首页|正念减压疗法配合盐酸羟考酮缓释片治疗难治性癌痛的效果及对患者炎症指标、疼痛介质水平的影响

正念减压疗法配合盐酸羟考酮缓释片治疗难治性癌痛的效果及对患者炎症指标、疼痛介质水平的影响

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目的 探讨正念减压疗法配合盐酸羟考酮缓释片治疗难治性癌痛的效果.方法 选择2020年1月—2021年6月聊城市人民医院收治的 80例难治性癌痛患者为研究对象,按随机数字表法将其分为对照组及观察组,各 40例.对照组采用盐酸羟考酮缓释片治疗,观察组在对照组基础上联合正念减压疗法,均持续 4周.比较两组患者的临床疗效、炎症指标及疼痛介质水平.结果 观察组的治疗总有效率为 95.00%,高于对照组的 77.50%,差异有统计学意义(P<0.05).治疗后,观察组白细胞介素-6、肿瘤坏死因子-α分别为(123.06±21.47)ng/L、(154.60±31.70)ng/L,均低于对照组的(165.62±24.08)ng/L、(379.65±35.62)ng/L,组间差异有统计学意义(P<0.05).治疗后,观察组的致痛介质P物质、前列腺素E2 分别为(10.78±0.87)ng/mL、(33.28±5.17)ng/L,均低于对照组的(16.33±1.65)ng/mL、(75.79±7.86)ng/L,β内啡肽为(255.46±30.47)ng/L,高于对照组的(212.02±29.32)ng/L,组间差异有统计学意义(P<0.05).结论 正念减压疗法配合盐酸羟考酮缓释片能显著降低难治性癌痛患者的疼痛程度,减轻其炎症反应,改善疼痛介质水平,获得较好的镇痛效果.
Effect of Mindfulness-Decompression Therapy Combined with Oxycodone Hydrochloride Extended-Release Tablets in the Treatment of Refractory Cancer Pain and Its Influence on Inflammatory Indicators and Pain Mediators Levels
Objective To investigate the effect of mindfulness-decompression therapy combined with oxycodone hydrochloride extended-release tablets in the treatment of refractory cancer pain.Methods 80 patients with refractory cancer pain admitted to Liaocheng People's Hospital from January 2020 to June 2021 were selected as research objects,and were divided into a control group and an observation group according to random number table method,with 40 cases.The control group was treated with oxycodone hydrochloride extended-release tablets,and the observation group was treated with mindfulness-decompression therapy on the basis of the control group.Both groups were treated for 4 weeks.The clinical efficacy,inflammatory indexes and pain mediators were compared between the two groups.Results The total effective rate of the observation group was 95.00%,which was higher than 77.50%of the control group,the difference was statistically significant(P<0.05).After treatment,the interleukin-6 and tumor necrosis factor-α in the observation group were(123.06±21.47)ng/L and(154.60±31.70)ng/L,respectively,which were lower than(165.62±24.08)ng/L and(379.65±35.62)ng/L in the control group,the differences between the groups were statistically significant(P<0.05).After treatment,the substance P and prostaglandin E2 in the observation group were(10.78±0.87)ng/mL and(33.28±5.17)ng/L,respectively,which were lower than(16.33±1.65)ng/mL and(75.79±7.86)ng/L in the control group,while the β-endorphin was(255.46±30.47)ng/L,which was higher than(212.02±29.32)ng/L in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Mindful-Decompression therapy combined with oxycodone hydrochloride extended-release tablets can significantly reduce the pain degree of refractory cancer pain patients,reduce the inflammatory response,improve the pain mediator levels,and obtain better analgesic effect.

Refractory cancer painMindful-Decompression therapyOxycodone hydrochloride extended-release tabletsInflammatory indicatorsPain mediatorsClinical efficacy

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山东省聊城市人民医院肿瘤科,山东聊城 252000

难治性癌痛 正念减压疗法 盐酸羟考酮缓释片 炎症指标 疼痛介质 临床疗效

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(3)
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