摘要
目的观察中药贴敷治疗癌痛的效果。方法对江苏省扬州市中医院肿瘤科274例采用抗癌止痛方中药贴敷治疗的患者的资料进行回顾性分析,根据治疗前数字评定量表(NRS)评分将274例患者分为轻度疼痛(n=175,NRS评分1~3分)组和中度疼痛(n=99,NRS评分4~6分)组。观察中药贴敷治疗癌痛患者的总体疗效以及轻度、中度癌痛患者的疗效。结果274例患者采用贴敷治疗过程中,41例患者因NRS评分增加使用了吗啡处理爆发痛。轻度疼痛组治疗有效率和疼痛控制率分别为78.9%和97.1%,中度疼痛组治疗有效率和疼痛控制率分别为48.5%和58.6%。轻度疼痛组患者治疗有效率和疼痛控制率高于中度疼痛组,差异有统计学意义(P<0.05)。NRS评分为1、2、3分的患者贴敷治疗有效率分别为82.2%、79.7%、76.1%,疼痛控制率分别为97.8%、96.6%、97.2%,3种评分患者贴敷治疗后疼痛控制率和治疗有效率比较,差异无统计学意义(P>0.05)。NRS评分为4、5、6分的患者贴敷治疗有效率分别为75.8%、48.0%、26.8%。NRS评分为4分的患者贴敷治疗有效率高于NRS评分为5、6分者,差异有统计学意义(P<0.05),而NRS评分为5分和6分患者的贴敷治疗有效率比较,差异无统计学意义(P=0.08)。结论对于NRS评分≤3分的患者而言,中药贴敷治疗是一种比较理想的治疗手段。NRS评分为4分的患者使用中药贴敷仍能够取得较好的疗效,但对于NRS评分为5分和6分的患者而言,单纯使用贴敷的疗效及疼痛控制率低,往往需要辅助止痛。
Objective To observe the efficacy of external application therapy of traditional Chinese medicine on cancer pain.Methods Data of 274 patients treated with traditional Chinese medicine application therapy of Kangai Zhitong Formula in oncology department of Yangzhou Hospital of Traditional Chinese Medicine in Jiangsu Province were retrospectively analyzed.According to Numerical Rating Scale(NRS)score before treatment,274 patients were divided into mild pain group(n=175,NRS score of 1 to 3)and moderate pain group(n=99,NRS score of 4 to 6).The overall curative effect of traditional Chinese medicine application therapy and curative effects of patients with mild and moderate cancer pain were observed.Results Among 274 patients,41 patients were treated with morphine for breakthrough pain due to increased NRS score.The response rate and control rates of pain were 78.9% and 97.1% in the mild pain group,48.5% and 58.6% in moderate pain group.The response rates and control rates of patients in the mild pain group were higher than those in the moderate pain group(P<0.05).The response rates of patients with NRS score of 1,2 and 3 were 82.2%,79.7% and 76.1%,and pain control rates of patients with NRS score of 1,2 and 3 were 97.8%,96.6% and 97.2%,there were no significant differences in pain control rate and response rates among patients with scores of 1,2 and 3 after application therapy(P=0.939).The response rates were 75.8%,48.0% and 26.8% for patients with NRS score of 4,5 and 6.Response rates of patients with NRS score of 4 were higher than those with NRS score of 5 and 6(P<0.05),while there was no statistically significant difference in response rates after application therapy between patients with NRS score of 5 and 6(P=0.08).Conclusion For patients with NRS score≤3,traditional Chinese medicine application therapy is an effective treatment.For patients with NRS score of 4,the application of traditional Chinese medicine application therapy can still achieve good therapeutic effect,but the efficacy and pain control rate o
作者
王惠
魏金荣
何正飞
WANG Hui;WEI Jinrong;HE Zhengfei(Department of Oncology,Yangzhou Hospital of Traditional Chinese Medicine in Jiangsu Province,Yangzhou,Jiangsu,225002;Department of Nursing,Yangzhou Hospital of Traditional Chinese Medicine in Jiangsu Province,Yangzhou,Jiangsu,225002)
出处
《实用临床医药杂志》
CAS
2022年第13期110-112,118,共4页
Journal of Clinical Medicine in Practice
基金
江苏省扬州市重点研发计划社会发展项目(YZ2020093)。
关键词
癌痛
中药贴敷
疗效
疼痛控制率
有效率
轻度疼痛
中度疼痛
cancer pain
traditional Chinese medicine application therapy
efficacy
control rate of pain
response rate
mild pain
moderate pain
