1例前列腺癌骨转移患者癌性疼痛的中医外治护理  

Case Report of Traditional Chinese Medicine External Treatment Nursing for Cancer Pain in a Patient with Prostate Cancer Bone Metastasis

作　　者：童丽娜 周媛[1] 叶蕾[1] 李菲[1] 许爱欢 徐雅欣 赵玲玲[1] 任雪美 杜南南 吴思媛 夏静静 TONG Li-na;ZHOU Yuan;YE Lei;LI Fei;XU Ai-huan;XU Ya-xin;ZHAO Ling-ling;REN Xue-mei;DU Nan-nan;WU Si-yuan;XIA Jing-jing(TCM Oncology Department,The Second Hospital of Anhui Medical University,Hefei Anhui 230601,China)

机构地区：[1]安徽医科大学第二附属医院肿瘤中医科,安徽合肥230601

出　　处：《中华养生保健》2024年第20期168-171,共4页CHINESE HEALTH CARE

摘　　要：针对1例前列腺癌术后伴骨转移腰背部持续性疼痛患者行西医止痛治疗以及姑息放疗后疼痛难以有效缓解,而后采用中医外治疗法进行护理干预,同时也维持西医药物止痛治疗。本研究主要采用了3种中医外治疗法:①对癌痛相关的耳穴反应点行耳穴压丸以抑制疼持续基础疼痛和爆发疼痛;②选取太冲、合谷、内关、期门、足三里进行艾灸以化解癌症引起的寒凝阻滞;③以自制中药穴位贴敷于痛点阿是穴及辨证穴位以缓解顽固性持续疼痛。通过中西医联合治疗及护理,患者癌性爆发痛和基础疼痛均得到抑制。For a patient with persistent pain in the waist and back after prostate cancer surgery accompanied by bone metastasis,traditional Chinese medicine external treatment was adopted for nursing intervention in the case of difficulty in effectively relieving pain by pure Western medicine pain relief treatment and palliative radiotherapy,while also maintaining Western medicine medication pain relief treatment.Three traditional Chinese medicine methods were mainly used,including:①Applying ear acupoint pressure pills to the ear acupoint reaction points related to cancer pain to suppress sustained basic pain and explosive pain;②Selecting Taichong,Hegu,Neiguan,Qimen,and Zusanli for moxibustion to resolve the cold coagulation block caused by cancer;③Applying self-made traditional Chinese medicine acupoints to the pain points Ashi and dialectical acupoints to relieve persistent and stubborn pain.Through the combined nursing of traditional Chinese and Western medicine,the patient’s cancerous burst pain and basic pain have been suppressed.

关 键 词：癌性疼痛 耳穴压丸 艾灸 中药穴位敷贴 护理 

分 类 号：R473.73[医药卫生—护理学]