CAJ | 학술논문

目的：观察中医外治法对癌痛“三阶梯止痛”疗法中出现的便秘、恶心呕吐症状的临床疗效。方法：将117例癌性疼痛患者采用随机数字表法分为观察组（中医外治法干预组）60例和对照组57例。观察组患者在传统治疗、护理方法的基础上，采用敷药法联合耳穴埋豆法对使用止痛药后出现的便秘、恶心呕吐症状进行干预；对照组只采用传统治疗、护理方法对使用止痛药后出现的便秘、恶心呕吐症状进行干预。结果：采用敷药法联合耳穴埋豆法干预使用止痛药后出现的副作用便秘的有效率为88.5%、恶心呕吐有效率为80.6%；传统治疗护理方法干预使用止痛药后出现的副作用便秘、恶心呕吐的有效率分别为61.2%、58.8%，有显著差异（P<0.01）。结论：中医外治法能有效缓解癌痛患者使用“三阶梯止痛”疗法时出现的便秘、恶心呕吐症状，临床疗效明显优于传统疗法。
목적：관찰중의외치법대암통“삼계제지통”요법중출현적편비、악심구토증상적림상료효。방법：장117례암성동통환자채용수궤수자표법분위관찰조（중의외치법간예조）60례화대조조57례。관찰조환자재전통치료、호리방법적기출상，채용부약법연합이혈매두법대사용지통약후출현적편비、악심구토증상진행간예；대조조지채용전통치료、호리방법대사용지통약후출현적편비、악심구토증상진행간예。결과：채용부약법연합이혈매두법간예사용지통약후출현적부작용편비적유효솔위88.5%、악심구토유효솔위80.6%；전통치료호리방법간예사용지통약후출현적부작용편비、악심구토적유효솔분별위61.2%、58.8%，유현저차이（P<0.01）。결론：중의외치법능유효완해암통환자사용“삼계제지통”요법시출현적편비、악심구토증상，림상료효명현우우전통요법。
Objective:To observe clinical efficacy of TCM on the side effects of the three-step therapy. Methods:117 cases were randomly divided into the observation group (TCM external treatment group) (60 cases) and the control group (57 cases). The control group were treated with conventional treatment and nursing works. The observation group was given topical application of drug more. Results: In the observation group the efficiency on astriction was 88.5%, and the efficiency on nausea and vomiting was 80.6%. In the control group the efficiency on astriction was 61.2%, and the efficiency on nausea and vomiting was 58.8%. There was a significant difference (P<0.01). Conclusion:Treating astriction, nausea and vomiting in TCM could receive better effects.