摘要
目的观察针刺配合神经阻滞对晚期癌痛的影响。方法将32例晚期癌痛患者随机分为治疗组和对照组,每组16例。治疗组采用针刺配合胸腰椎椎旁阻滞或胸腰交感神经节阻滞治疗,对照组采用单纯胸腰椎椎旁阻滞或胸腰交感神经节阻滞治疗。比较两组治疗前后视觉模拟评分量表(VAS)、抑郁自评量表(SDS)、卡式评分法(Karnofsky)评分及临床疗效。结果两组临床疗效比较,差异具有统计学意义(P<0.05)。两组治疗后VAS、SDS、Karnofsky评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后VAS、SDS、Karnofsky评分与对照组比较,差异均具有统计学意义(P<0.05)。结论针刺配合神经阻滞可以显著降低晚期癌痛的程度,提高晚期癌症患者的生活质量。
Objective To observe the effect of acupuncture plus nerve block for late-stage cancer pain. Method Thirty-two patients with late-stage cancer pain were randomized into a treatment group and a control group, 16 in each group. The treatment group was intervened by acupuncture plus thoracic-lumbar paravertebral block or thoracic-lumbar sympathetic block, while the control group was by thoracic-lumbar paravertebral block or thoracic-lumbar sympathetic block. The Visual Analogue Scale （VAS） score, Self-rating Depression Scale （SDS） score, and Karnofsky score were compared before and after treatment, and the clinical efficacies were compared. Result There was a significant difference in comparing the clinical efficacy between the two groups （P 〈0.05）. The VAS score, SDS score, and Kamofsky score were all changed significantly in both groups after treatment （P〈0.01）. There was a significant difference in comparing the VAS score, SDS score, and Kamofsky score between the two group after the treatment. Conclusion Acupuncture plus nerve block can significantly down-regulate the pain intensity in late-stage cancer, and improve the quality of life of the patients.
出处
《上海针灸杂志》
2014年第3期211-213,共3页
Shanghai Journal of Acupuncture and Moxibustion
