中西医结合治疗终末期癌痛40例临床观察

Analysis of the Clinical Effect of Combining Traditional Chinese and Western Medicine Therapy in the Treatment of End-stage Cancer Pain

目的:观察中西医结合疗法治疗终末期癌痛的临床疗效。方法:选取80例终末期癌症患者且NRS疼痛评分均在4分以上。根据治疗方法随机分成采用吗啡肌注治疗癌痛的对照组与吗啡肌注联合中药硬膏外敷治疗的观察组各40例。观察两组疼痛缓解情况。结果:治疗后观察组总有效率为95.0%,对照组总有效率为77.5%,两组比较差异有统计学意义(P<0.05);两组不良反应差异无统计学意义(P>0.05)。结论:中西医结合疗法可有效缓解终末期癌痛,改善患者的生存质量,值得临床推广应用。

Objective To analyze the clinical effect of combined therapy of traditional Chinese and Western medicine in the treatment of end stage cancer. Methods Selected 80 cases of cancer patients in our hospital were randomly selected and NRS pain scores were above 4. According to the methods of treatment were randomly divided into control group with intramuscular injection of morphine in the treatment of cancer pain 40 cases, the observation group with intramuscular injection of morphine combined with Chinese hard plaster treatment 40 cases. The pain relief of the two groups were observed. Results The two groups by their respective treatment regi- men in the treatment of end - stage cancer patients, the total efficiency of the observation group 95%. Control group the total effective rate was 77.5 % , and there was no significant difference between the two groups （P 〉 0. 05）. Conclusion Combination of traditional Chinese and Western medicine therapy can relief terminal cancer pain, effectively improve the quality of life of patients with end stage cancer, it is worth promoting.