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目的:探讨红外线照射结合止痛膏敷贴、美施康定及护理治疗中重度癌性疼痛的疗效和安全性。方法:将癌性疼痛患者86例随机分为对照组和治疗组,每组43例。两组均采取美施康定治疗及相同的综合护理干预,治疗组加用红外线照射结合止痛膏敷贴治疗。观察两组治疗前后吗啡缓释片用量变化、止痛效果及卡氏评分变化情况。结果:两组间疼痛治疗总有效率无显著性差异(P>0.05),但显效率有显著性差异(P<0.05);治疗前后两组疼痛评分的比较差异有统计学意义(P<0.05),对照组止痛疗效明显低于治疗组;对照组美施康定增加比例明显高于治疗组(P<0.05);治疗前后两组间卡氏评分变化情况的比较,治疗组用药后与用药前比较,有显著性差异(P<0.05)。结论:红外线照射结合止痛膏敷贴、美施康定及护理治疗中重度癌性疼痛,可明显缓解疼痛,减少吗啡使用量,提高患者生存质量。
Objective: To investigate the efficacy and safety of infra-red radiation combined with painkiller plaster, Meissenkang and nursing care of moderate-to-severe cancer pain. Methods: 86 patients with cancer pain were randomly divided into control group and treatment group, 43 cases in each group. Both groups took Meishi Kangding treatment and the same comprehensive nursing intervention, the treatment group plus infrared irradiation combined with pain relief paste application. Morphine sustained-release tablets before and after treatment changes in the amount of analgesic effect and changes in Karnofi scores. Results: There was no significant difference in the total effective rate of pain treatment between the two groups (P> 0.05), but the significant difference was significant (P <0.05). There was significant difference in pain scores between the two groups before and after treatment (P <0.05 ), The curative effect of the control group was significantly lower than that of the treatment group; the increase rate of the control group was significantly higher than the treatment group (P <0.05); before and after treatment, the changes of the Karnofsky scores between the two groups, There was significant difference (P <0.05). Conclusion: Infrared radiation combined with painkiller plaster, Meishi Kangding and nursing care of severe cancer pain can significantly relieve pain, reduce the use of morphine and improve the quality of life of patients.