揿针疗法联合常规医护措施治疗癌性疼痛临床研究
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R730.5;R248


Clinical Study on Thumbtack Needle Therapy Combined with Routine Medical and Nursing Measures for Cancer Pain
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    目的:观察在常规止痛和护理措施基础上加予揿针刺激耳穴治疗癌性疼痛的临床疗效。方法:将120 例轻、中度癌性疼痛患者随机分为对照组和观察组各60 例。2 组轻度、中度疼痛患者分别口服布洛芬缓释胶囊、盐酸曲马多缓释片口服,并给予综合护理措施,观察组加予揿针刺激耳穴治疗,2 组均连续治疗10 d。比较治疗前、治疗10 d 后的疼痛视觉模拟评分法(VAS) 评分、抑郁自评量表(SDS) 评分、焦虑自评量表(SAS) 评分,以全面疼痛评估量表评价治疗前后疼痛对日常活动、情 绪、睡眠、步行能力、正常工作、与他人之间的关系、生活享受7 个方面的影响。比较2 组的疼痛缓解率。结果:治疗后,观察组疼痛缓解率为83.33%,高于对照组的65.00%,差异有统计学意义(P<0.05)。2 组VAS、SDS 及SAS 评分均较治疗前下降(P<0.01),观察组3 项评分均低于对照组(P<0.01)。2 组日常活动、情绪、睡眠、步行能力、正常工作、与他人之间的关系及生活享受评分均较治疗前下降(P<0.01),观察组7 项评分均低于对照组(P<0.01)。结论:在现代医学常规止痛和护理措施的基础上加用揿针刺激耳穴干预癌性疼痛患者,可进一步减轻癌痛,缓解患者的抑郁和焦虑,减轻癌痛对日常生活的影响,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of auricular point stimulation by thumbtack needle based on routine pain relief and nursing measures in the treatment of cancer pain. Methods: A total of 120 cases of patients with mild or moderate cancer pain were randomly divided into the control group and the observation group, 60 cases in each group. Patients with mild or moderate pain were given oral administration of ibuprofen sustained release capsules and tramadol hydrochloride sustained- release tablets respectively. Both groups received comprehensive nursing measures. The observation group was additionally treated with thumbtack needle to stimulate auricular points. Both groups were continuously treated for 10 days. The scores of Visual Analogue Scale(VAS),Self-rating Depression Scale(SDS),and Self-rating Anxiety Scale(SAS) before treatment and after 10- day treatment were compared. Before and after treatment, the Comprehensive Pain Assessment Form was used to evaluate the effect of pain on daily activities,emotion,sleep,walking ability,normal work,social relationship,and enjoyment of life. The remission rate of pain was compared between the two groups. Results: After treatment,the remission rate of pain was 83.33% in the observation group,higher than that of 65.00% in the control group,the difference being significant(P<0.05). The scores of VAS,SDS and SAS in the two groups were decreased when compared with those before treatment(P<0.01),and the three scores in the observation group were lower than those in the control group(P<0.01). The scores of daily activities, emotion, sleep, walking ability, normal work, social relationship, and enjoyment of life in the two groups were decreased when compared with those before treatment(P<0.01), and the seven scores in the observation group were all lower than those in the control group(P<0.01). Conclusion:On the basis of routine pain relief and nursing measures of modern medicine, the additional intervention of auricular point stimulation by thumbtack needle can further alleviate cancer pain,relieve depression and anxiety,reduce the effect of pain on daily living, and enhance clinical effect.

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吴莉琴.揿针疗法联合常规医护措施治疗癌性疼痛临床研究[J].新中医,2021,53(6):176-179

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  • 在线发布日期: 2021-03-25
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