摘要
目的:探索围手术期电针对胃及胰腺癌术后疼痛的作用。方法:通过前瞻性随机对照试验对中国医学科学院肿瘤医院胰胃外科胃、胰腺肿瘤患者进行临床研究。电针组患者201例,对照组184例。电针组接受电针治疗,取穴百会、天枢、内关、足三里,对照组接受假电针治疗。术前1天与术后第1天开始,连续治疗5 d,每日1次,时间为20 min。比较两组患者术前及术后的疼痛评分、使用止痛药物量。结果:两组患者术前、术后的疼痛评分差异无统计学意义,电针组止痛药第4天后使用总量显著低于对照组(P<0.01),且电针使用为减少止痛药使用的独立相关因素,呈负相关(P<0.01)。结论:围手术期电针可以减少胃及胰腺癌患者术后止痛药物的使用。
Objective:To explore the effects of perioperative electroacupuncture on postoperative pain of gastric and pancreatic cancer.Methods:A prospective randomized controlled trial was conducted in patients with gastric and pancreatic tumors in Pancreatic and Gastric Surgery Department,Cancer Hospital of Chinese Academy of Medical Sciences.A total of 201 patients in electroacupuncture group,184 patients in control group.The patients in the electroacupuncture group received electroacupuncture treatment and selected points at Baihui(Du 20),Tianshu(ST 25),Neiguan(P 6)and Zusanli(ST 36),while patients in the control group received false acupuncture treatment.Starting from the day before surgery and the first day after surgery,the patients were treated for 5 days,once a day for 20 minutes.The preoperative and postoperative pain scores and analgesic drug dosages were compared between the two groups.Results:There was no statistical difference in preoperative and postoperative pain scores between the two groups.The dose of analgesic drug used in the electroacupuncture group was significantly lower than that in the control group after 4 days(P<0.01),and the use of electroacupuncture was an independent factor associated with reducing the use of analgesic drug,showing a negative correlation(P<0.01).Conclusion:Perioperative electroacupuncture can reduce the use of postoperative analgesic drug in patients with gastric and pancreatic cancer.
作者
袁永
黄涛
邱国同
安军
赵亚杰
周劲草
张李鹏
李荣俊
王拓然
任虎
韩彬
杜永兴
逯阳
齐淑兰
王鹏
丁云晴
和芳
高健勇
顾宗廷
李宗泽
萨德尔·别克·艾买提
储云绵
兰忠民
张建伟
董振豪
白晓枫
孙跃民
王成锋
YUAN Yong;HUANG Tao;QIU Guo-tong;AN Jun;ZHAO Ya-jie;ZHOU Jin-cao;ZHANG Li-peng;LI Rong-jun;WANG Tuo-ran;REN Hu;HAN Bin;DU Yong-xing;LU Yang;QI Shu-lan;WANG Peng;DING Yun-qing;HE Fang;GAO Jian-yong;GU Zong-ting;LI Zong-ze;Saderbieke Aimaiti;CHU Yun-mian;LAN Zhong-min;ZHANG Jian-wei;DONG Zhen-hao;BAI Xiao-feng;SUN Yue-min;WANG Cheng-feng(Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100700,China;Cancer Hostpial,Chinese Academy of Medical Sciences,Beijing 100021,China;Beijing Jingshi Hospital of Traditional Chinese Medicine,Beijing 100026,China;Graduate School of Liaoning University of Traditional Chinese Medicine,Shenyang 110033,China;Binzhou Hospital of Traditional Chinese Medicine,Binzhou 256601,China;Dongfeng Community Health Service Center,Beijing Chaoyang District,Beijing 100026,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2023年第3期1396-1400,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
北京市中医药科技发展基金项目(No.JJ2018-96)
中国中医科学院创新工程项目(No.CI2021A03508)
中国中医科学院针灸研究所自主课题基金项目(No.ZZ20171205,No.ZZ201915005)。
关键词
电针
围手术期
胃癌
胰腺癌
随机对照研究
Electroacupuncture(EA)
Perioperative period
Gastric carcinoma
Pancreatic cancer
Randomized controlled trial(RCT)
