腕踝针对中重度肝癌疼痛的镇痛疗效观察

目的:观察腕踝针对中重度肝癌疼痛的镇痛疗效.方法:将94例肝癌疼痛患者根据疼痛程度分为5组,即中度疼痛2组,重度疼痛3组.中度疼痛分为腕踝针治疗Ⅰ组与可待因治疗组,每组20例;重度疼痛分为腕踝针治疗Ⅱ组16例、美施康定治疗组20例、腕踝针加美施康定治疗组18例.观察各组的镇痛效果、镇痛特点及不良反应.结果:腕踝针治疗对中度疼痛的缓解率为85.0%,对重度疼痛的缓解率为63.0%,腕踝针加美施康定治疗对重度疼痛的缓解率为83.3%.腕踝针治疗具有起效快,持续缓解时间长的特点,对重度疼痛患者可降低药物不良反应发生率.结论:腕踝针治疗中重度肝癌疼痛疗效肯定.

Clinical Observation on Efficacy of Wrist-ankle Acupuncture in Reliveing Moderate and Severe Pain of Patients with Liver Cancer

Objective: To assess the analgesic efficacy of wrist-ankle acupuncture(WAA)in relieving moderate and severe pain of patients with primary liver cancer,and to observe its analgesic characteristics and side effects. Methods:Ninety-four patients with primary liver cancer were observed.Forty patients with moderate cancer pain were divided into 2 groups,including WAA-treated group and codine-treated group,with 20 patients in each group.Fifty-four patients with severe cancer pain were divided into 3 groups,including 16 patients treated with WAA,20 patients treated with MS contin,and 18 patients treated with WAA and MS contin.Results:The pain relief rates of the two moderate pain groups(WAA-treated and contin treated)were 85.0% and 65.0% respectively.The pain relief rates of the three severe pain groups(WAA-treated,MS contin-treated,WAA and MS contin-treated) were 63.0%,85.0% and 83.3% respectively.WAA had shorter start time and longer effective period than the drug therapy,and had no statistic difference in optimal relief time as compared with the drug therapy.Conclusion:The present study confirms the analgesic efficacy of WAA therapy for cancer pain caused by heptocarcinoma,especially for the moderate pain.