中医临床研究
中醫臨床研究
중의림상연구
Clinical Journal of Chinese Medicine
2015年
27期
127-129
,共3页
穴位埋线%康莱特注射液%肺癌癌痛
穴位埋線%康萊特註射液%肺癌癌痛
혈위매선%강래특주사액%폐암암통
Acupoint catgut embedding%Kanglaite injection%Lung cancer pain
目的：观察穴位埋线联合康莱特注射液对晚期肺癌患者癌性疼痛的治疗效果。方法：将64例肺癌患者随机分为两组，对照组予硫酸吗啡缓释片10 mg口服治疗，治疗组在与对照组相同治疗方法基础上，予穴位埋线联合康莱特注射液治疗，观察两组止痛效果及生活质量改善情况。结果：治疗组中完全缓解（CR）＋部分缓解（PR）例数为25例，显效率为78.1%；对照组完全缓解（CR）+部分缓解（PR）例数为14例，显效率为43.8%，两组对比差异有统计学意义（P＜0.05）；EORTC QLQ-C30(V3.0)量表中功能领域、症状领域、总体健康状况、腹泻、便秘、气促、失眠、食欲不振得分治疗组与对照组相比差异有统计学意义（P＜0.05），且治疗组治疗前后对比差异有统计学意义（P＜0.05）；量表单一领域中失眠领域得分对照组治疗前后对比差异有统计学意义（P＜0.05）。结论：穴位埋线联合康莱特注射液可缓解晚期肺癌患者癌性疼痛，改善患者生活质量。
目的：觀察穴位埋線聯閤康萊特註射液對晚期肺癌患者癌性疼痛的治療效果。方法：將64例肺癌患者隨機分為兩組，對照組予硫痠嗎啡緩釋片10 mg口服治療，治療組在與對照組相同治療方法基礎上，予穴位埋線聯閤康萊特註射液治療，觀察兩組止痛效果及生活質量改善情況。結果：治療組中完全緩解（CR）＋部分緩解（PR）例數為25例，顯效率為78.1%；對照組完全緩解（CR）+部分緩解（PR）例數為14例，顯效率為43.8%，兩組對比差異有統計學意義（P＜0.05）；EORTC QLQ-C30(V3.0)量錶中功能領域、癥狀領域、總體健康狀況、腹瀉、便祕、氣促、失眠、食欲不振得分治療組與對照組相比差異有統計學意義（P＜0.05），且治療組治療前後對比差異有統計學意義（P＜0.05）；量錶單一領域中失眠領域得分對照組治療前後對比差異有統計學意義（P＜0.05）。結論：穴位埋線聯閤康萊特註射液可緩解晚期肺癌患者癌性疼痛，改善患者生活質量。
목적：관찰혈위매선연합강래특주사액대만기폐암환자암성동통적치료효과。방법：장64례폐암환자수궤분위량조，대조조여류산마배완석편10 mg구복치료，치료조재여대조조상동치료방법기출상，여혈위매선연합강래특주사액치료，관찰량조지통효과급생활질량개선정황。결과：치료조중완전완해（CR）＋부분완해（PR）례수위25례，현효솔위78.1%；대조조완전완해（CR）+부분완해（PR）례수위14례，현효솔위43.8%，량조대비차이유통계학의의（P＜0.05）；EORTC QLQ-C30(V3.0)량표중공능영역、증상영역、총체건강상황、복사、편비、기촉、실면、식욕불진득분치료조여대조조상비차이유통계학의의（P＜0.05），차치료조치료전후대비차이유통계학의의（P＜0.05）；량표단일영역중실면영역득분대조조치료전후대비차이유통계학의의（P＜0.05）。결론：혈위매선연합강래특주사액가완해만기폐암환자암성동통，개선환자생활질량。
Objectives: To observe effects of acupoint catgut embedding and Kanglaite injection on advanced lung cancer pain. Methods 64 advanced lung cancer patients were divided into two groups randomly, including treatment group and control group. Patients of control group were given sustained-release morphine sulfate tablets 10 mg orally, while besides the same method, the treatment group were treated by acupoint catgut embedding and Kanglaite injection. Simultaneously, the analgesic effects and quality of life were evaluated. Results: The cases of complete remission(CR) and partial remission(PR) of treatment group and control group were 25,14 and the total efficiency rates 78.1%,43.8%, there was statistically significant difference (P<0.05). In addition, the scores of EORTC QLQ-C30(V3.0) scale including functional and symptoms areas, overall health, shortness of breath, diarrhea, constipation, insomnia, inappetence were different (P<0.05), and difference was statistically significant between before and after treatment(P<0.05).The scales of insomnia were of statistically significant difference compared with the before and after treatment of control group(P<0.05). Conclusion: the treatments of acupoint catgut embedding and Kanglaite injection could help alleviate pain and improve the quality of life in advanced lung cancer patients.
