针药并用治疗癌症患者神经病理性疼痛疗效观察

Observations on the Therapeutic Effect of Combined use of Acupuncture and Medicine on Neuropathic Pain in Cancer

目的观察针刺配合口服卡马西平治疗癌症相关的神经病理性疼痛的临床疗效。方法将57例癌症患者随机分为治疗组30例和对照组27例。在癌痛规范化治疗的基础上,治疗组采用针刺配合口服卡马西平治疗,对照组采用单纯口服卡马西平治疗。治疗4星期后,对两组患者癌痛的控制情况进行评估。结果治疗组总缓解率为93.3%,对照组为77.8%,两组比较差异具有统计学意义(P<0.05)。结论针药并用是一种治疗癌症患者神经病理性疼痛的有效方法。

Objective To investigate the clinical efficacy of acupuncture plus oral carbamazepine in treating neuropathic pain in cancer. Methods Fifty-seven cancer patients were randomly allocated to a treatment group of 30 cases and a control group of 27 cases. The treatment group received acupuncture plus oral administration of carbamazepine and the control group, oral administration of carbamazepine alone on the basis of standardized treatment for cancer pain. The control effects on cancer pain were evaluated in the two groups of patients after four weeks of treatment. Results The total overall remission rate was 93.3%in the treatment group and 77.8% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. Conclusion Combined use of acupuncture and medicine is an effective way to treat neuropathic pain in cancer.