基于大数据的艾条改善肿瘤患者失眠穴位选取的研究与实践
Research and Practice of Moxa Sticks Based on Big Data to Improve Insomnia Acupoint Selection for Cancer Patients

目的：分析基于大数据下选取穴位进行艾灸对肿瘤失眠患者的临床疗效。方法：选择2020年07月~2021年04月就诊于福建中医药大学附属第二人民医院普外科患者，符合相关诊断标准和纳入标准的结直肠癌手术后化疗失眠患者80例，按照住院先后顺序随机分成治疗组(40例)和对照组(40例)。对照组采用常规住院治疗，治疗组在此基础上进行艾灸治疗。比较2组入院第1 d，化疗第1 d、第3 d及化疗周期结束日患者失眠量表评分、癌症疲乏状态(CFS)及生活质量评分(FACT-G)。统计并比较2组治疗期间所发生的不良反应情况。结果：治疗组化疗第3 d及化疗周期结束日失眠量表评分低于对照组(P < 0.05)；治疗组化疗第3 d及化疗周期结束日CFS评分低于对照组(P < 0.05)；治疗组化疗第3 d及化疗周期结束日FACT-G评分高于对照组(P < 0.05)；治疗期间2组均未发生严重不良反应。结论：基于大数据下选取穴位进行艾灸对肿瘤失眠患者疗效确切，可改善患者失眠状况，明显缓解患者癌症疲乏状态，提高患者生活质量，且不增加不良反应发生风险。
Objective: Analyze the clinical efficacy of moxibustion at selected acupoints based on big data on patients with tumor insomnia. Methods: From July 2020 to April 2021, 80 patients with insomnia after chemotherapy for colorec-tal cancer who met the relevant diagnostic criteria and inclusion criteria were selected for treat-ment at the Second People’s Hospital of Fujian University of Traditional Chinese Medicine. They were randomly divided into groups according to the order of hospitalization: Treatment group (40 cases) and control group (40 cases). The control group was treated with conventional hospitaliza-tion, and the treatment group was treated with moxibustion on this basis. The first day of admission, the first day, the third day of chemotherapy and the end of the chemotherapy cycle on the insomnia scale score, cancer fatigue status (CFS) and quality of life assessment (FACT-G) were compared be-tween the two groups. The adverse reactions that occurred during the treatment of the two groups were counted and compared. Results: The scores of the Insomnia Scale on the 3rd day of chemo-therapy and the end of the chemotherapy cycle in the treatment group were lower than those in the control group (P < 0.05). The CFS score of the treatment group on the 3rd day of chemotherapy and the end of the chemotherapy cycle was lower than that of the control group (P < 0.05). The FACT-G score of the treatment group on the 3rd day of chemotherapy and the end of the chemotherapy cy-cle was higher than that of the control group (P < 0.05). No serious adverse reactions occurred in both groups during treatment. Conclusions: Moxibustion on selected acupoints based on big data has a definite effect on patients with tumor insomnia, which can improve the patient’s insomnia, significantly alleviate the patient’s cancer fatigue, improve the patient’s quality of life, and does not increase the risk of adverse reactions.