电热针对阴寒凝滞型中重度癌性躯体疼痛的影响:随机对照研究  

Effect of electrothermal acupuncture on moderate to severe cancer pain with yin-cold stagnation: a randomized controlled trial

作　　者：芦殿荣[1] 夏玉卿[2] 陈枫[3] 王宁军[1] 何生奇[1] 王芳[1] 朱世杰[1] LU Dian-rong;XIA Yu-qing;CHEN Feng;WANG Ning-jun;HE Sheng-qi;WANG Fang;ZHU Shi-jie(Department of Oncology,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China;Department of Electrothermal Acupuncture,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China;Department of Acupuncture and Moxibustion,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院肿瘤科,北京100102 [2]中国中医科学院望京医院电热针科,北京100102 [3]中国中医科学院望京医院针灸科,北京100102

出　　处：《中国针灸》2021年第2期121-124,126,共5页Chinese Acupuncture & Moxibustion

基　　金：望京医院院级重点课题项目:WJYY2016-ZD-009。

摘　　要：目的:观察电热针疗法治疗阴寒凝滞型中重度癌性躯体疼痛患者的疗效和安全性。方法:将60例阴寒凝滞型中重度癌性躯体疼痛患者随机分为观察组和对照组,每组30例。对照组予阿片类止痛剂(盐酸羟考酮缓释片或硫酸吗啡缓释片);观察组在对照组药物治疗基础上联合电热针疗法,穴取关元、气海、足三里、合谷、三阴交,每日1次,每次30 min,连续治疗5 d。观察两组治疗前后疼痛数字评分法(NRS)评分及生活质量评估量表(KPS)评分;比较两组疼痛缓解率、西药止痛药减量效果及安全性。结果:治疗第3、5天,观察组NRS评分降低幅度大于对照组(P<0.01,P<0.05);治疗后,观察组KPS评分升高幅度大于对照组(P<0.05);观察组疼痛缓解率为100.0%(30/30),高于对照组的86.7%(26/30,P<0.05);观察组止痛药减量效果亦优于对照组(P<0.01);两组治疗期间均无明显不良反应。结论:在常规西药止痛基础上联合电热针治疗,能够有效缓解阴寒凝滞型中重度癌性躯体疼痛患者的疼痛程度,减少阿片类止痛药用量,提高其生活质量,具有较好的安全性。Objective To observe the effectiveness and safety of electrothermal acupuncture therapy for patients of moderate to severe cancer pain with yin-cold stagnation. Methods A total of 60 patients of moderate to severe cancer pain with yin-cold stagnation were randomized into an observation group and a control group, 30 cases in each one. In the control group, opioid painkillers(oxycodone hydrochloride prolonged-release tablet or morphine sulfate sustained-release tablet) were taken. On the basis of the control group, electrothermal acupuncture was applied at Guanyuan(CV 4),Qihai(CV 6), Zusanli(ST 36), Hegu(LI 4), Sanyinjiao(SP 6) in the observation group, 30 min each treatment, once a day for 5 days. Before and after treatment, the scores of pain numerical rating scale(NRS) and Karnofsky performance scale(KPS) were observed in the two groups. The pain remission rate, reduction of opioid painkillers and safety were compared. Results The variation of NRS scores in the observation group were larger than the control group 3, 5 days into treatment(P<0.01, P<0.05). The variation of KPS score in the observation group was larger than the control group after treatment(P<0.05). The pain remission rate was 100.0%(30/30) in the observation group, higher than 86.7%(26/30) in the control group(P<0.05). The reduction of opioid painkillers in the observation group was larger than the control group(P<0.01). There was no adverse reaction during the treatment in the two groups. Conclusion On the basis of the conventional western medication for analgesia, electrothermal acupuncture could relieve pain, reduce the dose of opioid painkillers and improve the quality of life in patients of moderate to severe cancer pain with yin-cold stagnation, has a better safety.

关 键 词：中重度癌性躯体疼痛 阴寒凝滞 电热针 疼痛缓解率 

分 类 号：R246.2[医药卫生—针灸推拿学]