针刺联合西药治疗中晚期肺癌疼痛的临床观察  

Clinical observation of acupuncture combined with western medicine in treatment of advanced lung cancer pain

作　　者：范立勇[1] 高世领[1] 王玉强[1] 齐增平[1] FAN Liyong GAO Shiling WANG Yuqiang QI Zengping(Civil administration general hospital of Hebei province, Xingtai Hebei 054000, Chin)

机构地区：[1]河北省民政总医院,河北邢台054000

出　　处：《中国民康医学》2017年第11期36-38,共3页Medical Journal of Chinese People’s Health

基　　金：邢台市科学技术研究与发展计划项目:(编号:2015zc038)

摘　　要：目的:探索针刺联合西药治疗中晚期肺癌疼痛的临床疗效。方法:将69例中晚期肺癌疼痛患者随机分为对照组34例,治疗组35例,两组患者均按照WHO癌痛三阶梯镇痛治疗,治疗组在上述治疗的基础上给予针刺镇痛治疗,观察治疗前后患者疼痛程度NRS评分、疼痛缓解情况、镇痛起效时间、疼痛缓解持续时间等。结果:两组患者疼痛程度NRS评分均较治疗前降低,且治疗组患者治疗后疼痛程度NRS评分低于对照组;治疗组疼痛缓解总有效率为94.29%,高于对照组总有效率的73.53%;治疗组患者疼痛持续时间明显长于对照组,差异有统计学意义(P<0.05)。结论:针刺联合西药治疗中晚期肺癌疼痛临床疗效优于单纯西药组。Objective： To explore clinical effects of acupuncture combined with western medicine in treatment of advanced lung cancer pain. Methods： 69 patients with advanced lung cancer pain were randomly divided into control group （34 cases） and treatment group （35 cases）. The two groups were treated by WHO three-ladder standard therapeutic scheme. Besides, the patients in the treat- ment group were given acupuncture. Then, the NRS score, situation of pain relief, time of pain relief, and persistent period of pain re- lief before and after the treatment were observed. Results： The NRS scores of the two groups after the treatment was lower those before the treatment （P〈0.05）. The NRS score in the treatment group was lower than that in the control group after the treatment （P〈 0.05 ）. The total effective rate of pain relief in the treatment group （94.29%） was higher than that in the control group （73.53%）. The persistent period of pain relief in the treatment group was longer than the control group （P〈0.05）. Conclusions： The clinical effects of acupuncture combined with western medicine in the treatment of advanced lung cancer pain are better than single western medicine.

关 键 词：中晚期肺癌 疼痛 针刺 西药 

分 类 号：R734.2[医药卫生—肿瘤]