非镇痛药物完全缓解晚期恶性肿瘤疼痛的研究
首发时间:2018-11-16
摘要:目的应用化疗药物,生物制剂,以及中药,观察晚期恶性肿瘤疼痛获得完全缓解的疗效;方法将63例患者随机分成两组;治疗组32例患者应用化疗药物,生物制剂,以及中药,对照组31例患者应用化疗药物和中枢镇痛药物,观察两组患者疼痛完全缓解包括有效止痛的疗效,停药后疼痛的反弹率,以及不良反应的发生率。疗程6周,停药观察4周;结果(1)治疗组27/32例(84.37%)患者,对照组26/31例(83.38%)患者获得有效止痛的疗效,X2=0.0841 ,P >0.05,无显著差异,但治疗组有25/32(78.12%)例患者,对照组仅有7/31(22.58%)例患者获得疼痛完全缓解的疗效,X2=19.4766,P<0.01,有非常显著差异;(2)25例获得疼痛完全缓解的患者,在观察期内无一例出现疼痛反弹,而对照组12例中有5例患者,在观察期内发生疼痛反弹,最终仅有7例患者获得疼痛完全缓解的疗效;(3)治疗组除个别患者偶有出现发烧及疲乏症状外,无其它任何不良反应,而对照组全部患者分别显示有程度不同的便秘,嗜睡,眩晕,恶心及呕吐不良反应;结论化疗药物,生物制剂,以及中药适用于晚期恶性肿瘤患者癌性疼痛的治疗,并有疗效显著,安全,无不良反应,以及疼痛不反弹等优势。
关键词: 晚期恶性肿瘤 非镇痛药物 疼痛完全缓解 疼痛不反弹 无毒副作用。
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A Study of Non-analgesic Drugs to Completely Relieve The Pain of Advanced Malignant Tumors
Abstract:Purpose: Application of chemotherapeutic drugs, biological agents and traditional Chinese medicines to observe the efficacy of complete remission the pain in advanced malignant tumors。Method: Sixty-three patients with advanced malignant tumors were randomly divided into 2 groups. Thirty-two patients received chemotherapeutic drugs, biological agent, and traditional Chinese medicines. Thirty-one control patients received only chemotherapeutic drugs, and central analgesic drugs. The total treA Study of Non-analgesic Drugs to Completely Relieve The Pain of Advanced Malignant Tumorsatment period was six weeks and the observation period was four weeks. The case number of reporting total pain relief in the two groups, including the efficacy of pain relief, the rate of pain return after withdrawal, and the incidence of adverse reactions were monitored and recorded during the treatment and observation periods. The results for the two groups were compared by X2 test and the significance cutoff p value was p<=0.05.Results: (1) Both treatment and control groups reported effective analgesic results. Effectiveness between treatment and control groups were 84.37 %( 27/32) vs 83.38 %( 26/31). X2 was 0.0841, p>0.05. There was no significant difference. However, there was a very significant difference between the two groups in the efficacy of total remission of pain: 78.12 %( 25/32) in the treatment group vs 22.58 %( 7/31) in the control group, X2 19.4766, p<0.01. (2) Among the 25 patients who had complete remission of pain, there was a single case of pain rebound during the 4 week observation period, while 5 of the 12 patients\' pain rebounded in the control groups. In all, only 7 patients reported complete remission of pain. (3) The treatment group had no obviously adverse effects except for occasional fever and fatigue symptoms in individual patients, while in the control group all patients presented with varying degrees of constipation, sleepiness, dizziness, nauseous and vomiting. Conclusion: Chemotherapeutic drugs combined with biological agents and traditional Chinese medicines were suitable for the treatment of cancer pain in patients with advanced malignant tumors.
Keywords: Advanced malignant tumor non-analgesic drug completely pain remission pain rebound toxic side effects。
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非镇痛药物完全缓解晚期恶性肿瘤疼痛的研究
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