目的 探讨火龙罐综合灸对甲状腺癌术后伴癌因性疲乏虚证患者的应用效果。方法 2023年5月至2024年7月，采用便利取样法选择某中医院120例甲状腺癌术后伴癌因性疲乏患者为研究对象，按分层随机法分为对照组和试验组，每组60例。对照组接受基础治疗，试验组在对照组基础上加用火龙罐综合灸。比较两组患者干预前后及干预后1个月的癌症疲乏、中医证候评分和疗效等。结果 干预后1个月，试验组患者的癌症疲乏量表得分为（20.01±0.48）分，低于对照组的（27.44±0.54）分；中医证候评分为（5.69±1.05）分，低于对照组的（7.26±1.35）分，差异均有统计学意义（均P＜0.05）。结论 火龙罐综合灸能有效改善甲状腺癌术后伴癌因性疲乏虚证患者的症状，具有临床推广价值。

Objective To evaluate the efficacy of ‘Huo Long Guan’ (Fire Dragon Pot) moxibustion in postoperative thyroid cancer patients with cancer-related fatigue(CRF) of deficiency syndrome.Methods From May 2023 to July 2024,120 thyroid cancer postoperative patients with CRF were enrolled from a Chinese medicine hospital using convenience sampling method.Participants were randomly allocated into a control and experimental groups(60 cases each) through stratified randomization.The control group received standard care,while the experimental group received additional moxibustion with ‘Huo Long Guan’.Outcome were compared between groups using the Cancer Fatigue Scale, and TCM syndrome scores.Results One month after intervention, the score of the cancer fatigue scale was(20.01±0.48),lower than the control group(27.44±0.54);the TCM syndrome score was(5.69±1.05),lower thanin the control group(7.26±1.35),and the differences were statistically significant(all P＜0.05).Conclusions ‘Huo Long Guan’ moxibustion effectively improves symptoms and quality of life in thyroid cancer postoperative CRF patients with deficiency syndrome,and is worthy of clinical adoption.

R473.73

黑龙江省中医药科研项目（ZHY2024-044）