中医耳穴压籽法在缓解癌痛中的应用价值分析

发布时间：2018-02-24 11:42

本文关键词： 疼痛管理癌性疼痛耳穴贴压王不留行三阶梯止痛法　出处：《中国全科医学》2017年18期 　论文类型：期刊论文

【摘要】：目的探讨中医耳穴压籽法在缓解癌痛中的应用价值及可行性。方法选择2015-11-01至2016-12-16住院的160例患者,其中在上海市松江区方塔中医医院肿瘤科随机抽取80例患者作为对照组;在上海市松江区中山街道社区卫生服务中心舒缓疗护科随机抽取80例患者作为试验组。对照组予以常规三阶梯止痛法;试验组在常规三阶梯止痛法基础上采用中医耳穴压籽法(王不留行籽耳贴)。两组均治疗2个疗程,于治疗前和治疗2个疗程后采用疼痛数字评分法(NRS)评价镇痛效果,采用欧洲癌症研究与治疗组织生命质量测定量表(QLQ-C30)(3版)评价生命质量;于治疗2个疗程后调查患者的满意度,评价不良反应。结果对照组疼痛缓解有效率为87.5%(70/80),试验组疼痛缓解有效率96.3%(77/80),两组间差异有统计学意义(χ~2=4.103,P=0.043)。对照组生活质量改善率为70.0%(56/80),试验组生活质量改善率为83.8%(67/80),两组间差异有统计学意义(χ~2=4.254,P=0.039)。试验组满意度高于对照组,不良反应发生率低于对照组(u=-2.473,P=0.013;χ~2=9.425,P=0.002)。结论中医耳穴压籽法结合三阶梯止痛法在缓解癌痛中具有镇痛作用强、能明显改善患者的生活质量、提高患者满意度高的效果,且能降低不良反应发生率,故中医耳穴压籽法在缓解癌痛中具有一定的应用价值及可行性。
[Abstract]:Objective to explore the application value and feasibility of auricular seed pressing method in relieving cancer pain. Methods 160 patients were selected from 2015-11-01 to 2016-12-16. 80 patients were randomly selected as control group in the Department of Oncology, Fangta traditional Chinese Medicine Hospital, Songjiang District, Shanghai. 80 patients were randomly selected from the community health service center of Zhongshan Street in Songjiang District of Shanghai as trial group. The control group was treated with routine three-step analgesic method. On the basis of the routine three-step analgesic method, the experimental group was treated with traditional Chinese medicine auricular point pressing seed method (Wang Buliu Zeier paste). Both groups were treated for 2 courses. The analgesic effect was evaluated before and after 2 courses of treatment by using the pain digital score method (NRS). The quality of life (QLQ-C30 / 3) was evaluated by the European Cancer Research and treatment Organization quality of Life scale (QLQ-C30 / 3), and the satisfaction of the patients was investigated after two courses of treatment. Results the effective rate of pain relief in the control group was 87.5% / 80%, and the effective rate of pain relief in the experimental group was 96.3 / 77 / 80, with a significant difference between the two groups (蠂 ~ (2 / 2) 4.103). The improvement rate of the quality of life in the control group was 70.056 / 80%, and the improvement rate in the test group was 83.880%. The difference between the two groups was statistically significant (蠂 ~ (2) 2.254). The satisfaction degree of the trial group was higher than that of the control group. The incidence of adverse reactions was lower than that of the control group (P < 0.013), 蠂 ~ (2 +) = 9.425 (P < 0.002). Conclusion Auricular seed pressing combined with three-step analgesic method has a strong analgesic effect in relieving cancer pain, which can obviously improve the quality of life of patients and improve the satisfaction of patients with cancer. And can reduce the incidence of adverse reactions, so Chinese ear point seed pressing method has certain application value and feasibility in alleviating cancer pain.
【作者单位】：上海市松江区中山街道社区卫生服务中心;上海市松江区方塔中医医院;
【分类号】：R248.9

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