首页|脐灸联合三阶梯止痛法治疗虚寒型癌痛的效果分析

脐灸联合三阶梯止痛法治疗虚寒型癌痛的效果分析

扫码查看
目的 分析虚寒型癌痛患者联合应用脐灸和三阶梯止痛法治疗的效果.方法 74例虚寒型癌痛患者,采用随机数字表法分为对照组、观察组,每组37例.对照组患者采用三阶梯止痛法进行治疗,观察组联合应用脐灸和三阶梯止痛法进行治疗.对比两组患者临床疗效、镇痛情况及数字疼痛评分法(NRS)、生活质量量表(QOL)、匹兹堡睡眠质量指数(PSQI)评分.结果 观察组镇痛生效时间(20.16±3.37)min短于对照组的(42.06±9.17)min,镇痛维持时间(8.89±0.85)h长于对照组的(6.39±0.75)h,吲哚美辛肠溶片平均用量(85.26±14.07)mg、氨酚双氢可待因平均用量(80.26±11.17)mg、硫酸吗啡缓释片平均用量(82.26±16.39)mg少于对照组的(130.26±15.93)、(150.26±13.95)、(115.69±20.17)mg(P<0.05).治疗前,两组NRS、QOL、PSQI评分对比差异微小(P>0.05);治疗后,观察组NRS评分(2.95±0.31)分、PSQI评分(9.16±1.17)分低于对照组的(4.45±0.52)、(12.62±1.25)分,QOL评分(45.37±5.52)分高于对照组的(33.17±4.95)分(P<0.05).观察组治疗总有效率97.30%显著高于对照组的81.08%(P<0.05).结论 对虚寒型癌痛患者应用脐灸和三阶梯止痛法能够获得较为满意的临床疗效,有效提升镇痛效果,并改善患者的睡眠质量以及生活质量.
Analysis of the effect of umbilical moxibustion combined with three step analgesic method in treating deficiency-cold type cancer pain
Objective To analyze the effect of umbilical moxibustion combined with three step analgesic method in treating deficiency-cold type cancer pain. Methods 74 patients with deficiency-cold type cancer pain were divided into a control group and an observation group by random numerical table,with 37 cases in each group. The control group was treated with three-step analgesic method,and the observation group was treated with umbilical moxibustion and three-step analgesic method. The clinical efficacy,analgesia,Numerical Rating Score (NRS),quality of life (QOL) score and Pittsburgh Sleep Quality Index (PSQI) score of the two groups were compared. Results The effective time of analgesia of (20.16±3.37) min in the observation group was shorter than (42.06±9.17) min in the control group;the duration of analgesia of (8.89±0.85) h in the observation group was longer than (6.39±0.75) h in the control group;the average dosage of indometacin enteric-coated tablets,paracetamol and dihydrocodeine tartrate and morphine sulfate sustained-release tablets were (85.26±14.07),(80.26±11.17) and (82.26±16.39) mg in the observation group,which were lower than (130.26±15.93),(150.26±13.95) and (115.69±20.17) mg in the control group (P<0.05). Before treatment,NRS,QOL and PSQI scores were slightly different between the two groups (P>0.05). After treatment,the observation group had NRS score of (2.95±0.31) points and PSQI score of (9.16±1.17) points,which were lower than (4.45±0.52) and (12.62±1.25) points in the control group;QOL score of (45.37±5.52) points in the observation group was higher than (33.17±4.95) points in the control group (P<0.05). The total effective rate of the observation group was 97.30%,which was significantly higher than 81.08% of the control group (P<0.05). Conclusion The combination of umbilical moxibustion and three step analgesia method can achieve satisfactory clinical efficacy for patients with deficiency-cold type cancer pain,effectively improve the analgesic effect,and improve the patient's sleep quality and quality of life.

Deficiency-cold type cancer painTraditional Chinese medicineUmbilical moxibustionThree step analgesic method

赵振、尚娟

展开 >

271000 泰安市中医医院

虚寒型癌痛 中医 脐灸 三阶梯止痛法

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(23)