摘要
目的 研究耳穴贴压联合通便方穴位贴敷对缓解癌痛患者便秘症状的作用。方法 选取我院肿瘤临床医学中心收治的88例癌痛便秘患者作为研究对象，根据随机数字法分成对照组（常规西药疗法）44例、观察组44例（常规+耳穴贴压与通便方穴位贴敷），对比两组患者便秘缓解情况等。结果 观察组患者的肠功能指数改善明显优于对照组，差异有统计学意义，P＜0.05。结论 癌痛便秘患者选择中医药疗法的效果更理想，耳穴贴压与通便方的穴位贴敷可快速改善患者便秘情况，值得推广。
关键词： 癌痛；通便方；耳穴贴压；穴位贴敷；便秘
Abstract
Objective: To study the effect of auricular point sticking combined with Tongbenfang acupoint applying on relieving constipation symptoms in patients with cancer pain. Methods: 88 patients with cancer pain and constipation admitted to Cancer Clinical Medical Center of our hospital were selected as the research objects, and divided into control group (conventional western medicine therapy) 44 cases, observation group (conventional + auricular-point pressure and Tongbei prescription acupoint application) 44 cases according to random number method, and compared the constipation relief of patients in the two groups. Results: The improvement of intestinal function index in observation group was significantly better than that in control group, the difference was statistically significant (P < 0.05). Conclusion : The effect of traditional Chinese medicine is more ideal for patients with cancerpain constipation. Auricular point sticking and Tongbei prescription can quickly improve the constipation of patients, and it is worth promoting.
Key words： Cancer pain; Laxative prescription; Auricular point sticking; Acupoint application; constipation
参考文献 References
[1] 陈嘉怡,邵昱玮. 中医外治法在阿片类药物所致便秘防治中的运用[J]. 大众科技,2021,23(11):128-131.
[2] 纳维娅,速凤媛,杨克萍.调神通腑针法联合中药封包治疗对癌痛患者阿片类药物所致便秘症状改善及生活质量的影响[J].首都食品与医药,2022,29(12):114-116.
[3] 吴丽琴,李毅,童德萍,等. 中药敷脐治疗癌痛患者口服阿片类药物导致气虚津亏型便秘的临床疗效[J]. 重庆医学, 2019, 48(16):2764-2766,2771.
[4] 杨罗娜.耳穴压豆联合穴位按摩对阿片类药物引发便秘的防治效 果观察［J］.内蒙古中医药,2017,36（6）:97-98.
[5] 杨丽华,段培蓓,侯庆梅,等.肠功能量表在阿片相关性便秘人群中应用的信效度测评[J].中国实用护理杂志,2013,29(17):28-30.
[6] 张馨予. 中药外敷抗癌止痛贴联合针刺三阶梯药物止痛法治疗癌症疼痛的临床研究[J]. 辽宁中医杂志, 2022, 49(2):165-169.
[7] 陈艳,孙连庆,胡粒山. 中药外治联合盐酸羟考酮治疗痰瘀互结型癌性疼痛42例临床观察[J]. 亚太传统医药, 2020, 16(12):166-168.
[8] 逄艳,赵美蓉. 脐灸联合中药熏洗改善老年结肠癌患者癌性疼痛临床观察[J]. 光明中医,2020,35(22):3599-3601.
[9] 罗璐,赵峰. 穴位贴敷联合盐酸羟考酮治疗晚期癌痛的临床效果[J]. 河南医学研究,2023,32(1):138-141.
[10] 何生奇,金金,林南星,等. 升降散对癌痛患者阿片类药物相关性便秘的预防作用[J]. 中国中医基础医学杂志,2020,26(5):648-650,700.