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柴胡桂枝汤联合盐酸羟考酮缓释片治疗癌性疼痛的临床疗效观察
引用本文:江 恒1,原薇薇2,廖 皓1,王 奎1,李 莉1,王跃蓉1,代洪玉1,袁 滢1,孙 薏1. 柴胡桂枝汤联合盐酸羟考酮缓释片治疗癌性疼痛的临床疗效观察[J]. 现代肿瘤医学, 2020, 0(14): 2517-2519. DOI: 10.3969/j.issn.1672-4992.2020.14.034
作者姓名:江 恒1  原薇薇2  廖 皓1  王 奎1  李 莉1  王跃蓉1  代洪玉1  袁 滢1  孙 薏1
作者单位:1.西部战区空军医院肿瘤科,四川 成都 610021;2.西部战区总医院肿瘤科,四川 成都 610083
摘    要:目的:探讨柴胡桂枝汤联合盐酸羟考酮缓释片治疗癌性疼痛的疗效。方法:80例癌痛患者随机分为对照组和治疗组各40例,参照癌痛规范化疗治疗要求,观察患者生活质量评分改善、不良反应、日均吗啡消耗量、爆发痛频次等指标。结果:治疗组便秘发生率(5.0% vs 22.5%)、总不良反应发生率(47.5% vs 85.0%)均显著低于对照组(P<0.05);治疗组生活质量评分改善[(22.25±6.60)分]显著高于对照组[(17.00±6.07)分](P<0.05);治疗组日均吗啡消耗量[(203.82±52.58)mg]显著低于对照组[(245.09±67.57) mg](P<0.05);治疗组累积爆发痛频次(10.58±1.80)显著低于对照组(13.55±2.58)(P<0.05)。结论:柴胡桂枝汤联合盐酸羟考酮缓释片治疗癌痛具有增效减毒之效,更能提高癌痛患者生活质量。

关 键 词:癌性疼痛  柴胡桂枝汤  盐酸羟考酮缓释片

Clinical observation of Chai Hu Gui Zhi decoction in treating cancer pain combined with oxycodone hydrochloride sustained release tablets
Jiang Heng1,Yuan Weiwei2,Liao Hao1,Wang Kui1,Li Li1,Wang Yuerong1,Dai Hongyu1,Yuan Ying1,Sun Yi1. Clinical observation of Chai Hu Gui Zhi decoction in treating cancer pain combined with oxycodone hydrochloride sustained release tablets[J]. Journal of Modern Oncology, 2020, 0(14): 2517-2519. DOI: 10.3969/j.issn.1672-4992.2020.14.034
Authors:Jiang Heng1  Yuan Weiwei2  Liao Hao1  Wang Kui1  Li Li1  Wang Yuerong1  Dai Hongyu1  Yuan Ying1  Sun Yi1
Affiliation:1.Department of Oncology,Western Theater Command Air Force Hospital of PLA,Sichuan Chengdu 610021,China;2.Center of Oncology,Western Theater Command General Hospital of PLA,Sichuan Chengdu 610083,China.
Abstract:Objective:To study the clinical effection of Chai Hu Gui Zhi decoction in treating cancerous pain combined with oxycodone hydrochloride sustained release tablets.Methods:80 patients with cancerous pain were randomly divided into the control group(n=40) and the treating group(n=40).In accordance with standardized treatment of cancer pain,quality of life scores,adverse reactions,average daily caffeine consumption,frequency of breakthough pain were observed.Results:Incidence of constipation and incidence of total adverse reaction in the treatment group were significantly lower than in the control group(5.0% vs 22.5%,47.5% vs 85.0%,P<0.05).Changed quality of life scores in the treatment group were siginificantly higher than in the control group(22.25±6.60 vs 17.00±6.07,P<0.05).Average daily caffeine consumption and frequency of breakthough pain in the treatment group were significantly lower than in the control group[(203.82±52.58)mg vs (245.09±67.57)mg,10.58±1.80 vs 13.55±2.58,P<0.05].Conclusion:Chai Hu Gui Zhi decoction combined with oxycodone hydrochloride sustained-release tablets in the treatment of cancer pain is synergistic attenuated effect,can improve the quality of life of patients with cancer pain.
Keywords:cancer pain   Chai Hu Gui Zhi decoction   oxycodone hydrochloride sustained-release tablets
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