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目的探讨程序化疼痛护理联合中药干预对鼻咽癌放疗患者的影响。方法选取2015年6月至2016年10月于哈尔滨医科大学附属肿瘤医院行放疗的鼻咽癌患者134例作为研究对象,按照入院的先后顺序分为对照组和观察组,各67例。对照组仅采用程序化疼痛护理,观察组在对照组的基础上,结合复方苦参注射液静脉滴注。结果组内比较,对照组和观察组患者干预后的数字疼痛评分均较干预前升高(P<0.05),对照组患者舒适量表各维度评分干预后较干预前降低(P<0.05);组间比较,干预后观察组的数字疼痛评分较对照组低(P<0.05),干预后观察组患者舒适量表各维度评分均较对照组升高(P<0.05)。结论程序化疼痛护理结合复方苦参注射液干预对于减轻鼻咽癌放疗患者的疼痛程度、改善患者的舒适水平具有较好的效果,值得临床推广。
Objective To investigate the effects of procedural pain care combined with traditional Chinese medicine on patients with nasopharyngeal carcinoma undergoing radiotherapy. Methods A total of 134 patients with nasopharyngeal carcinoma undergoing radiotherapy at Affiliated Tumor Hospital of Harbin Medical University from June 2015 to October 2016 were selected as study subjects and divided into control group and observation group according to the order of admission. The control group only use procedural pain care, the observation group on the basis of the control group, combined with compound matrine injection intravenous drip. Results The scores of digital pain in the control group and observation group after intervention were significantly higher than those before intervention (P <0.05). The dimensions of the comfort scale in the control group were significantly lower than those before the intervention (P <0.05). The scores of digital pain in the observation group after intervention were lower than those in the control group (P <0.05). After the intervention, the scores of each dimension of the comfort scale in the observation group were higher than those in the control group (P <0.05). Conclusion The combination of procedural pain nursing and compound Kushen injection can reduce the pain of patients with radiotherapy of nasopharyngeal carcinoma and improve the comfort level of patients with nasopharyngeal carcinoma, which is worthy of clinical promotion.