红外线联合药物治疗中重度癌性疼痛的疗效观察与护理

Observation on the effect of the infrared combined drug and nursing care in the treatment of moderately severe cancer pain

目的:探讨红外线照射结合止痛膏敷贴、美施康定及护理治疗中重度癌性疼痛的疗效和安全性。方法:将癌性疼痛患者86例随机分为对照组和治疗组,每组43例。两组均采取美施康定治疗及相同的综合护理干预,治疗组加用红外线照射结合止痛膏敷贴治疗。观察两组治疗前后吗啡缓释片用量变化、止痛效果及卡氏评分变化情况。结果:两组间疼痛治疗总有效率无显著性差异(P>0.05),但显效率有显著性差异(P<0.05);治疗前后两组疼痛评分的比较差异有统计学意义(P<0.05),对照组止痛疗效明显低于治疗组;对照组美施康定增加比例明显高于治疗组(P<0.05);治疗前后两组间卡氏评分变化情况的比较,治疗组用药后与用药前比较,有显著性差异(P<0.05)。结论:红外线照射结合止痛膏敷贴、美施康定及护理治疗中重度癌性疼痛,可明显缓解疼痛,减少吗啡使用量,提高患者生存质量。

Objective： To study the infrared irradiation combined with acetanilide sticking,morphine and nursing efficacy and safety in treatment of moderately severe cancer pain. Methods： 86 patients with cancer pain were randomly divided into control group and treatment group,43 cases in each group. In the two groups were treated with morphine and the same comprehensive nursing intervention,treatment group was treated with infrared irradiation combined with acetanilide sticking. Observe two groups before and after treatment of morphine zyban dosage,analgesic effect and carr＇s score variation. Results： The total effective rate pain treatment between the two groups had no significant difference（ P〉 0. 05）,but significant efficiency had significant difference（ P〈 0. 05）; The comparison of two groups before and after the treatment of pain score difference was statistically significant（ P〈 0. 05）,the control group analgesic efficacy significantly lower in treatment group; Controls the morphine increase ratio was significantly higher in treatment group（ P 〈0. 05）; Cartesian score changes before and after treatment between two groups of comparison,the treatment group compared with before medication,the medicine has significant difference（ P〈 0. 05）. Conclusion： The combination of infrared radiation is acetanilide sticking,morphine and nursing in treatment of moderately severe cancer pain,and can obviously relieve pain,reduce the morphine usage,improve the quality of survival.