首页|复方苦参注射液联合度洛西汀对晚期胰腺癌癌痛患者的临床效果

复方苦参注射液联合度洛西汀对晚期胰腺癌癌痛患者的临床效果

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目的 观察复方苦参注射液联合度洛西汀对晚期胰腺癌(PDAC)癌痛患者视觉模拟评分法(VAS)评分、疼痛介质水平的影响.方法 收集晚期PDAC癌痛患者96例,采用随机数字表法分为试验组(复方苦参注射液+度洛西汀)和对照组(度洛西汀)各48例.比较两组患者临床疗效、VAS评分、疼痛介质[P物质(SP)、5-羟色胺(5-HT)、前列腺素E2(PGE2)]以及生活质量[生活质量核心量表(QLQ-C30)].结果 试验组治疗后总有效率显著高于对照组(P<0.05);试验组治疗后2周和4周后VAS评分显著低于对照组.试验组治疗后2周和4周血清SP、5-HT以及PGE2水平显著低于对照组.治疗4周后试验组QLQ-C30评分显著高于对照组.结论 复方苦参注射液联合度洛西汀可有效降低晚期PDAC癌痛患者VAS评分以及疼痛介质水平,从而改善患者生活质量.
Clinical Effect of Compound Sophora Flavescens Injection Combined with Duloxetine on Cancer Pain of Advanced Pancreatic Cancer Patients
Objective To observe the impacts of compound Kushen injection combined with duloxetine on visual ana-logue scale(VAS)score and pain mediator levels in patients with pancreatic ductal adenocarcinoma(PDAC)pain.Methods 96 patients with advanced PDAC pain who were treated were collected and randomly grouped into the test group(compound Kushen injection+duloxetine)and the control group(duloxetine),with 48 cases in each group.The clinical efficacy,VAS score,pain me-diators[P substance(SP),5-hydroxytryptamine(5-HT),prostaglandin E2(PGE2)]and quality of life[Quality of Life Question-naire-Core 30(QLQ-C30)]of the 2 groups were compared.Results The total effective rate of the experimental group after treat-ment was obviously higher than that of the control group(P<0.05);the VAS score of the experimental group was obviously lower than that of the control group after 2 and 4 weeks of treatment.The levels of serum SP,5-HT,and PGE2 in the experimental group were obviously lower than those in the control group at 2 and 4 weeks after treatment.After 4 weeks of treatment,the QLQ-C30 score in the experimental group was obviously higher than that in the control group.Conclusion Compound Kushen injection combined with duloxetine can effectively reduce the VAS score and the pain mediator levels in patients with advanced PDAC pain,thus improving the quality of life of patients.

Compound Kushen injectionDuloxetinePancreatic ductal adenocarcinomaVAS scorePain mediator

杨丙信、王航宇、谭莉霞、郭二涛、武利萍

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471003 河南大学第一附属医院

复方苦参注射液 度洛西汀 晚期胰腺癌 VAS评分 疼痛介质

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(10)