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目的:观察注射小针刀联合奥施康定治疗癌性疼痛的临床疗效。方法:选择我院收治的66例癌性疼痛患者,根据随机方法将入选病例分为注射针刀组(针刀配合奥施康定)、奥施康定组(单纯西药奥施康定),每组各33例。针刀组每日给予口服药物、隔日给予针刀治疗;奥施康定组每日给予口服药物,14日为1个观察周期。治疗前后测定疼痛程度(NRS)并分析疼痛缓解度(PAR)。结果:治疗组临床总有效率为90.9%,对照组为84.9%,两组比较差异无统计学意义(P>0.05)。治疗后,两组NRS评分均较治疗前显著降低(P<0.05),且治疗组比对照组改善更为显著(P<0.01)。结论:注射小针刀联合奥施康定对癌性疼痛的治疗疗效较单用奥施康定更好。
Objective: To observe the clinical efficacy of injection of small needle knife combined with Oxocydine in the treatment of cancer pain. Methods: Sixty-six patients with cancer pain who were admitted to our hospital were enrolled in this study. According to the randomized methods, the selected cases were divided into three groups: injection needle knife group (Acupuncture combined with OxyContin), OxyContin group (Western medicine OxyContin group) 33 cases. Oral administration was given to the acupotome group and acupotomy was given every other day. Oxycodin group was given oral medication daily for 14 days and one observation cycle. The degree of pain (NRS) was measured before and after treatment and pain relief (PAR) was analyzed. Results: The total clinical effective rate was 90.9% in the treatment group and 84.9% in the control group. There was no significant difference between the two groups (P> 0.05). After treatment, the NRS scores of both groups were significantly lower than those before treatment (P <0.05), and the treatment group improved more significantly than the control group (P <0.01). Conclusion: The injection of small needle knife combined with oxycodone on cancer pain is better than oxycodone alone.