首页|艾灸联合双膦酸盐治疗中重度骨转移癌痛患者的临床效果

艾灸联合双膦酸盐治疗中重度骨转移癌痛患者的临床效果

Clinical effect on moxibustion combined with bisphosphonates therapy for patients with moderate to severe bone metastatic cancer pain

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目的 探究艾灸联合双膦酸盐治疗中重度骨转移癌痛患者的临床效果.方法 选取2021年3月至2023年1月赣州市肿瘤医院收治的90例中重度骨转移癌痛患者作为研究对象,根据随机数字表法将其分为对照组(n=30)、研究A组(n=30)和研究B组(n=30).对照组口服羟考酮缓释片,研究A组在此基础上给予双膦酸盐治疗,研究B组在研究A组基础上给予艾灸治疗.比较三组患者临床疗效、镇痛起效和持续情况、生活质量情况.结果 研究B组临床疗效高于研究A组与对照组,差异有统计学意义(P<0.017).三组患者镇痛起效时间比较,差异无统计学意义(P>0.05).研究B组镇痛起效时间短于研究A组与对照组,镇痛持续时间长于研究A组与对照组,差异有统计学意义(P<0.05).治疗前,三组患者生活质量比较,差异无统计学意义(P>0.05).治疗4周后,研究B组患者睡眠、日常活动及精神状态各维度评分高于研究A组与对照组,且研究A组睡眠评分高于对照组,差异有统计学意义(P<0.05);三组患者生活质量的食欲维度评分比较,差异无统计学意义(P>0.05).结论 艾灸联合双膦酸盐治疗中重度骨转移癌痛患者,可缩短镇痛起效时间,延长镇痛持续时间,提高患者生活质量和临床疗效.
Objective To explore the clinical effect of moxibustion combined with bisphosphonates therapy on patients with moderate to severe bone metastasis cancer pain.Methods A total of 90 patients with moderate to severe bone metastasis cancer pain admitted to Ganzhou City Cancer Hospital from March 2021 to January 2023 were selected as the study subjects.They were divided into control group(n=30)and study group A(n=30),and study group B(n=30)according to the random number table method.The control group took orally the Oxycodone sustained-release tablets,the study group A was given bisphosphonates treatment on this basis,and the study group B was given moxibustion treatment on the basis of the study group A.The clinical efficacy,analgesic onset and duration,and quality of life were compared between the two groups.Results The clinical efficacy of study group B was higher than that of study group A and control group,and the difference was statistically significant(P<0.017).There was no significant difference in the onset time of analgesia among the three groups(P>0.05).The onset time of analgesia in study group B was shorter than that in study group A and the control group,and the duration of analgesia was longer than that in study group A and the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the quality of life a-mong the three groups of patients(P>0.05).After 4 weeks of treatment,the scores of sleep,daily activities,and mental state in study group B were higher than those in study group A and the control group,and the sleep scores in study group A were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in tbe appetite dimension scores of the quality of life among the three groups of patients(P>0.05).Conclusion Moxibustion combined with bisphosphonates therapy can shorten the onset time of pain relief,prolong the du-ration of pain relief,and improve the quality of life and clinical efficacy of patients with moderate to severe bone metastasis cancer pain.

Bone metastasisCancer painBisphosphonatesMoxibustionQuality of lifeClinical efficacyPain

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江西省赣州市肿瘤医院内科二区,江西赣州 341000

骨转移 癌痛 双膦酸盐 艾灸 生活质量 临床疗效 疼痛

江西省中医药管理局科技计划课题

SZYYB20216605

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(6)
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