癌症疼痛中医治疗的研究进展
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摘要
肿瘤晚期患者,多数会出现疼痛症状,影响了患者的生存质量和治疗效果,对患者各方面都带来不利的影响。治疗癌痛的方法主要是世界卫生组织推荐的三阶梯治疗药物治疗方案,但是在临床治疗过程中,大量的中医疗法治疗癌症也达到不错的疗效,常用的止痛方法如中药口服,外用治疗,针灸治疗,按摩的使用,已广泛用在临床治疗癌痛中,以下是对近几年来文献中中医方法治疗癌痛的临床使用方法和疗效回顾,说明中医方法治疗癌痛的重要作用。
Most late cancer patients can appear the symptom of pain,affect the patient's life quality and treatment effect,various aspects will bring unfavorable influence on the patients. Of pain treatment method is mainly the world health organization recommends three steps therapy drug treatment,but in the process of clinical treatment,a large number of TCM therapy for cancer also achieve good curative effect,analgesic methods in common use such as oral medicine and external treatment,acupuncture,massage,has been widely used in clinical treatment of pain,the following is a method of chinese medicine literature in recent years,use method and curative effect in the treatment of pain,illustrates the important role of TCM treatment of pain.
Most late cancer patients can appear the symptom of pain,affect the patient's life quality and treatment effect,various aspects will bring unfavorable influence on the patients. Of pain treatment method is mainly the world health organization recommends three steps therapy drug treatment,but in the process of clinical treatment,a large number of TCM therapy for cancer also achieve good curative effect,analgesic methods in common use such as oral medicine and external treatment,acupuncture,massage,has been widely used in clinical treatment of pain,the following is a method of chinese medicine literature in recent years,use method and curative effect in the treatment of pain,illustrates the important role of TCM treatment of pain.
引文
[1]谢娟.癌痛规范化治疗的护理进展[J].实用临床医药杂志,2013,17(8):136-138.
[2]张志明.复方苦参注射液治疗癌痛的疗效观察[J].中国医院用药评价与分,2009,9(4):310-311.
[3]李潇,贾玫,祁烁,等.榄香烯注射液联合微波热疗治疗癌性疼痛的临床研究[J].中国临床医生,2012,40(9):55-56.
[4]张晓军,程力,王玉强,等.中药组方联合硫酸吗啡控释片治疗中晚期肝癌疼痛的临床研究[J].中国药物与临床,2013,13(1):71-72.
[5]张忠贵,徐澄,王娴默,等.CT引导下腹腔神经节毁损术结合中药治疗胰腺癌癌痛初探[J].中医学报,2013,28(8):1102-1103.
[6]李勇,徐凯,刘柏,等.正气化癌膏治疗癌性疼痛30例疗效观察[J].新中医,2008,40(9):36-37.
[7]肖小明.癌痛散外敷治疗原发性肝癌疼痛(湿瘀搏结证)的临床研究[D].长沙:湖南中医药大学,2008.
[8]李柳宁,徐凯,吴万垠,等.加味温胆汤与芬太尼透皮贴剂合用治疗重度癌痛30例[J].中国临床康复,2003,7(14):2064-2065.
[9]李阳.用纯中药"圣愈汤”抑制癌痛临床研究[A].中华中医药学会.2010年全国中医肿瘤学术年会论文集[C].北京:中华中医药学会出版社,2010:242-244.
[10]王锡恩,江皓.抗癌止痛汤治疗慢性癌痛疗效研究[J].浙江中医药大学学报,2008,32(2):222.
[11]潘迎英,钱伟华,刘莲芳.抗癌止痛方治疗轻中度癌痛39例临床研究[J].江苏中医药,2013(3):25-26.
[12]谯代萍,刘浪,粱雅婷.针刺和药物联用治疗癌性疼痛的疗效观察[J].实用肿瘤学杂志,2008,22(5):446-448,443.
[13]李艳红,曹海青.针刺配合神经阻滞对晚期癌痛的影响[J].上海针灸杂志,2014,33(3):211-213.
[14]易光强,李增贺,黄荣宁,等.温阳灸法结合针刺治疗癌症疼痛30例(英文)[J].世界针灸杂志(英文版),2012,22(4):41-44.
[15]曹莹,陈玉华.艾灸结合耳穴埋籽缓解晚期胃癌疼痛效果的临床研究[J].现代医药卫生,2015,31(17):2628-2630.
[16]陈明霞,郭琴.穴位按摩改善癌痛症状的中医护理[J].内蒙古中医药,2010,29(24):141-142.
[17]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.
[2]张志明.复方苦参注射液治疗癌痛的疗效观察[J].中国医院用药评价与分,2009,9(4):310-311.
[3]李潇,贾玫,祁烁,等.榄香烯注射液联合微波热疗治疗癌性疼痛的临床研究[J].中国临床医生,2012,40(9):55-56.
[4]张晓军,程力,王玉强,等.中药组方联合硫酸吗啡控释片治疗中晚期肝癌疼痛的临床研究[J].中国药物与临床,2013,13(1):71-72.
[5]张忠贵,徐澄,王娴默,等.CT引导下腹腔神经节毁损术结合中药治疗胰腺癌癌痛初探[J].中医学报,2013,28(8):1102-1103.
[6]李勇,徐凯,刘柏,等.正气化癌膏治疗癌性疼痛30例疗效观察[J].新中医,2008,40(9):36-37.
[7]肖小明.癌痛散外敷治疗原发性肝癌疼痛(湿瘀搏结证)的临床研究[D].长沙:湖南中医药大学,2008.
[8]李柳宁,徐凯,吴万垠,等.加味温胆汤与芬太尼透皮贴剂合用治疗重度癌痛30例[J].中国临床康复,2003,7(14):2064-2065.
[9]李阳.用纯中药"圣愈汤”抑制癌痛临床研究[A].中华中医药学会.2010年全国中医肿瘤学术年会论文集[C].北京:中华中医药学会出版社,2010:242-244.
[10]王锡恩,江皓.抗癌止痛汤治疗慢性癌痛疗效研究[J].浙江中医药大学学报,2008,32(2):222.
[11]潘迎英,钱伟华,刘莲芳.抗癌止痛方治疗轻中度癌痛39例临床研究[J].江苏中医药,2013(3):25-26.
[12]谯代萍,刘浪,粱雅婷.针刺和药物联用治疗癌性疼痛的疗效观察[J].实用肿瘤学杂志,2008,22(5):446-448,443.
[13]李艳红,曹海青.针刺配合神经阻滞对晚期癌痛的影响[J].上海针灸杂志,2014,33(3):211-213.
[14]易光强,李增贺,黄荣宁,等.温阳灸法结合针刺治疗癌症疼痛30例(英文)[J].世界针灸杂志(英文版),2012,22(4):41-44.
[15]曹莹,陈玉华.艾灸结合耳穴埋籽缓解晚期胃癌疼痛效果的临床研究[J].现代医药卫生,2015,31(17):2628-2630.
[16]陈明霞,郭琴.穴位按摩改善癌痛症状的中医护理[J].内蒙古中医药,2010,29(24):141-142.
[17]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.