耳穴压豆联合盐酸羟考酮缓释片对癌性疼痛患者疼痛爆发次数及PPI与KPS评分的影响
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The effect of auricular plaster therapy combined with oxycodone hydrochloride sustained release tablets on the number of pain outbreak, PPI score and KPS score in cancer pain patients
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    摘要:

    目的 探讨耳穴压豆联合盐酸羟考酮缓释片对癌性疼痛患者疼痛爆发次数、现时疼痛强度(PPI)评分及卡氏评分(KPS)的影响。方法 选取2017年1月~2019年11月本院收治的癌性疼痛患者100例作为研究对象,采用随机数字表法将其分成对照组与研究组各50例。对照组采用盐酸羟考酮缓释片治疗,研究组在对照组基础上增加耳穴压豆治疗。对比临床疗效、疼痛爆发次数、PPI评分、KPS评分、不良反应。结果 研究组缓解率高于对照组(P<0.05)。治疗后两组疼痛爆发次数均少于治疗前(P<0.05),且治疗后研究组疼痛爆发次数少于对照组(P<0.05)。治疗后两组PPI评分均小于治疗前(P<0.05),且治疗后研究组PPI评分小于对照组(P<0.05)。治疗后两组KPS评分均大于治疗前(P<0.05),且治疗后研究组KPS评分大于对照组(P<0.05)。研究组恶心/呕吐、便秘发生率均低于对照组(P<0.05),头晕、排尿困难、嗜睡发生率与对照组比较差异无统计学意义(P>0.05)。结论 耳穴压豆联合盐酸羟考酮缓释片可提高癌性疼痛治疗效果,减少疼痛爆发次数、PPI评分、不良反应,增大KPS评分,提高生活质量。

    Abstract:

    Objective To explore the effect of auricular plaster therapy combined with oxycodone hydrochloride sustained release tablets on the number of pain outbreaks, the present pain intensity (PPI) score and the Karnovfsky performance status (KPS) score in cancer pain patients. Methods From January 2017 to November 2019, 100 cancer pain patients in our hospital were selected as the subjects of this study, and they were divided into two groups by random number table method. The control group (n=50) was treated with oxycodone hydrochloride sustained release tablets, and the study group (n=50) was treated with auricular-plaster therapy on the basis of the control group. The clinical efficacy, number of pain eruption, PPI score, KPS score and adverse reactions were compared. Results The remission rate of the study group was higher than that of the control group (P<0.05). The number of pain outbreaks in the two groups after treatment was less than that before treatment (P<0.05), and the number of pain outbreaks in the study group after treatment was less than that in the control group (P<0.05). The PPI score of the two groups after treatment was lower than that before treatment (P<0.05), and the PPI score of the study group after treatment was lower than that of the control group (P<0.05). KPS scores of the two groups after treatment were higher than those before treatment (P<0.05), and KPS scores of the study group after treatment were higher than those of the control group (P<0.05). The incidence of nausea/vomiting and constipation in the study group was lower than that in the control group (P<0.05). There was no significant difference in dizziness, dysuria and somnolence between the two groups (P>0.05). Conclusion Auricular-plaster therapy combined with oxycodone hydrochloride sustained release tablets can improve the treatment effect of cancer pain, reduce the number of pain outbreaks, PPI score, adverse reactions, increase KPS score, and improve the quality of life.

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  • 在线发布日期: 2021-11-24
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