针药结合治疗癌性爆发痛的临床观察

Clinical Observation of Acupuncture Combined With Medicine in the Treatment of Cancer Outbreak Pain

目的观察吗啡即释片联合针刺治疗癌性爆发痛的疗效。方法选取2018年6月-2019年6月在本院住院69例癌症患者,随机分成两组,分别采用吗啡即释片5 mg、和吗啡即释片5 mg+针刺组控制爆发痛,分别比较两组患者疼痛控制有效率,疼痛缓解时间以及30 min和60 min时疼痛数字评分(numerical rating scale,NRS)情况。结果吗啡即释片组35例,60 min时有30例患者NRS评分均≤3分,有效率85.7%;吗啡即释片5 mg+针刺组34例,60 min时有33例患者NRS评分均≤3分,有效率97.1%;60 min时两组患者疼痛控制有效率比较,差异有统计学意义(P<0.05),吗啡即释片5 mg+针刺组,有效率更佳。60 min时两组患者疼痛缓解时间比较,差异有统计学意义(P<0.05),吗啡即释片5 mg+针刺组用时较短;30min时两组NRS评分比较,差异有统计学意义(P<0.05),提示吗啡即释片联合针刺组治疗癌性爆发痛,起效时间更快。结论吗啡即释片联合针刺治疗癌性爆发痛起效时间快,有效率高,能较短时间内控制症状。

Objective To observe the curative effect of the morphine immediate release tablet(5 mg)combined with acupuncture in the treatment of cancer outbreak pain.Methods Sixty-night cancer patients who were hospitalized in our hospital from June 2018 to June 2019,were randomly divided into two groups.The outbreak pain was controled by the morphine immediate release tablet(5 mg)and the morphine immediate release tablet(5 mg)combined with acupuncture.Effective of pain control,pain relief time and NRS score of 30 minutes and 60 minutes were compared between the two groups.Results 35 patients were collected in the morphine immediate release group.And 30 patients had NRS scores of≤3 points after 60 minutes,and the effective rate was 85.7%.34 patients were collected in the morphine immediate release tablet(5 mg)combined with acupuncture group.And 33 patients had NRS scores of≤3 points after 60 minutes,and the effective rate was 97.1%.There was statistically significant(P<0.05)of effective of pain control in the two groups.There was significant(P<0.05)of pain relief time in the two groups after 60 minutes,and morphine immediate release tablet(5 mg)combined with acupuncture group was shorter than another.There was significant(P<0.05)of NRS scores in the two groups after 30 minutes.It is suggested that morphine immediate release tablet(5 mg)combined with acupuncture can treat cancer outbreak pain more quickly.Conclusion The curative effect of morphine immediate release tablet(5 mg)combined with acupuncture in the treatment of cancer outbreak pain can control symptoms in a short time.