首页|益气疏肝活血散结方联合玄乌止痛膏穴位贴敷治疗癌性疼痛疗效观察

益气疏肝活血散结方联合玄乌止痛膏穴位贴敷治疗癌性疼痛疗效观察

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目的:观察益气疏肝活血散结方联合玄乌止痛膏穴位贴敷治疗癌性疼痛的疗效。方法:将 2021 年 10 月~2023年 12 月在我院治疗的 120 例癌性疼痛患者,按照随机数表法分为对照组(60 例)与治疗组(60 例),对照组行三阶梯止痛药物治疗,治疗组行益气疏肝活血散结方联合玄乌止痛膏穴位贴敷治疗。治疗 4 周后,对比两组临床疗效,治疗前后疼痛状况(镇痛起效时间、持续镇痛时间、爆发痛发作次数)、疼痛程度[疼痛数字评价量表(NRS)]、疼痛介质[内皮素-1(ET-1)、5-羟色胺(5-HT)、β-内啡肽(β-EP)]、生活质量[世界卫生组织生活质量测定量表(WHOQOL-BREF)]、治疗期间不良反应(便秘、恶心呕吐、头晕头痛)发生情况。结果:治疗后,治疗组治疗有效率高于对照组(P<0。05);治疗后,治疗组镇痛起效时间、持续镇痛时间、爆发痛发作次数表现均优于对照组(P<0。05);两组NRS评分在治疗 4 周时达到最低值,治疗组表现更优(P<0。05);治疗后,两组患者ET-1、5-HT、β-EP水平较治疗前均降低,治疗组降低幅度更大(P<0。05);两组患者WHOQOL-BREF评分在治疗后 4 周达到最低值,治疗组表现更优(P<0。05);治疗组不良反应率低于对照组(P<0。05)。结论:对癌性疼痛患者行益气疏肝活血散结方联合玄乌止痛膏穴位贴敷治疗能够有效改善患者疼痛介质水平,减轻疼痛程度,降低疼痛爆发次数,从而改善其生活质量,疗效显著,且安全性高。
Curative effect of Yiqi Shugan Huoxue Sanjie prescription combined with Xuanwu Zhitong ointment for acupoint appli-cation on cancer pain
Objective:To explore the curative effect of Yiqi Shugan Huoxue Sanjie prescription combined with Xuanwu Zhitong ointment for acupoint application on cancer pain.Methods:A total of 120patients with cancer pain treated in the hospital were enrolled between October 2021and December 2023.According to random number table method,they were divided into control group(60cases)and treatment group(60cases).The control group was treated with three-step analgesics,while treatment group was treated with Yiqi Shugan Huoxue Sanjie prescription combined with Xuanwu Zhitong ointment for acupoint application.After 4weeks of treatment,clini-cal curative effect,pain status(onset time and duration of analgesia,onset frequency of breakthrough pain),pain degree[numerical rating scale(NRS)],pain mediators[endothelin-1(ET-1),5-hydroxytryptamine(5-HT),β-endorphin(β-EP)]and quali-ty of life[World Health Organization Quality of Life Scale(WHOQOL-BREF)]before and after treatment,and occurrence of ad-verse reactions(constipation,nausea and vomiting,dizziness and headache)during treatment were compared between the two groups.Results:After treatment,response rate of treatment in treatment group was higher than that in control group(P<0.05).After treat-ment,onset time and duration of analgesia,and onset frequency of breakthrough pain in treatment group were better than those in con-trol group(P<0.05).After 4weeks of treatment,NRS scores were the lowest in both groups,and which were better in treatment group(P<0.05).After treatment,levels of ET-1,5-HT and β-EP were decreased in both groups,and the decrease was greater in treat-ment group(P<0.05).After 4weeks of treatment,WHOQOL-BREF scores were the lowest in both groups,and which were better in treatment group(P<0.05).The incidence of adverse reactions in treatment group was lower than that in control group(P<0.05).Conclusion:Yiqi Shugan Huoxue Sanjie prescription combined with Xuanwu Zhitong ointment for acupoint application can effectively improve levels of pain mediators,relieve pain and reduce onset frequency of pain in patients with cancer pain,which thus can improve quality of life,with significant curative effect and high safety.

Cancer painYiqi Shugan Huoxue Sanjie prescriptionXuanwu Zhitong ointmentAcupoint application

李艳孔、解晓芳、张光、李鑫、李占林

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张家口市中医院肿瘤科,河北 张家口 075000

癌性疼痛 益气疏肝活血散结方 玄乌止痛膏 穴位贴敷

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(12)