【摘要】目的观察血府逐瘀汤联合盐酸羟考酮缓释片治疗血瘀型癌痛患者的临床效果。方法将180例血瘀型癌痛患者随机分为对照组和观察组,每组90例。对照组患者采用盐酸羟考酮缓释片治疗,观察组患者采用血府逐瘀汤联合盐酸羟考酮缓释片治疗,两组均治疗28 d为1个疗程,比较两组患者疼痛的治疗效果、生活质量、止痛起效时间、止痛持续时间、盐酸羟考酮缓释片日均用量及不良反应。结果观察组患者治疗总有效率(90.0%)显著高于对照组(73.3%),观察组患者疼痛治疗效果优于对照组(P<0.01);治疗后,两组患者NRS评分均明显下降、KPS评分均明显升高(P<0.05),观察组患者的NRS评分显著低于对照组、KPS评分明显高于对照组(P<0.05)。观察组患者止痛起效时间短于对照组、止痛持续时间长于对照组(P<0.01);观察组患者盐酸羟考酮缓释片日均用量显著小于对照组(P<0.01);观察组患者便秘、恶心、呕吐、头晕、食欲不振等不良反应发生率均明显低于对照组(P<0.05)。结论血府逐瘀汤联合盐酸羟考酮缓释片治疗血瘀型癌痛能够明显提高患者的疼痛治疗效果和生活质量,显著降低盐酸羟考酮缓释片的日均用量以及患者不良反应的发生。
【Abstract】ObjectiveTo observe the effect of Xue fu Zhu yu Decoction combined with Oxycodone Hydrochloride in the treatment of patients with blood stasis type of cancer pain. MethodsA total of 180 patients with blood stasis type of cancer pain were randomly divided into control group and observation group, 90 in each group. The control group was treated with Oxycodone Hydrochloride. The observation group were treated by Xuefu Zhuyu Decoction combined with Oxycodone Hydrochloride. The two groups were treated with 28 d. Effect of pain treatment, quality of life, time to onset of pain relief, duration of analgesia, daily dosage of Oxycodone Hydrochloride and adverse reactions were compared between the two groups after treatment. ResultsThe total effective rate of the observation group (90%) was higher than that of the control group (73.3%), and the observation group was better than that of the control group (P<0.01). The two groups of patients with NRS scores were decreased, KPS scores were increased after treatment(P<0.05). The NRS score of the observation group was lower than that of the control group, KPS score was higher than the control group (P<0.05). The time to onset of pain relief in the observation group was shorter than that in the control group, and the duration of pain relief was longer than that in the control group (P<0.01). The average daily dosage of Oxycodone Hydrochloridein of the observation group was less than the control group (P<0.01). The incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05) . ConclusionThe treatments of Xuefu Zhuyu Decoction combined with Oxycodone Hydrochloride can significantly improve the patient′s pain and quality of life of blood stasis type of cancer pain, significantly reduce the average daily dosage of Oxycodone Hydrochloridein and adverse reactions of the patients.