首页|补虚活血镇痛方内服联合中药外敷治疗晚期肺腺癌癌痛的效果

补虚活血镇痛方内服联合中药外敷治疗晚期肺腺癌癌痛的效果

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目的 探究补虚活血镇痛方内服联合中药外敷治疗晚期肺腺癌癌痛的效果.方法 本研究为前瞻性随机对照试验,选择104例晚期肺腺癌癌痛患者,按照随机数字表法分为对照组和观察组,各52例.对照组给予常规西医治疗,观察组在对照组基础上加用补虚活血镇痛方内服联合中药外敷,7 d为1个疗程,2组均治疗2个疗程.评价指标包括中医症候积分、疼痛程度、疼痛介质和不良反应发生情况.结果 观察组与对照组研究期间各剔除2例,最终观察组和对照组各50例完成研究.治疗2个疗程时,2组各项中医症候积分均显著下降,且观察组各项中医症候积分低于对照组,差异有统计学意义(P<0.05).治疗1个疗程和2个疗程时,2组视觉模拟评分法(VAS)评分均显著下降,且观察组低于对照组,差异有统计学意义(P<0.05);治疗2个疗程时,2组5-羟色胺(5-HT)、前列腺素E2(PGE2)和内皮素-1(ET-1)水平均显著下降,且观察组低于对照组,差异有统计学意义(P<0.05).2组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 补虚活血镇痛方内服联合中药外敷可有效改善晚期肺腺癌癌痛患者症状,减轻疼痛程度且下调疼痛介质水平,用药安全性良好.
Efficacy of Buxu Huoxue Analgesic Formula for Internal Use Combined with External Application of Traditional Chinese Medicine in the Treatment of Advanced Lung Adenocarcinoma Cancer Pain
Objective To explore the effect of Buxu Huoxue Analgesic Formula for internal use combined with external application of traditional Chinese medicine in the treatment of advanced lung adenocarcinoma cancer pain,and summarize the ex-perience of integrated traditional Chinese and western medicine treatment.Methods This study was a prospective randomized controlled trial.104 patients with advanced lung adenocarcinoma cancer pain were randomly divided into the control group and the observation group,with 52 patients in each group.The control group was treated with conventional western medicine,and the ob-servation group was treated with Buxu Huoxue Analgesic Formula for internal use combined with external application of traditional Chinese medicine on the basis of the control group.Seven days was a course of treatment,and both groups were treated for two courses of treatment.The evaluation indicators included TCM symptom score,pain severity,pain mediators and occurrence of ad-verse reactions.Results During the study period,2 cases were excluded from both the observation group and the control group,and the final study was completed with 50 cases each in the observation group and the control group.After two courses of treat-ment,the scores of TCM symptoms in the two groups were significantly decreased,and the scores of TCM symptoms in the observa-tion group were lower than those in the control group,the difference was statistically significant(P<0.05).After 1 and 2 courses of treatment,the visual analogue scale(VAS)score of both groups significantly decreased,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).After two courses of treatment,the levels of seroto-nin(5-HT),prostaglandin E2(PGE2),and endothelin-1(ET-1)in both groups significantly decreased,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).There was no statistical significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Buxu Huoxue Analgesic Formula for internal use combined with external application of traditional Chinese medicine can effectively improve the symptoms of patients with advanced lung adenocarcinoma cancer pain,reduce the degree of pain and lower the level of pain mediators,with good drug safety.

Lung adenocarcinomaCancer painExternal application of traditional Chinese medicineBuxu Huoxue An-algesic Formula

李珊、潘华、杨松波、刘涛、杨秀秀

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472000 河南省三门峡市中心医院

肺腺癌 癌痛 中药外敷 补虚活血镇痛方

三门峡市2021年科技发展计划项目

2021006019

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(6)