电针辨证治疗肺癌癌痛30例

Thirty Cases of Patients with Lung Cancer Pain Treated with Electro-acupuncture Based on Syndrome Differentiation

目的:观察电针辨证治疗肺癌癌痛的临床疗效。方法:选取2016年2月至2017年2月在浙江萧山医院肿瘤科住院治疗的肺癌癌痛患者60例,按随机数字表法分为治疗组和对照组,每组30例。治疗组接受电针辨证取穴联合羟考酮缓释片治疗2周,对照组单用羟考酮缓释片治疗2周。结果:治疗组中,显效13例(43.33%),有效15例(50.00%),无效2例(6.67%),有效率93.33%;对照组中,显效6例(20.00%),有效16例(53.33%),无效8例(26.67%),有效率73.33%。经χ~2检验,两组显效率比较有统计学差异(χ~2=6.211,P=0.045<0.05),两组有效率比较差异无统计学意义(χ~2=4.32,P=0.08)。治疗组爆发痛次数、不良反应发生率、生存质量优于对照组,差异有统计学意义(P<0.05)。结论:电针辨证治疗肺癌癌痛疗效确切,能改善患者生存质量,降低不良反应发生率。

Objective： To observe the clinical curative effect of electro-acupuncture based on syndrome differentiation on patients with lung cancer pain. Methods： Sixty patients with lung cancer pain who were treated in Tumor Department of Zhejiang Xiaoshan Hospital between February 2016 and February 2017 were chosen as the research subjects,and randomly divided into the treatment group and the control group according to the random number table method,with 30 cases in each group. The treatment group received electro-acupuncture acupoints based on syndrome differentiation combined with oxycodone sustained-release tablets for 2 weeks,while the control group was treated with oxycodone sustained-release tablets for 2 weeks. Results： In the treatment group,13 cases（ 43. 33%） were markedly effective,15 cases（ 50%） were effective,2 cases（ 6. 67%） were invalid,and the effective rate was 93. 33%. In the control group,6 cases（ 20%） were markedly effective,16 cases（ 53. 33%） were effective,16 cases were invalid,and the effective rate was 16. Chi square test showed significant difference between the two groups（ χ2= 6. 211,P =0. 045 〈 0. 05）. There was no significant difference in the effective rate between the two groups（ χ2= 4. 32,P = 0. 08）. The number of pain,the incidence of adverse reactions and the quality of life in the treatment group were better than those in the control group,and all the differences were statistically significant（ P 〈 0. 05）. Conclusion： Electro-acupuncture acupoints based on syndrome differentiation has a remarkable clinical curative effect on lung cancer pain,can improve the patients’ quality of life and reduce their incidence of adverse reactions.