天元针刺治疗肝癌疼痛疗效及对生活质量、不良反应的影响  

Therapeutic Efficacy of Tian Yuan Acupuncture Method for Liver Cancer Pain and Its Effect on Quality of Life and Adverse Reactions

作　　者：蔡昱[1] 李建宇[1] 刘飞飞[1] CAI Yu;LI Jian-yu;LIU Fei-fei(No.302 Hospital of People’s Liberation Army,Beijing 100039,China)

机构地区：[1]中国人民解放军第302医院,北京100039

出　　处：《上海针灸杂志》2019年第2期137-140,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察天元针刺治疗肝癌疼痛患者的临床疗效及对生活质量、不良反应的影响。方法选取108例肝癌患者,随机分为观察组和对照组,每组54例。观察组采用天元针刺法治疗,对照组采用WHO推荐的三阶梯药物止痛疗法,观察两组患者临床疗效及疼痛视觉模拟评分法(VAS)评分变化、生活质量改变及不良反应的发生情况。结果观察组总有效率明显高于对照组(P<0.05);两组患者VAS评分、生活质量评分均较治疗前有所改善,观察组改善幅度明显高于对照组(P<0.05);两组患者均发生不良反应,观察组不良反应发生率为25.9%,对照组为53.7%,观察组明显低于对照组(P<0.05)。结论天元针刺治疗肝癌疼痛患者具有比较好的临床疗效,可有效改善患者癌性疼痛的症状,提高患者的生活质量。Objective To observe the therapeutic efficacy of Tian Yuan acupuncture method in treating liver cancer pain and its effect on quality of life(QOL)and adverse reactions.Method A total of 108 patients with liver cancer were randomized into an observation group and a control group,with 54 cases in each group.The observation group was intervened by Tian Yuan acupuncture method,while the control group was intervened by the three-step analgesic ladder recommended by the World Health Organization(WHO).The clinical efficacies,changes in Visual Analogue Scale(VAS)and QOL,and the occurrence of adverse reactions in the two groups were observed.Result The total effective rate in the observation group was significantly higher than that in the control group(P<0.05);the VAS and QOL scores showed improvement after treatment in both groups and the improvements in the observation group were more significant than those in the control group(P<0.05);adverse reactions occurred in both groups,and the occurrence rate was 25.9%in the observation group,significantly lower than 53.7%in the control group(P<0.05).Conclusion Tian Yuan acupuncture method can produce significant clinical efficacy in treating liver cancer pain.It can effectively improve the symptoms of cancer pain and enhance the QOL.

关 键 词：针刺疗法 疼痛 肝癌 视觉模拟量表评分 生活质量 不良反应 针刺补泻 

分 类 号：R246.1[医药卫生—针灸推拿学]