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疼痛是癌症病人最常见、最主要的症状之一.如果癌症疼痛能得到满意控制,对提高病人生存质量及延长生存期有重要意义.自1995年以来,我科用维生素K_3穴位足三里封闭注射治疗肝癌、胃癌、直肠癌、胰腺癌、肺癌骨转移等恶性肿瘤导致疼痛患者37例,收到较好的效果,现报告如下:1 材料与方法1.1 一般资料 37例患者中,男28例,女9例;年龄为16～62岁,平均年龄42.3岁.均经临床B超、CT及细胞学确诊后入院.其中肝癌28例,肺癌并骨转移3例,直肠癌3例,胰腺癌1例,胃癌3例.患者在住院期间出现不同程度腹部疼痛及胃疼痛.疼痛分三级(VRS)分级法:一级(轻度疼痛)15例,Ⅱ级(中度疼痛)17例,Ⅲ级(重度疼痛)5例.1.2 给药方法 患者取坐或半卧位,常规消毒足三里穴,用2ml或5ml 7号针头注射器,吸取维生素K_3 8mg(2ml),将针头刺入穴位,患者出现得气(酸麻胀感重)为度,回抽无血、快速注进,每日1次(个别2次),两侧穴交替使用,一般注射后5～20min后起效,有效维持时间达6～24h(个别24min以上).
Pain is one of the most common and most important symptoms of cancer patients. If cancer pain can be satisfactorily controlled, it is of great significance to improve the quality of life of patients and prolong their survival. Since 1995, our department has closed the injection with acupuncture points at Zusanli for three days. The treatment of liver cancer, gastric cancer, rectal cancer, pancreatic cancer, lung cancer bone metastasis and other malignant tumors resulted in 37 cases of pain patients and received good results. The present report is as follows: 1 Materials and methods 1.1 General information Among 37 patients, 28 were males. 9 females; aged 16 to 62 years old, mean age 42.3 years old. All patients were admitted to hospital after clinical diagnosis by B-ultrasonography, CT and cytology. Among them, 28 were hepatocellular carcinoma, 3 were lung metastases, 3 were rectal cancer, and 1 was pancreatic cancer. Cases, 3 cases of gastric cancer. Patients with different degrees of abdominal pain and stomach pain during hospitalization. Pain in three levels (VRS) classification method: First (mild pain) in 15 cases, II (moderate pain) in 17 cases, III Severe (severe pain) 5 cases. 1.2 Administration method Patients were sitting or semi-recumbent, conventional disinfection Zusanli, with a 2ml or 5ml 7th needle syringe, absorb vitamin K 3 8mg (2ml), the needle piercing the acupuncture points, patients Appears to be gas (swelling sensation) is degree, back to pumping without blood, fast injection, 1 time per day (Individual 2 times), alternate use of both sides, generally after 5 to 20 minutes after the injection onset, effective maintenance time of 6 ~ 24h (individual 24min or more).