以痛为腧针刺治疗癌性疼痛疗效观察

目的：寻找一种安全有效的缓解癌痛的方法。方法：将66例晚期癌症且伴有疼痛的患者,根据疼痛的轻中重不同程度分为3层,按照随机数字表分别将每一层病人随机分配到针刺组和药物组。针刺组采用以痛为腧治疗,在疼痛部位找3～5个最明显的压痛点作为针刺点;药物组按WHO三阶梯给药原则给口服药,轻度癌痛用阿司匹林,中度用可待因,重度用吗啡。以数字分级法评定疼痛缓解的临床疗效。结果：针刺组和药物组均可有效控制癌痛,但针刺组作用明显优于药物组,针刺组总有效率为94.1%,药物组总有效率为87.5%,2组疗效差异有显著性意义（P〈0.05）。结论：针刺治疗癌痛可取得优于三阶梯药物的止痛效果,且无止痛药的毒副反应及成瘾性,值得临床推广应用。

Observation on the therapeutic effect of acupuncture at pain points on cancer pain

OBJECTIVE: To search for a safe and effective method for alleviating cancer pain. METHODS: Sixty-six cases of late cancer with pain were first divided into 3 different degrees of pain, mild, moderate and severe, and then the patients with pain of each same degree were randomly divided into an acupuncture group treated by acupuncture at 3-5 of the most severe tender points, and a medication group treated with oral administration according to the WHO Three Step Administration Principle, i.e. the patients with mild pain took aspirin, moderate pain took codeine and severe pain took morphine. RESULTS: Both two methods could effectively control cancer pain. The total effective rate of 94.1% in the acupuncture group was significantly better than 87.5% in the medication group (P<0.05). CONCLUSION: The analgesic effect of acupuncture treatment is better than that of the Three Step Administration, with no adverse effect and addiction of analgesics.