西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
2期
107-109
,共3页
倪红%黄邦荣%王兰英%史东静%马鸿斌%曹红霞%王煜%欧秀梅%张小元%王秀丽%冯晓莉
倪紅%黃邦榮%王蘭英%史東靜%馬鴻斌%曹紅霞%王煜%歐秀梅%張小元%王秀麗%馮曉莉
예홍%황방영%왕란영%사동정%마홍빈%조홍하%왕욱%구수매%장소원%왕수려%풍효리
中重度癌性疼痛%吴茱萸汤合四逆汤加味%硫酸吗啡缓释片
中重度癌性疼痛%吳茱萸湯閤四逆湯加味%硫痠嗎啡緩釋片
중중도암성동통%오수유탕합사역탕가미%류산마배완석편
moderate and severe cancer pain%modified WuZhuYu Tang and SiNi Tang%morphine sulfate sustained release tablets
目的：观察吴茱萸汤合四逆汤加味联合硫酸吗啡缓释片治疗中重度癌性疼痛的临床疗效。方法：将有明确病理诊断、伴发癌性疼痛、中医辨证为三阴伏寒的59例肿瘤患者随机分为2组，治疗组30例给予吴茱萸汤合四逆汤加味联合硫酸吗啡缓释胶囊治疗；对照组29例给予硫酸吗啡缓释片治疗，疗程为1个月。结果：在减低中医症候积分、改善生存质量、降低吗啡类药物的使用量、纠正吗啡类药物毒副反应等方面2组比较有统计学差异（P＜0.05），治疗组优于对照组。2组疼痛缓解率无明显差异（P＞0.05）。结论：吴茱萸汤合四逆汤加味联合硫酸吗啡缓释片治疗中重度癌性疼痛疗效显著。
目的：觀察吳茱萸湯閤四逆湯加味聯閤硫痠嗎啡緩釋片治療中重度癌性疼痛的臨床療效。方法：將有明確病理診斷、伴髮癌性疼痛、中醫辨證為三陰伏寒的59例腫瘤患者隨機分為2組，治療組30例給予吳茱萸湯閤四逆湯加味聯閤硫痠嗎啡緩釋膠囊治療；對照組29例給予硫痠嗎啡緩釋片治療，療程為1箇月。結果：在減低中醫癥候積分、改善生存質量、降低嗎啡類藥物的使用量、糾正嗎啡類藥物毒副反應等方麵2組比較有統計學差異（P＜0.05），治療組優于對照組。2組疼痛緩解率無明顯差異（P＞0.05）。結論：吳茱萸湯閤四逆湯加味聯閤硫痠嗎啡緩釋片治療中重度癌性疼痛療效顯著。
목적：관찰오수유탕합사역탕가미연합류산마배완석편치료중중도암성동통적림상료효。방법：장유명학병리진단、반발암성동통、중의변증위삼음복한적59례종류환자수궤분위2조，치료조30례급여오수유탕합사역탕가미연합류산마배완석효낭치료；대조조29례급여류산마배완석편치료，료정위1개월。결과：재감저중의증후적분、개선생존질량、강저마배류약물적사용량、규정마배류약물독부반응등방면2조비교유통계학차이（P＜0.05），치료조우우대조조。2조동통완해솔무명현차이（P＞0.05）。결론：오수유탕합사역탕가미연합류산마배완석편치료중중도암성동통료효현저。
Objective:To survey curative effects of morphine sulfate sustained release tablets combined with modified WuZhuYu Tang and SiNi Tang in treating moderate and severe cancer pain. Methods:All 59 patients with obvious pathological diagnosis, associated with cancer pain and differentiated as the cold staying in three Yin meridians were randomized into two groups. 30 cases of the treatment group were administered with morphine sulfate sus-tained release tablets, modified WuZhuYu Tang and SiNi Tang;29 cases of the control group took morphine sulfate sustained release tablets, one course of the treatment was one months. Results: The comparisons between both groups had statistical difference in relieving TCM symptom scale, improving life quality, reducing the dosage of morphine-like drugs and correcting the toxicity of morphine-like drugs, the treatment group was superior to the con-trol group (P<0.05). There was insignificant difference in relieve rate of the pain between both groups (P>0.05). Conclusion:modified WuZhuYu Tang and SiNi Tang are effective in treating moderate and severe cancer pain.
