中医护理干预联合经皮穴位电刺激对晚期肺癌伴骨转移疼痛患者的影响

The influence of Traditional Chinese Medical Nursing Intervention Combined with Transcutaneous Electrical Acupoint Stimulation in the Treatment of Bone Metastasis Pain of Advanced Lung Cancer

目的：探讨中医护理干预联合经皮穴位电刺激在晚期肺癌伴骨转移疼痛中的临床应用效果。方法：将我院在2014年1月～2015年6月期间收治的78例晚期肺癌伴骨转移疼痛患者随机分为观察组和对照组各39例，两组患者均给予镇痛药氨酚羟考酮片，观察组患者在药物治疗基础上采用中医护理干预联合经皮穴位电刺激的方法，连续治疗4周。比较两组患者治疗4周末的临床总有效率，在治疗第2周末和第4周末时用数字疼痛强度量表（Numerical rating scale，NRS）、Kolcaba舒适状况量表（Kolcabacomfor tstatus scale）和卡式评分（Karnofsky performance status，KPS）对患者治疗前后的疼痛情况、舒适程度和功能状态进行评价。并比较两组患者治疗前后的疼痛影响评分。结果：观察组治疗有效率为92．31％，对照组治疗有效率为74．36％，组间差异有统计学意义（P〈0．05）；观察组患者在治疗后第2周和第4周的NRS评分、Kolcaba舒适状况量表评分和KPS评分均显著优于对照组（P〈0．05）；治疗后观察组患者在日常生活、情绪和睡眠3方面的评分显著优于对照组（P〈0．05）。结论：在镇痛药物的基础上给予晚期肺癌伴骨转移患者中医护理干预和经皮穴位电刺激能有效缓解患者疼痛，提高患者舒适度，改善患者生活质量。

Objective： To discuss the clinical effect of traditional Chinese medical nursing intervention combined ＇with transcutaneous electrical acupoint stimulation on bone metastasis of advanced lung cancer. Methods： In our hospital from Jan 2010 to Jan 2015, a total of 78 cases of advanced lung cancer patients with pain induced by bone metastasis were equally divided into a control group and an observation group, with 39 cases in each. All the research subjects were given analgesic acetaminophen oxycodone tablets, while patients in observation were given Chinese medical nursing intervention combined with transcutaneous electrical acupoint stimulation for 4 consecutive weeks. The total clinical effect rate between two groups at the end of 4th weekend were compared; The numerical rating scale （NRS）, Kolcaba comfort status scale, and Karnofsky performance status （KPS） were used to evaluate the pain situation, comfortable degree and functional status between two groups, respectively. And performance status influenced by the pain were compared in the meantime. Results： The total clinical effect rate in observation was 92.31%, 74. 36 % in the control group, so the difference was significant （P 〈 0. 05 ）. The scores of NRS, Koleaba comfort status scale and KPS in observation group were significantly better than those in control group at the 2th and 4th weekend of the treatment （ P 〈 0. 05 ）. The observation group had obvious advantages in general activity, mood and sleep compared to control group at the end of the treatment, and the differences were significant （ P 〈 0. 05 ）. Conclusion： Traditional Chinese medical nursing intervention combined with transeutaneous electrical acupoint stimulation on the basis of analgesic have obvious clinical effects in helping ease the pain and improving comfort degree on patients bone metastasis of advanced lung cancer, and therefore promote their life quality.