摘要
Objective To observe the clinical effect of warming-yang moxibustion combined with acupuncture in the treatment of cancer pain. Methods Thirty patients with malignant tumor accompanied with moderate or severe cancer pain were treated with warming-yang moxibustion technique in combination with acupuncture. Zhōngwǎn （中脘 CV 12）, Guānyuán （关元 CV 4） and Shénquè （神阙 CV 8） were applied with warming moxibustion, Hégǔ （合谷 LI 4）, Nèiguān （内关 PC 6） Tàichōng （太冲 LR 3） and Sānyīnjiāo （三阴交 SP 6） were punctured as well as other acupoints selected according to differentiation of syndrome. The treatment was given once every day, and 10 times were one treatment course. Pain degree was assessed on the basis of visual analogue scale （VAS） and efficacy based on pain relief. Results Remarkably improvement was seen in 10 cases （33.3%）, improvement in 11 cases （36.7%）, partially improvement in 8 cases （26.7%）, ineffective in 1 case （3.3%）, and the total effective rate was 96.7%. VAS was 6.07±1.26 before the treatment and was 2.53±1.48 after the treatment. The difference was statistically significant （P0.01）. Conclusion Warming-yang moxibustion technique in combination with acupuncture is effective in the treatment of cancer pain.
目的:观察温阳灸法结合针刺治疗癌性疼痛的临床疗效。方法:将30例恶性肿瘤并伴有中度、重度癌性疼痛的患者,采用温阳灸法结合针刺治疗。取中脘、关元、神阙施以温和灸,针刺取合谷、内关、太冲、三阴交,并配合辨证取穴,每天1次,10次为一疗程。采用视觉模拟疼痛评分(VAS)评价疼痛程度,以疼痛缓解度评价疗效。结果:显效10例(33.3%),有效11例(36.7%),部分有效8例(26.7%),无效1例(3.3%),总有效率96.7%。患者治疗前VAS为6.07±1.26,治疗后为2.53±1.48,差异具有统计学意义(P<0.01)。结论:温阳灸法结合针刺治疗癌痛疗效较好。
