针刺结合麦粒灸联合三阶梯止痛法治疗中重度癌性疼痛效果观察

发布时间：2018-04-01 18:20

本文选题：癌性疼痛　切入点：针刺　出处：《山东医药》2017年18期

【摘要】：目的评价针刺结合麦粒灸联合三阶梯止痛法治疗中重度癌性疼痛的临床疗效。方法将60例中重度癌性疼痛患者随机分为观察组和对照组各30例,对照组按WHO三阶梯止痛原则给予口服药,观察组在对照组治疗基础上予针刺结合麦粒灸治疗,14 d为1个疗程。治疗前后患者采用疼痛数字评分(NRS)评定疼痛程度,记录疼痛起效时间和镇痛持续时间。结果治疗前两组NRS差异无统计学意义(P0.05),治疗后两组NRS均较治疗前降低(P均0.05),且观察组低于对照组(P0.05)。观察组疼痛起效时间短于对照组,镇痛持续时间长于对照组(P均0.05)。观察组疼痛缓解总有效率为87%,高于对照组的70%(P0.05)。结论针刺结合麦粒灸联合三阶梯止痛法治疗中重度癌性疼痛起效快、疗效好。
[Abstract]:Objective to evaluate the clinical effect of acupuncture combined with granulated moxibustion combined with three steps analgesic method for moderate and severe cancer pain.Methods 60 patients with moderate and severe cancer pain were randomly divided into two groups: the observation group (n = 30) and the control group (n = 30). The control group was given oral medicine according to the principle of WHO three-step analgesia. The observation group was treated with acupuncture combined with moxibustion with granulation for 14 days as a course of treatment on the basis of the treatment in the control group.Before and after treatment, NRSs were used to assess the degree of pain, and the onset time and duration of pain were recorded.Results there was no significant difference in NRS between the two groups before treatment (P 0.05). The NRS of the two groups was lower than that of the control group (P 0.05), and that of the observation group was lower than that of the control group (P 0.05).The onset time of pain in the observation group was shorter than that in the control group, and the duration of analgesia was longer than that in the control group (P < 0.05).The total effective rate of pain relief in the observation group was 87, higher than that in the control group.Conclusion Acupuncture combined with granulated moxibustion combined with three steps analgesic method is effective and effective in the treatment of moderate and severe cancer pain.
【作者单位】：广州中医药大学;
【基金】：广州中医药大学第一附属医院“创新强院”工程科研项目(2016LP03)
【分类号】：R730.5

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