CAJ | 학술논문

目的：探讨肺癌疼痛患者的中西医结合外治方法的临床效果、不良反应。方法：选择我科2010年1月至2012年12月收治的120例肺癌骨痛患者，随机分为中药穴位治疗组（ A组）、西药治疗组（ B组）、西药＋中药穴位治疗组（ C组）各40例。7 d后（1个疗程）观察其疗效及不良反应发生率。结果：治疗后，A组与B组疗效比较，P＞0.05；C组与B组疗效比较，P＜0.05；C组与A组疗效比较，P＜0.05。不良反应发生率：A组、C组与B组比较，P＜0.05；C组与A组比较，P＞0.05。结论：中药穴位治疗肺癌骨痛具有临床疗效显著、不良反应发生率低的特点；中药穴位联合西药治疗癌痛可明显提高疗效，降低药物的成瘾性及不良反应的发生，提高患者的生活质量。
목적：탐토폐암동통환자적중서의결합외치방법적림상효과、불량반응。방법：선택아과2010년1월지2012년12월수치적120례폐암골통환자，수궤분위중약혈위치료조（ A조）、서약치료조（ B조）、서약＋중약혈위치료조（ C조）각40례。7 d후（1개료정）관찰기료효급불량반응발생솔。결과：치료후，A조여B조료효비교，P＞0.05；C조여B조료효비교，P＜0.05；C조여A조료효비교，P＜0.05。불량반응발생솔：A조、C조여B조비교，P＜0.05；C조여A조비교，P＞0.05。결론：중약혈위치료폐암골통구유림상료효현저、불량반응발생솔저적특점；중약혈위연합서약치료암통가명현제고료효，강저약물적성은성급불량반응적발생，제고환자적생활질량。
Objective:To explore the clinical therapeutic effect and side effects of external treatment of integrated traditional Chinese and western medicine in treating pain in lung cancer patients .Methods:One hundred and twenty lung cancer patients with bone metastasis admitted to our department from year 2010 January to year 2012 December were randomly divided into Chinese medicine acupuncture treatment group (group A), western medicine group (group B), western medicine combined with traditional Chinese medicine acupunc-ture treatment group (group C) with 40 cases in each.The curative effect and side effect incidence were observed after 7 days of treat-ment (a treatment course).Results: After treatment, there were no significant differences of therapeutic effect between group A and group B (P>0.05);there were significant differences of therapeutic effect between group C and group B (P<0.05);there were sig-nificant differences of therapeutic effect between group C and group A (P<0.05).There were significant differences of side effects be-tween group A and group B (P<0.05); there were significant differences of side effects between group C and group B (P<0.05);there were no significant differences of side effects between group A and group C (P>0.05).Conclusion: Acupoint therapy for lung cancer pain shows significant clinical efficacy with low side effects occurrence .Traditional Chinese medicine combined with western med-icine improves the efficacy of treating cancer pain , reduces drug addiction and side effects , and improves patients ’ quality of life.