顽固性癌痛的病因分析研究

Clinical Investigation of Etiology of Refractory Cancer Pain

目的:找出顽固性癌痛的主要原因,为更好地控制癌痛提供临床依据。方法:325例顽固性癌痛患者,应用软组织外科学理论根据疼痛部位寻找相应压痛点,有相应压痛点又愿配合治疗者给予分组治疗,治疗组给予深部痛点阻滞治疗,对照组按三阶梯用药原则给予口服药物治疗。结果:与癌症无关的压痛点病例305例,愿接受疼痛治疗者170例,治疗组85例患者经治疗后疼痛控制明显优于对照组85例(治疗组VAS3.3,对照组VAS4.9),同时治疗组吗啡用量明显少于对照组(吗啡日平均用量治疗组为33.3 mg,对照组为93.76 mg)。结论:软组织损害为顽固性癌痛的主要原因,深部痛点阻滞能更好地控制顽固性癌痛,同时可减少吗啡的用量。

Objective:To investigate the etiology of the refractory cancer pain and provide reference for relieving the cancer pain.Methods:325 patients with refractory cancer pain were diagnosed by the soft tissue surgery,finding the pain point by pressing deeply,the patients with deep-pressed pain points non-relative with the cancer were divided into two groups randomly.The patients in treatment group were treated with deep-pressed pain points injection;the patients in control group were treated with drugs according ...