台北中医医学杂志

99.10 针灸缓解大肠癌第四期化疗後腹胀、腹痛-病例报告
针灸缓解大肠癌第四期化疗後腹胀、腹痛-病例报告
Acupuncture Relieving Abdominal Distension and Abdominal Pain after Chemotherapy of Stage IV Colon Cancer: A Case Report  
林庭安 崔皓钧 黄中瑀*
台北市立万芳医院传统医学科,台北,台湾
【摘要】
多年来结肠直肠癌高踞台湾癌症死亡率第三名,虽然近年大肠直肠癌的治疗不断进步,但其治疗副作用深深困扰病患。
本病例报告为38 岁第四期大肠癌合并腹膜及肝脏转移患者,由於无法以手术切除肿瘤,接受腹膜温热化学治疗(hyperthermic intraperitoneal chemotherapy, HIPEC)、FOLFIRI 化学治疗(Folinic acid, 5-FU, Irinotecan)及Cetuximab 标靶治疗後,出现肠阻塞的治疗副作用,严重影响生活品质,转而接受中医辅助治疗。
患者接受针刺足三里、上巨虚及下巨虚後,其消化道症状及生活品质获得改善。希望经由本病例说明针灸缓解第四期大肠癌治疗後副作用之临床疗效。
【关键词】第四期大肠癌、腹腔温热化学疗法、化学治疗、标靶治疗、针灸
 
Ting-An LinHao-Chun TsuiChung-Yu Huang*
Department of Traditional Chinese Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
【Summary】
Colorectal cancer ranks third in cancer mortality in Taiwan. Although the treatment of colorectal cancer has been improved, the side effects have deeply troubled patients.
This case is a 38-year-old male with stage IV colon cancer with peritoneal and liver metastases. Since the tumor cannot be surgically removed, he received hyperthermic intraperitoneal chemotherapy (HIPEC), FOLFIRI chemotherapy (Folinic acid, 5-FU, Irinotecan) and Cetuximab for targeted therapy. After above therapies, intestinal obstruction occurred seriously affected the quality of life. So he asked for acupuncture.
After receiving acupuncture at Zusanli, Shangjuxu and Xiajuxu, his digestive symptoms and quality of life improved. We demonstrate that acupuncture can alleviate the side effects after the treatment of stage IV colon cancer.
 
【Keywords】Stage IV Colon Cancer, Hyperthermic intraperitoneal chemotherapy (HIPEC), Chemotherapy, Targeted therapy, Acupuncture