中西医综合四步止痛梯级疗法治疗癌性疼痛的临床观察——附486例临床分析

作者	单位
刘鲁明	浙江中医学院附属医院肿瘤科
于尔辛	上海医科大学肿瘤医院
吴良村	浙江中医学院附属医院肿瘤科
王泽时	浙江中医学院附属医院肿瘤科

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中文摘要:

本文分析资料提示癌性疼痛发生率占71.0%。经中医治疗后,其有效率肝癌疼痛为91.9%;大肠癌疼痛86.1%;恶性淋巴瘤疼痛68.2%;食管癌、肺癌、乳腺癌术后放疗所致疼痛100.0%。四步止痛梯级治疗结果显示,一梯级疗法(单纯中医治疗)治后疼痛完全缓解率为52.1%;二或三梯级疗法(加用消炎痛、水杨酸类等药物)治后疼痛完全消失率高达96.5%,仅3.5%的患者需四梯级疗法(给予麻醉性止痛药物)治疗。作者认为本疗法适合我国的癌痛治疗,具有副作用少,麻醉药物成瘾性少等优点。

英文摘要:

This analysis indicated that patients with cancer-related pain account for 71.0% in author’smaterial. After the TCM treatment, the effective rate were 91.6% in hepatocarcinoma-related pain;86.1% in colon-rectal cancer-related pain; 68.2% in malignant lymphoma-related pain, 100% inirradiation-related pain of esophageal cancer, lung cancer, post-operative breast cancer. Results of"four-step analgesic ladder" showed that 52.1% of pain could be relieved by Step I (TCM therapy);if Stap II (indomethacin) or III (phenylbutazone) was added, the rate of pain relief reached as highas 96.5%; and only 3.5% need to be treated by Step IV (Opioids). With less side-effects and addictionof opioids and other narcotics, the "four-step analgesic ladder" therapy seems to be more suitablefor cancer pain relief in China.

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