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1、肝动脉化疗栓塞治疗中疼痛的心理干预与药物治疗疗效分析王子轩，孙春辉，王倩王子轩，青岛市市立医院介入放射科青岛市266000孙春辉，青岛M第三人民医院消化内科青岛市266000王倩，青岛人学医学院附属医院青岛市266000王子轩，男，1976・11・13生，青岛市人，汉族，医学硕士，主治医师，主要从事介入放射学研究项日负责人：王子轩，266000,青岛市胶州路1号，青岛市立医院介入放射科.prince_room@sina.com电话：13608979916收稿日期：接受日期：Analysisofpsychologicalinterventionandpharmacologicalan
2、algesiaduringthehepaticarterialchemoembolizationtherapyZi-XuanWang,Chun-HuiSun,QianWangZi-XuanWang,DepartmentofInterventionalRadiology,QingdaoMunicipalHospital,Qingdao266000,ChinaChun-HuiSun,DepartmentofGastroenterology,Qingdao3rdPeople'Hospital,Qingdao266000,ChinaQianWang,AffiliatedHospitalof
3、MedicalCollege,QingdaoUniversity,Qingdao266000,ChinaCorrespondenceto:Dr.Zi-XuanWang,DepartmentofInterventionalRadiology,QingdaoMunicipalHospital,No.1,Jiao-ZhouRd,Qingdao266000,China,prince_room@sina.comAbstractAIM:Toevaluatethepainreliefofpsychologicalinterventionandpharmacologicalanalgesiadur
4、inghepaticarterialchemoembolizationprocedure.METHODS:216patientsunderwenthepaticarterialchemoembolizationtherapyforunresectablehepaticcarcinomawererandomizedintopharmacologicalanalgesiagroup(n=46)andcombinedtherapygroup(n=216,psychologicalinterventionandmedicationweredoneinturn).Allpatientswer
5、emeasuredwithSymptomChecklist-90(SCL-90)beforeembolizationandpainNumericRatingScale-10(NRS-10)scorewererecordedbeforepsychologicalintervention/medication,afterpsychologicalintervention(onlyincombinedtherapygroup)andfollowingmedicationduringtherapeuticprocess・RESULTS:Thebaselinecharacteristics,
6、psychologicalstatusandNRS-10scoresbeforepaincontrolshowednostatisticaldifferencebetweentwogroups(P>0.05).Postembolizationpainwassignificantrelievedaftermedication,psychologicalinterventionorcombinedtherapy(z=4.47,5.79,20.24;P<0.01).Therewereobviousdifferenceamongthecurativeeffectsscores(pre-th
7、erapyNRS-10score一post-therapyNRS-10score)ofabovethreetherapeuticmethods(F=21.9&PvO.Ol).Accordingtothecurativeeffectsscore,medicationandcombinedtherapywasmoresatisfactorythanthatofpsychologicalintervention(PvO.Ol).Combinedtherapywasthebe
