[1]黄常江,刘俊波,廖天华,等.止痛膏联合三阶梯止痛原则治疗肝癌疼痛60例临床观察[J].西部中医药,2018,31(12):98-101.
　HUANG Changjiang,LIU Junbo,LIAO Tianhua,et al.Clinical Observation on Pain-relieving Ointment and Three-step Pain-relieving Principles in Treating 60 Cases of Liver Cancer Pain[J].Western Journal of Traditional Chinese Medicine,2018,31(12):98-101.
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止痛膏联合三阶梯止痛原则治疗肝癌疼痛60例临床观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年12期
页码:
98-101
栏目:
出版日期:
2018-12-15

文章信息/Info

Title:
Clinical Observation on Pain-relieving Ointment and Three-step Pain-relieving Principles in Treating 60 Cases of Liver Cancer Pain
文章编号:
1004-6852(2018)12-0098-04
作者:
黄常江，刘俊波，廖天华，李薇
贵港市中医医院，广西 贵港 537100
Author(s):
HUANG Changjiang, LIU Junbo, LIAO Tianhua, LI Wei
Guigang Municipality TCM Hospital, Guigang 537100, China
关键词:
肝癌; 疼痛; 止痛膏; 外敷; 镇痛
Keywords:
liver cancer;  pain;  pain-relieving ointment;  external application;  pain-relieving
分类号:
R735.7
摘要:
目的：观察止痛膏联合三阶梯止痛原则治疗肝癌疼痛的临床疗效。方法：将180例肝癌疼痛患者随机分为观察组、对照1组、对照2组，每组60例。观察组给予止痛膏敷贴联合三阶梯止痛药物治疗，对照1组给予三阶梯止痛原则治疗，对照2组予止痛膏敷贴治疗，治疗2周后，观察3组疼痛缓解率、生活质量变化情况及不良反应。结果：不同分级的疼痛缓解总有效率，3组比较观察组均高于对照1组及对照2组(P＜0.05)，轻度疼痛及中度疼痛总有效率，对照1组与对照2组比较，差异无统计学意义(P＞0.05)；重度疼痛总有效率，对照1组高于对照2组，差异有统计学意义(P＜0.05)。3组生活质量治疗后比较，观察组良好率均高于对照1组及对照2组，差异有统计学意义(P＜0.05)；对照1组生活质量良好率高于对照2组，差异有统计学意义(P＜0.05)。不良反应发生率观察组低于对照1组，高于对照2组，差异有统计学意义(P＜0.05)；对照1组不良反应发生率高于对照2组，差异有统计学意义(P＜0.05)。结论：止痛膏敷贴联合三阶梯止痛原则治疗肝癌疼痛可明显缓解癌痛，改善患者生活质量，且副作用小。
Abstract:
Objective：To observe clinical effects of pain-relieving ointment and three-step pain-relieving principles in treating liver cancer pain. Methods: All 180 patients were randomized into the observation group, the control group No.1 and the control group No.2, 60 cases each group. The observation group were treated by pain-relieving ointment application and three-step pain-relieving medicine, the control group No.1 by three-step pain-relieving principles, the control group No.2 by pain-relieving ointment application, after treating for two weeks, pain remission rate, the changes of life quality and adverse reaction of three groups were observed. Results: The observation group was higher than the control group No.1 and the control group No.2 in total effective rate of pain remission rate at various levels (P＜0.05), the difference had no statistical meaning when the control group No.1 was compared with the control group No.2 in total effective rates of mild and moderate pain (P＞0.05); the control group No.1 was higher than the control group No.2 in total effective rate of severe pain, and the difference was statistically significant(P＜0.05). The comparisons of life quality among three groups after treating, the observation group was higher than the control group No.1 and the control group No.2 in the excellent rate (P＜0.05); the control group No.1 was higher than the control group No.2 in the excellent rate of life quality (P＜0.05). The observation group was lower than the control group No.1, higher than the control group No.2 in the incidence of adverse reaction (P＜0.05); the control group No.1 was higher than the control group No.2 in the incidence of adverse reaction(P＜0.05). Conclusion: Pain-relieving ointment and three-step pain-relieving principles in treating liver cancer pain could obviously relieve the pain and improve quality of life of the patients with minor side effects.

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备注/Memo

备注/Memo:
收稿日期：2018-04-10 *基金项目：广西贵港市科技局2014年科研课题项目(编号贵科攻1407013)。 作者简介：黄常江(1971—)，男，副主任医师。研究方向：肿瘤的临床诊治。
更新日期/Last Update: 2018-12-15