中医综合外治癌性疼痛的思考与探索
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摘要
疼痛是癌症患者最常见和最痛苦的症状之一,发生率在晚期癌症中占70%,是影响癌症患者生存质量的一个重要因素。本文通过比较中、西医治疗癌痛的优势与弊端,总结分析现有的中医外治手段,从中医整体性、综合性及安全性方面考虑,提出采用自拟止痛酊外敷同步微波,并配合艾灸及电针综合治疗癌性疼痛,并在临床取得较为满意的疗效,进一步提出中医综合外治疗法针对癌痛的探索和展望。
Pain is one of the most common and painful symptoms in cancer patients,with 70% of incidence rate in the late stage cancer,which is an important factor affecting the quality of life of cancer patients. According to the comparison on the advantage and disadvantage of traditional Chinese medicine and Western medicine in the treatment of cancer pain,the existing traditional Chinese medicine external treatment methods are summarized and analyzed. From the point of view of holistic nature of Chinese Medicine,comprehensive and safety aspects,the self-made dicentrine which is external application and synchronous microwave,combined with moxibustion and integrated electro acupuncture treatment on cancer pain have achieved satisfactory curative effect in clinical,thus exploring the prospect of treating cancer pain with traditional Chinese medicine external treatment therapy is proposed.
Pain is one of the most common and painful symptoms in cancer patients,with 70% of incidence rate in the late stage cancer,which is an important factor affecting the quality of life of cancer patients. According to the comparison on the advantage and disadvantage of traditional Chinese medicine and Western medicine in the treatment of cancer pain,the existing traditional Chinese medicine external treatment methods are summarized and analyzed. From the point of view of holistic nature of Chinese Medicine,comprehensive and safety aspects,the self-made dicentrine which is external application and synchronous microwave,combined with moxibustion and integrated electro acupuncture treatment on cancer pain have achieved satisfactory curative effect in clinical,thus exploring the prospect of treating cancer pain with traditional Chinese medicine external treatment therapy is proposed.
引文
[1]王妙苗.癌痛的发生机制及其相关药物治疗的研究现状[J].临床肿瘤学杂志,2011,16(7):54-55.
[2]褚连凯.麻醉镇痛药在癌痛治疗中的合理应用[J].世界最新医学信息文摘:连续型电子期刊,2016,16(12):120.
[3]周勇,蔡昂.癌痛的中医外治临床研究进展[J].内蒙古中医药,2012,31(10):102-104.
[4]武林鑫,孙俪.癌痛治疗不足的现状与原因[J].肿瘤防治研究,2014,41(4):145.
[5]张天博,张培彤.癌痛中医外治法研究进展[J].长春中医药大学学报,2016,32(2):430-433.
[6]陈颖,蓝维维,刘德承.2011-2015年癌痛患者用药规范性评价及疗效分析[J].临床合理用药杂志,2016,9(6):28-30.
[7]张红,郑霞.中药外治治疗癌性疼痛用药规律分析[J].湖南中医杂志,2016,32(2):152-154.
[8]周杰.癌症疼痛中医治疗的研究进展[J].中国卫生标准管理,2016,7(1):142-143.
[9]龙柳伊,吴晨荻,徐云莹,等.中医外治法在肿瘤治疗中的应用[J].四川中医,2016,35(5):219-221.
[10]陆晓峰,唐秀琴,周倩妮,等.中医外治法对癌痛“三阶梯止痛”疗法中副作用的干预效果观察[J].中医临床研究,2015,17(25):66-68.
[11]唐倩.冰虫止痛膏外用辅助治疗局部癌性疼痛的临床研究[D].北京:北京中医药大学,2013.
[12]李芹.消疼散结酊涂擦联合奥施康定治疗肿瘤晚期广泛性疼痛随机平行对照研究[J].实用中医内科杂志,2015,29(5):129-130.
[13]张建伟.针刺联合三级阶梯止痛法治疗中重度癌痛的临床研究[D].南京:南京中医药大学,2014.
[14]毛毛,孙永浩.中频离子导入癌痛消结合三阶梯止痛法治疗癌痛临床观察[J].上海中医药杂志,2013,58(12):37-39.
[15]居晨霞.内关、足三里穴位按摩联合镇痛药物缓解晚期肿瘤重度癌痛的临床效果[J].实用临床医药杂志,2013,17(18):24-25.
[16]蒋坤融.针刺四关穴结合耳压治疗癌性疼痛的临床研究[D].广州:广州中医药大学,2011.
[17]程玲.穴位埋线联合双柏散外敷治疗癌痛的临床观察[D].广州:广州中医药大学,2014.
[18]刘彬,陈喆.中药外用治疗癌性疼痛的研究进展[J].按摩与康复医学,2016,32(1):1-3.
[19]丁芋友,孟春芹,唐凌,等.癌痛的中西医治疗[J].光明中医,2014,28(5):1123-1124.
[20]谭桥秀,阎丽珠.中药外用制剂治疗癌性疼痛临床研究现状[J].中国实用医药,2015,11(29):276-279.
[2]褚连凯.麻醉镇痛药在癌痛治疗中的合理应用[J].世界最新医学信息文摘:连续型电子期刊,2016,16(12):120.
[3]周勇,蔡昂.癌痛的中医外治临床研究进展[J].内蒙古中医药,2012,31(10):102-104.
[4]武林鑫,孙俪.癌痛治疗不足的现状与原因[J].肿瘤防治研究,2014,41(4):145.
[5]张天博,张培彤.癌痛中医外治法研究进展[J].长春中医药大学学报,2016,32(2):430-433.
[6]陈颖,蓝维维,刘德承.2011-2015年癌痛患者用药规范性评价及疗效分析[J].临床合理用药杂志,2016,9(6):28-30.
[7]张红,郑霞.中药外治治疗癌性疼痛用药规律分析[J].湖南中医杂志,2016,32(2):152-154.
[8]周杰.癌症疼痛中医治疗的研究进展[J].中国卫生标准管理,2016,7(1):142-143.
[9]龙柳伊,吴晨荻,徐云莹,等.中医外治法在肿瘤治疗中的应用[J].四川中医,2016,35(5):219-221.
[10]陆晓峰,唐秀琴,周倩妮,等.中医外治法对癌痛“三阶梯止痛”疗法中副作用的干预效果观察[J].中医临床研究,2015,17(25):66-68.
[11]唐倩.冰虫止痛膏外用辅助治疗局部癌性疼痛的临床研究[D].北京:北京中医药大学,2013.
[12]李芹.消疼散结酊涂擦联合奥施康定治疗肿瘤晚期广泛性疼痛随机平行对照研究[J].实用中医内科杂志,2015,29(5):129-130.
[13]张建伟.针刺联合三级阶梯止痛法治疗中重度癌痛的临床研究[D].南京:南京中医药大学,2014.
[14]毛毛,孙永浩.中频离子导入癌痛消结合三阶梯止痛法治疗癌痛临床观察[J].上海中医药杂志,2013,58(12):37-39.
[15]居晨霞.内关、足三里穴位按摩联合镇痛药物缓解晚期肿瘤重度癌痛的临床效果[J].实用临床医药杂志,2013,17(18):24-25.
[16]蒋坤融.针刺四关穴结合耳压治疗癌性疼痛的临床研究[D].广州:广州中医药大学,2011.
[17]程玲.穴位埋线联合双柏散外敷治疗癌痛的临床观察[D].广州:广州中医药大学,2014.
[18]刘彬,陈喆.中药外用治疗癌性疼痛的研究进展[J].按摩与康复医学,2016,32(1):1-3.
[19]丁芋友,孟春芹,唐凌,等.癌痛的中西医治疗[J].光明中医,2014,28(5):1123-1124.
[20]谭桥秀,阎丽珠.中药外用制剂治疗癌性疼痛临床研究现状[J].中国实用医药,2015,11(29):276-279.