穴位埋线联合康莱特注射液治疗

晚期肺癌癌痛的疗效分析

Treating advanced lung cancer pain by acupoint catgut embeddingplus Kanglaite injection

宋东升周庆伟

（河南中医学院第一附属医院，河南  郑州，450000）

中图分类号：R734.2    文献标识码：A    文章编号：1674-7860(2015)27-0127-03    证型：AGD

【摘  要】目的：观察穴位埋线联合康莱特注射液对晚期肺癌患者癌性疼痛的治疗效果。方法：将64例肺癌患者随机分为两组，对照组予硫酸吗啡缓释片10 mg口服治疗，治疗组在与对照组相同治疗方法基础上，予穴位埋线联合康莱特注射液治疗，观察两组止痛效果及生活质量改善情况。结果：治疗组中完全缓解（CR）＋部分缓解（PR）例数为25例，显效率为78.1%；对照组完全缓解（CR）+部分缓解（PR）例数为14例，显效率为43.8%，两组对比差异有统计学意义（P＜0.05）；EORTCQLQ-C30(V3.0)量表中功能领域、症状领域、总体健康状况、腹泻、便秘、气促、失眠、食欲不振得分治疗组与对照组相比差异有统计学意义（P＜0.05），且治疗组治疗前后对比差异有统计学意义（P＜0.05）；量表单一领域中失眠领域得分对照组治疗前后对比差异有统计学意义（P＜0.05）。结论：穴位埋线联合康莱特注射液可缓解晚期肺癌患者癌性疼痛，改善患者生活质量。

【关键词】穴位埋线；康莱特注射液；肺癌癌痛

【Abstract】Objectives: To observe effects of acupoint catgutembedding and Kanglaite injection on advanced lung cancer pain. Methods 64advanced lung cancer patients were divided into two groups randomly, includingtreatment group and control group. Patients of control group were givensustained-release morphine sulfate tablets 10 mg orally, while besides the samemethod, the treatment group were treated by acupoint catgut embedding andKanglaite injection. Simultaneously, the analgesic effects and quality of lifewere evaluated. Results: The cases of complete remission(CR) and partialremission(PR) of treatment group and control group were 25,14 and the totalefficiency rates 78.1%,43.8%, there was statistically significant difference (P＜0.05). Inaddition, the scores of EORTC QLQ-C30(V3.0) scale including functional and symptomsareas, overall health, shortness of breath, diarrhea, constipation, insomnia,inappetence were different (P＜0.05), and difference was statistically significantbetween before and after treatment(P＜0.05).The scales of insomnia were of statisticallysignificant difference compared with the before and after treatment of controlgroup(P＜0.05). Conclusion: the treatments of acupoint catgutembedding and Kanglaite injection could help alleviate pain and improve thequality of life in advanced lung cancer patients.

【Keywords】Acupoint catgut embedding; Kanglaiteinjection; Lung cancer pain

doi:10.3969/j.issn.1674-7860.2015.27.062