【摘要】 目的观察阿是穴小剂量氯胺酮注射配合放松训练对肺癌晚期疼痛的缓解作用,为临床筛选减轻肺癌晚期患者疼痛方法提供依据。方法34肺癌晚期患者按住院治疗的先后顺序分为观察组23例,对照组11例。观察组给予氯胺酮(小剂量)阿是穴穴位注射配合放松训练法,对照组采用传统的肌肉注射哌替啶或吗啡法。两组均于治疗前后采用Janescott目测疼痛分数测量法进行疼痛分数测量并进行统计分析。结果治疗后观察组疼痛分数值(21.8±14.8)分与治疗前(55.0±16.5)分比较(t=7.2,P<0.01)。治疗后对照组疼痛分数值(40.6±22.5)与治疗前(59.6±19.5)比较(t=2.1,P<0.05)差异有显著性意义。治疗后两组比较(t=2.9,P<0.01)差异有非常显著性意义。两组治疗后疼痛缓解率分别为(63.8±21.8)%,(27.7±19.6)%,两者比较(t=4.7,P<0.01)。结论小剂量氯胺酮阿是穴注射配合放松训练是缓解肺癌疼痛的一种有效方法。更多还原

【Abstract】 AIM: To observe the effect of small dosage ketamine injection at pressure pain point combined with relaxation training on the easement of pain in the late period of lung cancer,so as to provide evidence for clinical method of relieving pain of patients with advanced lung cancer.METHODS:A total of 34 patients with advanced lung cancer were divided into observation group (n=23) and control group (n=11) by the time of hospitalization. The former were treated with small dosage of ketamine injection at pressure pain point combined with relaxation training, and the latter were treated with pethidine or morphine traditionally.Before and after treatment, the scores of pain in the 2 groups were all examined by the Score of Pain Scale made by Jane scott and a statistical analysis was performed.RESULTS:After treatment, the score of pain in the observation group was (21.8±14.8) mm as compared with that before treatment[(55.0±16.5) mm](t=7.2, P< 0.01), and the score of pain in the control group was (40.6±22.5) mm as compared with that before treatment[(59.6±19.5) mm ](t=2.1, P< 0.05). After treatment, the comparison between the two groups had significant difference (t=2.9, P< 0.01).The rates of the easement of pain in the two groups were (63.8±21.8)%and (27.7±19.6)%respectively, which showed significant difference (t=4.7,P< 0.01).CONCLUSION:It is an effective method to reduce the pain of lung cancer that small dosage ketamine injection at pressure pain point combined with relaxation training.更多还原