腕踝针对中重度肝癌疼痛的镇痛疗效观察  

Clinical Observation on Efficacy of Wrist-ankle Acupuncture in Reliveing Moderate and Severe Pain of Patients with Liver Cancer

作　　者：周庆辉[1] 胡侠[1] 顾伟[1] 凌昌全[1] 

机构地区：[1]第二军医大学附属长海医院,上海200433

出　　处：《浙江中医学院学报》2005年第1期53-55,共3页Journal of Zhejiang College of Traditional Chinese Medicine

摘　　要：目的:观察腕踝针对中重度肝癌疼痛的镇痛疗效。方法:将94例肝癌疼痛患者根据疼痛程度分为5组,即中度疼痛2组,重度疼痛3组。中度疼痛分为腕踝针治疗Ⅰ组与可待因治疗组,每组 20 例;重度疼痛分为腕踝针治疗Ⅱ组 16 例、美施康定治疗组20例、腕踝针加美施康定治疗组18例。观察各组的镇痛效果、镇痛特点及不良反应。结果:腕踝针治疗对中度疼痛的缓解率为85 0%,对重度疼痛的缓解率为63 0%,腕踝针加美施康定治疗对重度疼痛的缓解率为 83 3%。腕踝针治疗具有起效快,持续缓解时间长的特点,对重度疼痛患者可降低药物不良反应发生率。结论:腕踝针治疗中重度肝癌疼痛疗效肯定。Objective: To assess the analgesic efficacy of wrist-ankle acupuncture(WAA)in relieving moderate and severe pain of patients with primary liver cancer,and to observe its analgesic characteristics and side effects. Methods:Ninety-four patients with primary liver cancer were observed.Forty patients with moderate cancer pain were divided into 2 groups,including WAA-treated group and codine-treated group,with 20 patients in each group.Fifty-four patients with severe cancer pain were divided into 3 groups,including 16 patients treated with WAA,20 patients treated with MS contin,and 18 patients treated with WAA and MS contin.Results:The pain relief rates of the two moderate pain groups(WAA-treated and contin treated)were 85.0% and 65.0% respectively.The pain relief rates of the three severe pain groups(WAA-treated,MS contin-treated,WAA and MS contin-treated) were 63.0%,85.0% and 83.3% respectively.WAA had shorter start time and longer effective period than the drug therapy,and had no statistic difference in optimal relief time as compared with the drug therapy.Conclusion:The present study confirms the analgesic efficacy of WAA therapy for cancer pain caused by heptocarcinoma,especially for the moderate pain.

关 键 词：疼痛 腕踝针 治疗 肝癌 中重度 镇痛 美施康定 持续 缓解 发生率 

分 类 号：R735[医药卫生—肿瘤] R722.12[医药卫生—临床医学]