电热针联合止痛药治疗癌性躯体疼痛气滞血瘀证的临床研究

Electro-thermal acupuncture combined with analgesics in the treatment of patients with cancerous somatic pain (qi-stagnation and blood stasis syndrome)

目的观察电热针联合止痛药治疗癌性躯体疼痛气滞血瘀证的临床疗效。方法将60例癌性躯体疼痛气滞血瘀证的患者随机分为治疗组30例、对照组30例。对照组口服西药止痛药,治疗组在口服西药止痛药的基础上,予电热针针刺气海、血海、太溪穴治疗。观察2组疼痛评分、生活质量卡氏评分(KPS评分)、气滞血瘀证证候积分、KPS评分疗效、气滞血瘀证证候疗效。结果疼痛评分、气滞血瘀证证候积分治疗后治疗组较本组治疗前降低(P<0.05),对照组与本组治疗前比较差异均无统计学意义(P>0.05)。治疗后治疗组较对照组降低明显,治疗前后差值与对照组比较差异有统计学意义(P<0.05),治疗组优于对照组。KPS评分治疗后2组较本组治疗前比较差异均无统计学意义(P>0.05)。2组治疗前后差值比较差异有统计学意义(P<0.05),治疗组优于对照组。治疗组KPS评分疗效优于对照组。治疗组气滞血瘀证证候疗效优于对照组。结论电热针联合止痛药治疗癌性躯体疼痛气滞血瘀证具有较好的临床疗效。

Objective To observe the clinical effect of electro-thermal acupuncture combined with analgesic in the treatment of cancerous somatic pain（ qi-stagnation and blood stasis）. Method 60 patients with cancerous somatic pain,which were diagnosed as qi-stagnation and blood stasis syndrome were randomly divided into the treatment group and the control group,with 30 patients in each. The control group was given analgesics,while the treatment group was given electro-thermal acupuncture on Qihai,Xuehai and Taixi besides analgesics. The indexes of comprehensive therapeutic effect,the quality of life（ KPS score）,TCM syndrome score,effect of improvement of KPS and the symptoms integral of qi-stagnation and blood stasis were observed before and after treatment. Results After treatment,the scores of pain and pattern of qi stagnation and blood stasis in treatment group decreased significantly（ P 〈0. 05）,while the control group had no statistical difference（ P 〉0. 05）. Compared to the control group,the treatment group decreased significantly,the differentials before-after treatment of treatment group had significantly difference to control group（ P 〈0. 05）,and the treatment group was superior to control group. After treatment,KPS score of both groups showed no significant difference compared with before treatment（ P 〉0. 05）. The differentials before-after treatment of both groups had significant difference（ P 〈0. 05）,and the treatment group was superior to control group. KPS score of treatment group improved significantly than control group. The qi stagnation and blood stasis syndrome score improved significantly than control group. Conclusion Electro-thermal acupunctur combines analgesic has good effect on cancerous somatic pain with qi-stagnation and blood stasis syndrome.