中药穴位贴敷治疗肝癌癌痛疗效观察与护理体会

Curative Effect Observation and Nursing Experience on Acupoint Application of Chinese Herbs for Liver Cancer Pain

目的:观察中药穴位贴敷治疗肝癌癌痛气滞血瘀证的疗效。方法:将原发性肝癌患者102例按数字表法随机分2组各51例。2组根据《癌症三阶梯镇痛指导原则》推荐的"三阶梯止痛疗法",并结合病情初始给予吗啡缓释片。对照组予常规护理措施。治疗组在对照组基础上给予中药穴位贴敷。2组连续观察4周。比较2组疼痛程度数字分级法(NRS)评分、气滞血瘀证症状评分及临床疗效。记录2组疗程中并发症发生情况。结果:治疗组患者疼痛总缓解率为94.12%,高于对照组的78.43%(P <0.05)。治疗后,2组NRS明显降低(P <0.01)。治疗组治疗后NRS低于对照组(P <0.01)。治疗后,2组气滞血瘀证症状评分明显降低(P <0.01)。治疗后,治疗组气滞血瘀证症状评分低于对照组(P <0.01)。治疗组并发症发生率3.92%,对照组并发症发生率为19.61%,治疗组并发症发生率明显少于对照组(P <0.05)。结论:在常规西医和护理基础上联合中药穴位贴敷治疗肝癌癌痛,可明显改善患者的癌痛和中医临床症状,提高临床疗效。

Objective:To observe the curative effect of acupoint application of Chinese herbs for patients with liver cancer pain with syndrome of qi stagnation and blood stasis. Methods:Divided 102 cases of patients with primary liver cancer into two groups according to the random number table method,51 cases in each group. The two groups were adopted the “three-step analgesic ladder therapy” recommended in the Three-step Analgesic Ladder Guidelines for Cancer and treated with morphine sustained release tablets according to the initial condition. The control group received routine nursing measures,while the treatment group additionally received acupoint application of Chinese herbs based on the treatment of the control group. Both groups were observed continuously for four weeks. Compared scores of numerical rating scale(NRS) of pain,symptom scores of qi stagnation and blood stasis and clinical effect in the two groups,as well as recorded the occurrence of complications. Results:The total pain relief rate was 94.12% in the treatment group,higher than that of 78.43% in the control group(P<0.05). After treatment,scores of NRS in the two groups were significantly reduced(P<0.01). The score of NRS in the treatment group was lower than that in the control group after treatment(P<0.01). After treatment,the symptom scores of qi stagnation and blood stasis in the two groups were significantly decreased(P<0.01). The symptom score of qi stagnation and blood stasis in the treatment group was lower than that in the control group(P<0.01). The complication rate was 3.92% in the treatment group, 19.61% in the control group and significantly lower than that in the treatment group (P<0.05). Conclusion:The therapy of routine western medicine and nursing combined with acupoint application of Chinese herbs for liver cancer pain,can obviously improve the cancer pain and clinical Chinese medicine symptoms of patients and improve clinical effect.