首页|补肾解毒方联合耳穴压豆对晚期结直肠癌患者癌性疼痛及生活质量的影响

补肾解毒方联合耳穴压豆对晚期结直肠癌患者癌性疼痛及生活质量的影响

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目的 探讨补肾解毒方联合耳穴压豆对晚期结直肠癌患者癌性疼痛及生活质量的影响.方法 将2019年6月-2023年5月本院收治的120例晚期结直肠癌患者纳入本研究,并将其随机分为2组.对照组(60例)行常规护理和"三阶梯"镇痛法干预疼痛,观察组(60例)在对照组基础上行补肾解毒方联合耳穴压豆治疗,2组均持续治疗1个月.比较2组患者治疗前后数字评分量表(NRS)评分、治疗效果、生活质量量表(QOL)评分、不良反应发生情况,检测血清中P物质(SP)、β内啡肽(β-EP)、前列腺素E2(PGE2)水平.结果 治疗后,观察组NRS评分以及SP、β-EP和PGE2水平分别为(2.23±0.64)分、(11.51±2.64)ng/mL、(78.64±9.46)ng/L、(41.90±6.32)ng/L,分别低于对照组的(2.87±1.25)分、(15.64±2.42)ng/mL、(101.29±11.26)ng/L、(78.63±10.17)ng/L,差异有统计学意义(P<0.05);观察组治疗总有效率为90.00%,QOL评分为(51.92±5.66)分,分别高于对照组的75.00%、(43.58±5.12)分,差异有统计学意义(P<0.05).2组不良反应发生率比较,差异无统计学意义(P>0.05).结论 补肾解毒方联合耳穴压豆可明显改善晚期结直肠癌患者的癌性疼痛,提高生活质量,且安全性较好.
Effects of Bushen Jiedu Formula combined with auricular pressure by coxherb seeds on cancer-induced pain and quality of life in patients with advanced colorectal cancer
Objective To explore the effects of Bushen Jiedu Formula combined with auricular pressure by coxherb seeds on cancer pain and quality of life in patients with advanced colorectal canc-er.Methods A total of 120 patients with advanced colorectal cancer admitted to our hospital from June 2019 to May 2023 were included in the study,and were randomly divided into two groups.The control group(60 cases)received routine nursing care and the"three-step"analgesic method to in-tervene pain,while the observation group(60 cases)received treatment with Bushen Jiedu Formula combined with auricular pressure by coxherb seeds on the basis of the control group.Both groups were treated for one month.The Numerical Rating Scale(NRS)score,the therapeutic effect,the quality of life(QOL)score and the occurrence of adverse reactions were compared between the two groups before and after treatment,and the levels of substance P(SP),β-endorphin(β-EP)and prostaglan-din E2(PGE2)of the two groups before and after treatment in serum were detected.Results After treatment,the NRS score and the levels of SP,β-EP and PGE2 in the observation group were(2.23±0.64),(11.51±2.64)ng/mL,(78.64±9.46)ng/L and(41.90±6.32)ng/L,re-spectively,which were lower than(2.87±1.25),(15.64±2.42)ng/mL,(101.29±11.26)ng/L and(78.63±10.17)ng/L,respectively of the control group(P<0.05).The total effective rate and QOL score of the observation group were 90.00%and(51.92±5.66),which were higher than 75.00%and(43.58±5.12),respectively of the control group(P<0.05).There was no signifi-cant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclu-sion The combination of Bushen Jiedu Formula and auricular pressure by coxherb seeds can obvi-ously improve the cancer-induced pain of patients with advanced colorectal cancer,improve their quality of life,and have good safety.

Bushen Jiedu Formulaauricular pressure by coxherb seedsadvanced colorec-tal cancercancer-induced painquality of life

石建娜、周新东、孙科、石海波、陈霞

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江苏省无锡市锡山区中医医院肿瘤科,江苏无锡,214194

补肾解毒方 耳穴压豆 晚期结直肠癌 癌性疼痛 生活质量

江苏省无锡市中医药局科技项目

ZYYB202216

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(7)
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