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Clinical study of Shentongzhuyu Decoction combined with Oxycodone Hydrochloride Sustained Release Tablets in the treatment of moderate and severe cancer pain |
LI Dongmei1 DUAN Gaofeng2 ZHANG Qianshan1 LIU Zhenchang1 |
1.Department of Oncology, Traditional Chinese Medicine Hospital of Taihe County, Anhui Province, Fuyang 236600, China;
2.Department of Gastropathy, Traditional Chinese Medicine Hospital of Taihe County, Anhui Province, Fuyang 236600, China |
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Abstract Objective To explore the effect of Shentongzhuyu Decoction combined with Oxycodone Hydrochloride Sustained Release Tablets of moderate and severe cancer pain. Methods A total of 80 patients with moderate and severe cancer pain who admitted to Traditional Chinese Medicine of Taihe County, Fuyang City, Anhui Province from June 2017 to May 2019 were selected as study objects. They were divided into control group (40 cases) and study group (40 cases) according to the random number table method. Control group was given Oxycodone Hydrochloride Sustained Release Tablets, study group was given Shentongzhuyu Decoction on the basis of control group. Both groups were treated for a course of treatment. The clinical efficacy, onset time and duration of pain relief, quality of life between two groups were compared. The occurrence of adverse reactions during treatment in both groups were recorded. Results The total effective rate of study group was higher than that of control group (P < 0.05). The onset time of pain relief in study group was shorter than that in control group, the duration of pain relief in study group was longer than that in control group (all P < 0.01). The numerical rating scale (NRS) scores of two groups after treatment were lower than those before treatment, while the quality of life scores were higher than those before treatment, and the NRS scores of study group were lower than those of control group, while the quality of life scores were higher than those of control group (all P < 0.01). There was no significant difference in the incidence of adverse reactions between two groups (P > 0.05). Conclusion Shentongzhuyu Decoction combined with Oxycodone Hydrochloride Sustained Release Tablets can effectively improve the analgesic effect, quality of life and safety of patients with moderate and severe cancer pain.
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[1] Kaboré JL,Sa?觙di H,Dassieu L,et al. Predictors of long-term opioid effectiveness in chronic non-cancer pain patients attending multidisciplinary pain treatment clinics:A Quebec Pain Registry study [J]. Pain Pract,2020,20(6):588-599.
[2] Patel J,Shah D,Sambamoorthi U. Healthcare Expenditures Associated with Persistent Opioid use Among Adults with Chronic Non-Cancer Pain Conditions:A Retrospective Cohort Study [J]. J Pain Palliat Care Pharmacother,2020, 18(11):1-15.
[3] 王丁要,徐国厚.癌性疼痛临床治疗方法的研究现状[J].中国疗养医学,2019,28(9):942-944.
[4] 杨柳.120例癌性疼痛相关因素分析及益肾骨康方治疗骨转移癌癌性疼痛临床疗效研究[D].北京:北京中医药大学,2017.
[5] 陈思林,杨浩,胡欣,等.持续静脉泵入吗啡与芬太尼透皮贴治疗顽固性癌痛的临床效果观察[J].肿瘤药学,2014,4(6):455-459.
[6] 李德辉,孙春霞,范焕芳.复方苦参注射液联合盐酸羟考酮缓释片治疗癌痛的系统评价[J].中国疼痛医学杂志,2017,23(5):384-388.
[7] 曹毛毛,陈万青.中国恶性肿瘤流行情况及防控现状[J].中国肿瘤临床,2019,46(3):145-149.
[8] 王雪梅,于红刚.癌性疼痛的综合治疗研究进展[J].癌症进展,2019,17(21):2502-2504,2508.
[9] 王翰,陈辉,熊源长.肿瘤骨转移疼痛管理进展[J].中国疼痛医学杂志,2019,25(11):859-862.
[10] 黄菁,巫云立,沈红梅.癌性疼痛伴抑郁状态的治疗进展[J].重庆医学,2019,48(7):1188-1190,1195.
[11] 杨妤,龙斌,李树梁,等.低剂量吗啡与曲马多治疗中度癌痛的效果比较[J].广东医学,2019,40(15):2168-2172.
[12] 王英,刘国康.癌痛规范化治疗中阿片类药物合理使用研究[J].智慧健康,2017,3(20):49-51.
[13] 费爱丽,王长江,董来荣,等.强阿片类药物对比弱阿片类药物治疗中度癌痛的决策树分析[J].中国现代应用药学,2019,36(12):1561-1564.
[14] 刘超英.盐酸羟考酮缓释片对中重度癌痛患者焦虑、抑郁不良情绪的影响[D].乌鲁木齐:新疆医科大学,2017.
[15] 张文钰,车向明,韩超.大剂量羟考酮治疗晚期复发性卵巢癌患者神经病理性疼痛的疗效及生存的影响[J].癌症进展,2019,17(11):1302-1305.
[16] 邓海燕.中药穴位贴敷治疗奥施康定所致便秘的探索性临床研究[D].北京:北京中医药大学,2018.
[17] 程云,付霜,兰霞斌,等.盐酸羟考酮对甲状腺切除术术后恢复质量的影响[J].中国现代医生,2019,57(17):115-118.
[18] 崔小天.中药配合低剂量强阿片对中度癌痛镇痛作用的研究[D].沈阳:辽宁中医药大学,2018.
[19] 师晶晶.冰乌止痛膏治疗中重度癌性疼痛(痰瘀毒结型)临床疗效观察[D].太原:山西中医药大学,2019.
[20] 王薇.北京市癌痛治疗现状调查分析及草乌甲素治疗轻中度癌痛的临床研究[D].北京:中国中医科学院,2019.
[21] 任炳旭,马正良,靳艳卿,等.身痛逐瘀汤对骨癌痛小鼠痛行为及脊髓星形胶质细胞活化的影响[J].中国中西医结合杂志,2011,31(3):381-385.
[22] 宋彩红,房莹莹,贾英丽,等.身痛逐瘀汤联合西药治疗骨转移癌痛疗效观察[J].吉林中医药,2013,33(3):263-264.
[23] 吴春玉.身痛逐瘀汤联合吗啡缓释片治疗重度癌痛的效果评价[J].中国中医药现代远程教育,2016,14(8):98-100.
[24] 陆继梅.身痛逐瘀汤联合吗啡缓释片治疗重度癌痛53例[J].中国药业,2015,24(12):104-106.
[25] 李应宏,杨旭才,张宇杰,等.身痛逐瘀汤联合盐酸羟考酮缓释片治疗骨转移癌痛45例[J].中医研究,2016,29(12):21-23. |
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