边伟帅, 李文斌, 康勋, 陈建新, 陈炜. 低频磁疗对缓解脑胶质瘤患者瘤周水肿的效果初探[J]. 上海预防医学, 2020, 32(1): 89-93. DOI: 10.19428/j.cnki.sjpm.2020.19472
引用本文: 边伟帅, 李文斌, 康勋, 陈建新, 陈炜. 低频磁疗对缓解脑胶质瘤患者瘤周水肿的效果初探[J]. 上海预防医学, 2020, 32(1): 89-93. DOI: 10.19428/j.cnki.sjpm.2020.19472
BIAN Wei-shuai, LI Wen-bin, KANG Xun, CHEN Jian-xin, CHEN Wei. Efficacy of low frequency pulsed electromagnetic field therapy in treatment of peritumoral edema of glioma[J]. Shanghai Journal of Preventive Medicine, 2020, 32(1): 89-93. DOI: 10.19428/j.cnki.sjpm.2020.19472
Citation: BIAN Wei-shuai, LI Wen-bin, KANG Xun, CHEN Jian-xin, CHEN Wei. Efficacy of low frequency pulsed electromagnetic field therapy in treatment of peritumoral edema of glioma[J]. Shanghai Journal of Preventive Medicine, 2020, 32(1): 89-93. DOI: 10.19428/j.cnki.sjpm.2020.19472

低频磁疗对缓解脑胶质瘤患者瘤周水肿的效果初探

Efficacy of low frequency pulsed electromagnetic field therapy in treatment of peritumoral edema of glioma

  • 摘要:
    目的 了解低频脉冲电磁场(low frequency pulsed electromagnetic field,LFPEMF)对治疗脑胶质瘤瘤周水肿的作用,为临床治疗脑胶质瘤瘤周水肿提供一定的理论依据。
    方法 将2017年3月至2018年12月期间就诊于首都医科大学附属北京世纪坛医院脑胶质瘤科的脑胶质瘤术后复发伴瘤周水肿患者32例作为研究对象。患者应用低频电磁场治疗10~14 d。治疗前后记录患者脑水肿相关临床症状、美国国立卫生研究院卒中量表(NIHSS)得分、卡氏生活质量评分(KPS)得分、头颅磁共振成像(MRI)脑水肿及肿瘤范围、T淋巴细胞亚群CD4+/CD8+比值、超氧化物歧化酶(SOD)水平等。采用自身前后对照研究方法,应用SPSS 21.0统计软件进行统计学分析。
    结果 经低频电磁场治疗后,达临床有效者25人,无效者7人,总有效率为78.13%。使用低频电磁场治疗后患者脑水肿带面积有明显减小(P < 0.05),脑肿瘤面积无明显改善(P>0.05)。与低频电磁场治疗前相比,KPS及NIHSS评分明显改善(P < 0.05)。
    结论 对脑胶质瘤瘤周水肿患者涌泉穴及劳宫穴进行低频脉冲电磁场治疗,可以减轻脑胶质瘤瘤周水肿及临床症状。

     

    Abstract:
    Objective To evaluate the efficacy of low frequency pulsed electromagnetic field (LFPEMF) on peritumoral edema in patients with glioma, providing a theoretical basis for clinical treatment of peritumoral edema.
    Methods This study included 32 patients with recurrent cerebral glioma with peritumoral edema after the operation of glioma in department of glioma, Beijing Shijitan Hospital, Capital Medical University from March 2017 to December 2018.The period of LFPEMF treatment was 10-14 days.The clinical symptoms related to brain edema were recorded before and after treatment.The National Institutes of Health Stroke Scale (National Institute of health stroke scale, NIHSS), Karnofsky quality of life score (KPS), brain edema and tumor range in cranial MRI, T lymphocyte subgroup CD4+/CD8+, superoxide dismutase (SOD) were recorded.The SPSS21.0 statistical analysis software was used to carry out analysis by using self controlled study.P < 0.05 was statistically significant.
    Results After the treatment of LFPEMF, the results showed that LFPEMF was effective in 25 patients, invalid in 7 patients, and the total effective percentage was 78.13%.The area of brain edema was significantly improved after using LFPEMF(P < 0.05).There was no significant improvement in the area of brain tumor after using LFPEMF therapy (P>0.05).KPS and NIHSS scores improved significantly after using LFPEMF (P < 0.05).
    Conclusion In the patients with peritumoral edema of glioma, the application of LFPEMF in the patients′ Yongquan point and Lao Gong point can reduce peritumoral edema, and improve clinical symptoms.

     

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