中药外敷联合针刺治疗肺癌化疗患者癌性疼痛对疼痛程度的影响  

Effect of External Application of Traditional Chinese Medicine Combined with Acupuncture on Cancer Pain in Patients with Lung Cancer Undergoing Chemotherapy

作　　者：郭伟杰 纪媛媛[1] GUO Weijie;JI Yuanyuan(Anyang Cancer Hospital,Henan Anyang 455000,China)

机构地区：[1]河南省安阳市肿瘤医院,河南安阳455000

出　　处：《中医药临床杂志》2024年第3期575-578,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：郑州市2022年度社会科学调研课题项目(ZSLX20220423)。

摘　　要：目的:探讨中药外敷联合针刺治疗肺癌化疗患者癌性疼痛的临床效果。方法:收集确诊肺癌化疗患者,随机分为对照组(99例,西医常规对症治疗)和研究组(100例,西医常规对症治疗+中药外敷、针刺),持续治疗4周。比较两组各项指标。结果:研究组疼痛缓解总有效率高于对照组;治疗1~4周同期疼痛数字评价量表得分低于对照组;治疗期间疼痛爆发次数少于对照组;治疗4周后中医证候积分及各项血清疼痛相关因子水平均低于对照组;卡氏评分、生活质量评分均高于对照组(P<0.05)。结论:中药外敷联合针刺治疗肺癌化疗患者可有效缓解疼痛,减少疼痛爆发次数,改善中医证候,降低疼痛相关因子水平提高身体健康状况及生活质量。Objective:To explore the clinical effect of external application of traditional Chinese medicine combined with acupuncture on cancer pain in patients with lung cancer undergoing chemotherapy.Methods:Patients diagnosed with lung cancer undergoing chemotherapy were randomly divided into control group( 99 cases) and study group( 100 cases) for 4 weeks.The indexes of the two groups were compared.Results:The total effective rate of pain relief in the study group was higher than that in the control group.After 1~4 weeks of treatment,the score of pain digital evaluation scale was lower than that of control group.The number of pain outbreaks during treatment was less than that in the control group;After 4 weeks of treatment,the scores of TCM syndromes and the levels of various serum pain-related factors were lower than those of the control group.Karnofsky score and quality of life score were higher than those of the control group( P<0.05).Conclusion:External application of traditional Chinese medicine combined with acupuncture can effectively relieve pain,reduce the number of pain outbreaks,improve TCM syndromes,reduce the level of painrelated factors and improve physical health and quality of life.

关 键 词：肺癌 化疗 癌性疼痛 中药外敷 针刺 

分 类 号：R734.2[医药卫生—肿瘤]