中药外敷对肝癌患者癌性疼痛的效果研究  

Research on the Effect of External Application of Traditional Chinese Medicine on Cancer Pain in Patients with Liver Cancer

作　　者：张茜 闵彩云[1] 施翠芬[1] ZHANG Qian;MIN Caiyun;SHI Cuiien(Department of Physical Examination,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西中医药大学附属医院体检科,江西南昌330006

出　　处：《中国中医药现代远程教育》2020年第18期76-78,共3页Chinese Medicine Modern Distance Education of China

基　　金：江西省卫生计生委中医药科研课题项目[No.2016A113]。

摘　　要：目的探讨中药外敷对肝癌患者癌性疼痛的效果研究。方法选取2017年7月—2018年7月江西中医药大学附属医院脾胃肝胆科住院的肝癌癌性疼痛患者120例为研究对象,按入院时间的前后随机分为常规治疗组、针刺治疗组、中药外敷组,每组40例。常规治疗组口服曲马多缓释片或肌注曲马多注射液,疼痛时使用;针刺治疗组采用体针法;中药外敷组采用配制颗粒剂药方敷于癌痛患处。对各组的疗效疼痛程度进行评定以及采用SF-36健康调查量表对其生活质量进行评估。结果3组治疗总有效率均达60%以上,并显示中药外敷组总有效率显著高于常规治疗组和针刺治疗组(P <0.05);根据VAS疼痛程度评分显示3组疼痛程度在治疗前差异无统计学意义(P>0.05);在经过1周、1个月和6个月治疗后3组疼痛程度均有降低,且中药外敷组疼痛程度评分显著低于常规治疗组和针刺治疗组(P <0.05);中药外敷组的8个方面的生活质量评分显著高于常规治疗组和针刺治疗组(P <0.05)。结论中药外敷肝区痛处治疗癌性疼痛较佳,可有效缓解患者疼痛,并明显改善患者的生活质量,具有较好的临床价值。Objective To investigate the effect of external application of traditional Chinese medicine on cancer pain in patients with liver cancer.Methods A total of 120 patients with hepatocellular carcinoma who were hospitalized from July 2017 to July 2018 were enrolled in the study.They were randomly divided into the conventional treatment group,the acupuncture moxibustion group,and the Chinese medicine external application group.Each group has 40 cases.In the conventional treatment group,oral tramadol sustained-release tablets or intramuscular injection of tramadol injection were used for pain;acupuncture treatment group was treated with body acupuncture;traditional Chinese medicine external application group was formulated with granules for application to cancer pain.The degree of pain in each group was assessed and the quality of life assessed using the SF-36 Health Survey Scale.Results The total effective rate of the three groups was more than 60%,and the total effective rate of the external application group was significantly higher than that of the conventional treatment group and the acupuncture treatment group(P<0.05).According to the VAS pain degree score,the three groups of pain were treated.There was no significant difference before(P>0.05).After 1 week,1 month and 6 months of treatment,the pain levels of the three groups were reduced,and the pain score of the Chinese medicine external application group was significantly lower than that of the conventional treatment group and the acupuncture treatment group(P<0.05);the quality of life scores of the 8 aspects of the external application group were significantly higher than those of the conventional treatment group and the acupuncture treatment group(P<0.05).Conclusion The traditional Chinese medicine has a better curative effect on the pain of liver pain in the liver area,which can effectively alleviate the pain of patients and improve the quality of life of patients.It has good clinical value.

关 键 词：肝癌 肝积 癌性疼痛 中药外敷疗法 

分 类 号：R24[医药卫生—中医临床基础]