfor Bladder Cancer/QI Ying，CHENHezhen，ZHUJunjun.// Medical Innovation of China，2025，22（18）： 080-083

[Abstract]Objective： To investigate the nursing effect of traditional Chinese medicine encapsulation combined with warm acupuncture in bladder perfusion ofGemcitabine after bladdercancer surgery.Method：A total of 50 cases ofbladder cancer patients who received postoperative Gemcitabine bladder infusion treatment in Jiujiang NO.1 People's Hospital from October 2O21 to October 2O23 were divided into two groups with 25cases each.The control group was treated with conventional chemotherapy drugs for bladder perfusion nursing intervention，and the observation group was treated with traditional Chinese medicine encapsulation combined with warm acupuncture nursing intervention. Both groups were continuously intervened for 8 weeks. Clinical signs score， pain degree， negative emotion，compliance and nursing satisfaction were compared between the two groups.Result： The scores of clinical signs， visual analogue scale （VAS），self-rating anxiety scale （SAS）andself-rating depresson scale （SDS） in the observation group were lower than those in the control group （ P lt;0.05）. The compliance and nursing satisfaction of observation group were higher than those of control group （ P lt;0.05）. Conclusion： The application of traditional Chinese medicine encapsulation combined with warm acupuncture nursing in bladder perfusion of Gemcitabine after bladercancer surgery can alleviate clinical symptoms，relieve painand negative emotions，improve compliance and nursing satisfaction， which is worthy of promotion.

[Key Words] Bladder cancer Bladder perfusion Chinese medicine encapsulationWarm acupuncture PainNegative emotionsComplianceNursing satisfaction

First-author'saddress： Department of Urologyand Surgery，Jiujiang NO.1People's Hospital，Jiujiang 332000， China

doi：10.3969/j.issn.1674-4985.2025.18.019

膀胱癌是泌尿系統最常見的惡性腫瘤之一，經尿道膀胱腫瘤電切除術是治療其最主要和有效的手段，然而術后復發率較高，可達 50%～60% ，且進展率達 20%^[1] 。術后吉西他濱膀胱灌注是預防膀胱腫瘤術后復發和進展的有效手段，其具有良好的脂溶性，易于滲透進入癌細胞，迅速達到有效的藥物濃度，進而發揮抗腫瘤作用[2-3]。但其應用可誘發諸多并發癥，如尿急、尿頻、腹痛、尿潴留、惡心嘔吐、小腹墜脹等，嚴重影響患者生活質量[4-5]。故在膀胱癌術后膀胱灌注中，應制定相應的護理措施，以減少并發癥的發生，提高患者舒適度。中醫護理技術在該領域護理中具有獨特的優勢，中藥封包、溫針灸為中醫護理的重要組成部分，在臨床護理中廣泛應用，效果較好。為此，本研究選取50例術后接受吉西他濱膀胱灌注治療的膀胱癌患者為對象，從臨床體征積分、疼痛程度、負性情緒、依從性等角度，探討中藥封包聯合溫針灸在膀胱癌術后吉西他濱膀胱灌注中的護理效果，現報道如下。

1資料與方法

1.1一般資料

采用隨機數字表法將2021年10月—2023年10月九江市第一人民醫院收治的50例術后接受吉西他濱膀胱灌注治療的膀胱癌患者分為兩組，各25例。本研究經九江市第一人民醫院醫學倫理委員會批準（倫理批號：yt202106），患者或者患者家屬知情同意本研究。納入標準：經病理學檢查為非肌層浸潤性膀胱癌，且接受膀胱癌手術治療，術后接受吉西他濱膀胱灌注；認知、溝通能力正常。排除標準：對吉西他濱藥物過敏；……