CAJ | 학술논문

目的：观察骨转移癌疼痛患者应用益肾骨康方联合热疗镇痛的临床疗效。方法将40例伴有不同程度骨转移癌疼痛的患者随机分为治疗组和对照组。对照组20例，单纯应用氨酚羟考酮片（泰勒宁）控制骨转移癌疼痛。治疗组20例，在对照组治疗基础上内服益肾骨康方联合骨转移部位局部热疗。治疗2周后对两组患者治疗前后疼痛缓解情况、氨酚羟考酮片（泰勒宁）用药剂量、体力状况进行观察和分析。结果治疗后治疗组疼痛缓解情况明显优于对照组（P＜0．05）；治疗组氨酚羟考酮片使用量减少率远高于对照组（P＜0．05）；两组治疗后体力状况评分提高率比较，治疗组高于对照组（P＜0．05）。结论益肾骨康方联合局部热疗对骨转移癌疼痛有明显控制作用，可减少强阿片类药物用量，提高体力状况，对提高患者生存质量有重要意义。
목적：관찰골전이암동통환자응용익신골강방연합열료진통적림상료효。방법장40례반유불동정도골전이암동통적환자수궤분위치료조화대조조。대조조20례，단순응용안분간고동편（태륵저）공제골전이암동통。치료조20례，재대조조치료기출상내복익신골강방연합골전이부위국부열료。치료2주후대량조환자치료전후동통완해정황、안분간고동편（태륵저）용약제량、체력상황진행관찰화분석。결과치료후치료조동통완해정황명현우우대조조（P＜0．05）；치료조안분간고동편사용량감소솔원고우대조조（P＜0．05）；량조치료후체력상황평분제고솔비교，치료조고우대조조（P＜0．05）。결론익신골강방연합국부열료대골전이암동통유명현공제작용，가감소강아편류약물용량，제고체력상황，대제고환자생존질량유중요의의。
Objective ToobservetheclinicalefficacyofYishenggukangFormulaandthermalthera-pyinthepatientsofpainofbonemetastaticcancer.Methods Fortycaseswererandomizedintoatreatment group and a control group.In the control group,20 cases were treated with Acetaminiphen Oxycodone Tablets to suppress pain of bone metastatic cancer.In the treatment group,20 cases were treated with Yishenggukang Formula and local thermal therapy beside the medication as the control group.In 2 weeks of treatment,pain relief,drug dose of Acetaminiphen Oxycodone Tablets and physical condition were observed and analyzed in thetwogroups.Results Aftertreatment,inthetreatmentgroup,theresultofpainreliefwasremarkablysu-perior to the control group(P<0.05).The reducing rate of the drug dose of Acetaminiphen Oxycodone Tab-lets was quite higher than that in the control group(P<0.05).The improvement rate of physical condition in thetreatmentgroupwashigherthanthatinthecontrolgroup(P<0.05).Conclusion TheallianceofYish-enggukang Formula and local thermal therapy remarkably suppresses pain of bone metastatic cancer,reduces the dose of strong opioids and improves physical condition.It plays the significant role in the improvement of survival quality of patients.