三焦灸技术在癌痛患者阿片类药物相关性便秘中的应用研究

Application of sanjiao moxibustion technique in opioid related constipation in cancer pain patients

[目的]探讨应用三焦灸技术治疗阿片类药物相关性便秘的效果。[方法]选取2022年7月—2023年6月天津中医药大学第一附属医院肿瘤科中晚期肿瘤患者服用阿片类药物相关性便秘的患者60例,运用随机法将患者分为对照组30例和观察组30例。对照组采用肿瘤科常规护理,观察组在对照组的基础上行三焦灸技术改善其便秘症状。[结果]两组患者治疗前在性别、年龄、医疗诊断方面,差异均无统计学意义(P>0.05),具有可比性。治疗2周后两组患者相比较,便秘严重程度评分中除病程外,均具有统计学意义(P<0.05);观察组在便秘的生存质量和治疗总有效率改善情况相较于对照组更为明显(P<0.05)。[结论]三焦灸技术可有效改善癌痛患者阿片类药物相关性便秘的症状,提高患者生活质量,值得进一步推广。

[Objective]To explore the effect of applying sanjiao moxibustion technology in the treatment of opioid related constipation.[Methods]Sixty patients with opioid related constipation in the oncology department of a tertiary Chinese medicine hospital from July 2022 to June 2023 were selected.The patients were randomly divided into a control group of 30 cases and an observation group of 30 cases.The control group received routine care from the oncology department,while the observation group received sanjiao moxibustion technology to improve their constipation symptoms on the basis of the control group.[Results]There was no significant difference in gender,age and medical diagnosis between the two groups before treatment(P>0.05),indicating that the two groups were comparable.After 2 weeks of treatment,the scores of constipation severity except the course of the disease were statistically significant(P<0.05).The improvement of the quality of life and the total effective rate of treatment in the observation group was more obvious than that in the control group(P<0.05).[Conclusion]Sanjiao moxibustion technology can effectively improve the symptoms of opioid related constipation in cancer pain patients,improve their quality of life,and is worthy of further promotion.