电针对化疗所致病理性神经痛病人镇痛疗效及生活质量的影响  

The Influence of Electrical Acupuncture on the Chemotherapy-induced Neuropathic Pain and Quality of Life

作　　者：眭明红 许娜 向云 舒国健 金冬梅 燕铁斌 Sui Minghong;Xu Na;Xiang Yun;Shu Guojian;Jin Dongmei;Yan Tiebin(The Sixth People＇s Hospital of Shenzhen,Shenzhen 518052,Guangdong,China;Nanshan Hospital,Shenzhen University,Shenzhen 518052,Guangdong,China)

机构地区：[1]深圳市第六人民医院,广东深圳518052 [2]深圳大学附属南山医院,广东深圳518052 [3]中山大学孙逸仙纪念医院

出　　处：《中西医结合心脑血管病杂志》2018年第10期1331-1333,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：国家自然科学基金项目(No.81472157);广东省卫生和计划生育委员会基金项目(No.B2016087);深圳市卫生和计划生育委员会基金项目(No.20160522);深圳市南山区科技创新委员会基金项目(No.2016015)

摘　　要：目的观察电针对化疗所致病理性神经痛病人镇痛疗效及生活质量的影响。方法将30例化疗痛病人随机分成电针组、药物组、电针+药物组,每组10例,其中电针组给予电针治疗,药物组给予甲钴铵片口服治疗,电针+药物组给予电针和口服甲钴铵片联合治疗。在治疗前后利用视觉模拟评分法(VAS)评估病人疼痛程度,用Karnofsky(KPS)评分评估病人生活质量。结果治疗后,3组VAS评分明显降低,但电针组、电针+药物组VAS评分低于药物组(P<0.05),电针组与电针+药物组VAS评分比较差异无统计学意义(P>0.05)。治疗后,3组KPS评分均升高,但电针组、电针+药物组KPS评分高于药物组,差异有统计学意义(P<0.05),电针组与电针+药物组KPS评分比较差异无统计学意义(P>0.05)。结论电针可以缓解化疗所致神经病理性疼痛并提高病人生活质量。Objective To observe the clinical effect of electrical acupuncture on the chemotherapy-induced neuropathic pain （CINP） and the quality of life. Methods Thirty patients with CINP were randomly divided into three groups：group A （n=10） treated with electri-cal acupuncture, group B（ n=10） treated with mecobalamin tablets, and group C（ n=10） treated with electrical acupuncture and mecobalamin tablets.Visual Analogue Scale （VAS） and Karnofsky Performance Status Scale（KPS）were used to evaluate the curative effect and the quality of life before and after treatment. Results After the treatment, the scores of VAS were decreased in three groups,which were lower in group A and group C than that in group B （ P〈0.05）. the scores of KPS were increased in three groups, which were higher in group A and group C than that in group B （ P〈0.05）. Conclusion The EA can relieve CINP and improve the quality of life in patients.

关 键 词：化疗 病理性神经痛 电针 甲钴铵片 生活质量 疼痛程度 

分 类 号：R741[医药卫生—神经病学与精神病学] R246.7[医药卫生—临床医学]