首页|腕踝针联合盐酸羟考酮治疗慢性癌性疼痛的效果及对疼痛介质的影响

腕踝针联合盐酸羟考酮治疗慢性癌性疼痛的效果及对疼痛介质的影响

扫码查看
探讨腕踝针联合盐酸羟考酮治疗慢性癌性疼痛的效果及对疼痛介质的影响.方法:选取 2021 年 6 月—2023年 6 月驻马店市中心医院收治的 126 例慢性癌性疼痛患者,随机将其分为 2 组各 63 例,对照组行盐酸羟考酮治疗,联合组行腕踝针联合盐酸羟考酮治疗.比较2组疗效、疼痛情况[视觉模拟评分法(VAS)、爆发痛次数]、疼痛介质[5-羟色胺(5-HT)、前列腺素E2(PGE2)、白介素-1β(IL-1β)]、不良反应.结果:比较对照组,联合组总有效率更高(P<0.05).治疗前 2 组VAS评分及爆发痛次数比较无差异(P>0.05),治疗后相比对照组,联合组VAS评分及爆发痛次数更低(P<0.05).治疗前 2 组 5-HT、PGE2、IL-1β比较无差异(P>0.05),治疗后比较对照组,联合组 5-HT、PGE2、IL-1β水平更低(P<0.05).2 组不良反应发生率比较无差异(P>0.05).结论:腕踝针联合盐酸羟考酮利于改善慢性癌性疼痛患者改善疼痛介质水平,减轻疼痛程度,减少爆发痛次数,治疗安全有效.
The Effect of Wrist Ankle Acupuncture Combined with Hydroxycodone Hydrochloride in the Treatment of Chronic Cancer Pain and its Impact on Pain Mediators
To explore the effect of wrist-ankle acupuncture combined with oxycodone hydrochloride in the treat-ment of chronic cancer pain and its effect on pain mediators.Methods:A total of 126 patients with chronic cancer pain admitted to Zhumadian Central Hospital from June 2021 to June 2023 were randomly divided into two groups,63 cases in each group.The control group was treated with oxycodone hydrochloride,and the combined group was treated with wrist-ankle acupuncture combined with oxycodone hydrochloride.The efficacy,pain conditions[visual analogue scale(VAS),number of breakthrough pains],pain mediators[5-hydroxytryptamine(5-HT),prostaglandin E2(PGE2),interleukin-1β(IL-1β)],and adverse reactions were compared between the two groups.Results:Compared with the control group,the total effective rate of the combined group was higher(P<0.05).There was no difference in VAS scores and number of breakthrough pains between the two groups before treatment(P>0.05).After treatment,the VAS scores and number of breakthrough pains in the combined group were lower than those in the control group(P<0.05).There was no difference in 5-HT,PGE2,and IL-1β between the two groups before treatment(P>0.05).After treatment,the levels of 5-HT,PGE2,and IL-1β in the combined group were lower than those in the control group(P<0.05).There was no difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Wrist-ankle acu-puncture combined with oxycodone hydrochloride is beneficial for improving the level of pain mediators,reducing the degree of pain,and reducing the number of breakthrough pains in patients with chronic cancer pain.The treatment is safe and effective.

Chronic cancer painWrist-ankle acupunctureOxycodone hydrochlorideVisual analog scalePain mediator

李前辉、杨紫芳、谢河秋

展开 >

河南省驻马店市中心医院 河南 驻马店 463000

慢性癌性疼痛 腕踝针 盐酸羟考酮 视觉模拟评分法 疼痛介质

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(11)