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[目的]观察镇痛方联合西药治疗癌症疼痛疗效。[方法]使用随机平行对照方法,将84例门诊及住院患者按随机数字表法分为两组。对照组42例轻度疼痛:阿司匹林,0.6mg/次,3次/d,口服;中度疼痛:磷酸可待因片,40mg/次,3次/d,口服;重度疼痛:硫酸吗啡控释片,40mg/次,3次/d,口服。治疗组42例镇痛方(党参、黄芪各30g,柴胡、苍术、白术各12g,麦冬8g,茯苓、枸杞子、延胡索各10g),1剂/d,水煎250mL,1次/d。西药治疗同对照组。连续治疗23d为1疗程。观测临床症状、不良反应。连续治疗7疗程,判定疗效。[结果]治疗组痊愈21例,显效17例,有效4例,无效0例,总有效率100.00%。对照组痊愈15例,显效12例,有效9例,无效6例,总有效率85.71%。治疗组疗效优于对照组(P<0.05)。[结论]镇痛方联合西药治疗癌症疼痛效果显著,值得推广。
[Objective] To observe the curative effect of analgesic prescription and western medicine on cancer pain. [Methods] Using randomized parallel control method, 84 outpatients and inpatients were divided into two groups according to random number table. Control group, 42 patients with mild pain: aspirin, 0.6mg / times, 3 times / d, oral; moderate pain: codeine phosphate tablets, 40mg / times, 3 times / d, oral; severe pain: morphine sulfate controlled release Tablets, 40mg / time, 3 times / d, orally. Treatment group, 42 cases of analgesic side (Codonopsis, Astragalus 30g, Bupleurum, Atractylodes, Atractylodes each 12g, Ophiopogon 8g, Poria, medlar, Corydalis each 10g), 1 / d, decoction 250mL, 1 / . Western medicine treatment with the control group. Continuous treatment of 23d for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 7 courses to determine the efficacy. [Result] The treatment group cured 21 cases, markedly effective in 17 cases, effective in 4 cases, ineffective in 0 cases, the total effective rate was 100.00%. The control group cured 15 cases, 12 cases markedly effective in 9 cases, 6 cases were ineffective, the total effective rate was 85.71%. The treatment group was better than the control group (P <0.05). [Conclusion] Analgesic prescription combined with Western medicine has obvious curative effect on cancer pain and is worth popularizing.