中药治疗转移性骨肿瘤疼痛临床研究.pdfVIP

• 371 • 青岛医药卫生 2016 年第 48 卷第 5 期 ·中医中药· 中药治疗转移性骨肿瘤疼痛临床研究 梁伟春，曾焰辉 (佛山市中医院骨科，广东佛山 528000) 摘要:目的 探讨中药治疗转移性骨肿瘤疼痛的临床效果。方法 选取 2014 年 1 月至 2016 年 1 月在我院治疗的转移性骨肿瘤疼痛患者 60 例，随机分为对照组和观察组，每组 30 例。对照组给予 氨酣是考酣片 1 片/次， 1 次/6h ，同时根据患者 NRS 评分对给药剂量进行调整。观察组在对照组 基础上给予本院药剂科煎制的中药扶正解毒散。比较两组疼痛缓解率、体力状况评分、疼痛评分、 镇痛药物的用量、爆发痛的发生次数和患者对镇痛效果满意度。结果 观察组疼痛缓解有效率、体力 状况评分和镇痛效果满意度方面明显优于对照组，爆发痛发生率、治疗全程镇痛药物的用量和 NRS 评分显著低于对照组。结论 中药治疗转移性骨肿瘤疼痛的临床效果显著，值得临床推广。 关键词:中药;转移性骨肿瘤;疼痛z 临床研究 中图分类号:R273 文献标识码:A doi: 10. 3969/j. issn. 1006-557 1. 2016.05.021 Clinical research of TCM treating pain of metastatic bone tumors LIANG Wei-chun , ZENG Yan-hui. Deρartment 0/ Orthopedics , Foshan Traditional Chinese Medicine Hosρital ， Foshan , Guangdong 528000 , China Abstract: Objective To study the curative effect of TCM treating pain of metastatic bone tumors. Methods A total of 60 cases patients with pain of metastatic bone tumors were random- ly divided into control group and observation group , with 30 cases in each group. Control group received foreign medicine only , and observation group received foreign medicine combined with TC岛1. Rate of pain relief , Karnofsky scoring , pain scores , dosage of analgesic drug , frequency of breakthrough pain , and satisfaction of analgesic effect were compared. Results The rate of pain relief , Karnofsky scoring and satisfaction of analgesic effect in the observation group were better. The frequency of breakthrough pain , the NRS scores and the dosage of analgesic drug in the ob- servation group were less than the control group. Conclusion Tra