益肾骨康方联合热疗治疗骨转移癌疼痛的临床观察.pdf

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1、·750·世界中西医结合杂志2014年第9卷第7期WorldJournalofIntegratedTraditionalandWestemMedicine2014，V。1．9，N。．7·临床研究·益肾骨康方联合热疗治疗骨转移癌疼痛的临床观察高音冯利王芳勾涛【摘要】目的观察骨转移癌疼痛患者应用益肾骨康方联合热疗镇痛的临床疗效。方法将40例伴有不同程度骨转移癌疼痛的患者随机分为治疗组和对照组。对照组20例，单纯应用氨酚羟考酮片(泰勒宁)控制骨转移癌疼痛。治疗组20例，在对照组治疗基础上内服益肾骨康方联合骨转移部位局部热疗。治疗2周后对两组患者治疗前后疼痛缓解情况、氨酚羟考酮片(泰勒宁)用药剂量

2、、体力状况进行观察和分析。结果治疗后治疗组疼痛缓解情况明显优于对照组(P<0．05)；治疗组氨酚羟考酮片使用量减少率远高于对照组(P<0．05)；两组治疗后体力状况评分提高率比较，治疗组高于对照组(P<0．05)。结论益肾骨康方联合局部热疗对骨转移癌疼痛有明显控制作用，可减少强阿片类药物用量，提高体力状况，对提高患者生存质量有重要意义。【关键词】骨转移癌；疼痛；益肾骨康方；热疗【中图分类号】R273；R738．1【文献标识码】A【DOI】10．13935／j．cnki。sjzx．140723ClinicalObservationintheTreatmentofPaininBoneMetas

3、tatjCCancerwithYishengukangFormulaandThermalTherapyGAOYin，FENGLi，WANGFang，GOUTao(WangjingHospital，ChinaAcademyofChineseMedicalSciences，Beijing110102)【Abstract】ObjectiveToobservetheclinicalefficacyofYishenggukangFormulaandthermalthera—pyinthepatientsofpainofbonemetastaticcancer．MethodsFortycaseswer

4、erandomizedintoatreatmentgroupandacontrolgroup．Inthecontrolgroup，20casesweretreatedwithAcetaminiphenOxycodoneTabletstosuppresspainofbonemetastaticcancer．Inthetreatmentgroup，20casesweretreatedwithYishenggukangFormulaandlocalthermaltherapybesidethemedicationasthecontrolgroup．In2weeksoftreatment，pain

5、relief，drugdoseofAeetaminiphenOxycodoneTabletsandphysicalconditionwereobservedandanalyzedinthetwogroups．ResultsAftertreatment，inthetreatmentgroup，theresultofpainreliefwasremarkablySU—periortothecontrolgroup(P<0．05、．ThereducingrateofthedrugdoseofAcetaminiphenOxycodoneTab—letswasquitehigherthanthati

6、nthecontrolgroup(P<0．05)．Theimprovementrateofphysicalconditioninthetreatmentgroupwashigherthanthatinthecontrolgroup(P<0．05)．ConclusionTheallianceofYish—enggukangFormulaandlocalthermaltherapyremarkablysuppressespainofbonemetastaticcancer，reducesthedoseofstrongopioidsandimprovesphysicalcondition．Itp

7、laysthesignificantroleintheimprovementofsurvivalquality0fpatients．【Keywords】BoneMetastaticCancer；Pain；YishengukangFormula；ThermalTherapy骨骼是晚期恶性肿瘤最常见的转移和受累部量。经过前期研究证实，补肾化瘀中药治疗骨转移位，晚期恶性肿瘤2／3有骨转移，肿瘤骨转移癌是恶癌痛可以提高患者生活质