四维立体镇痛针法辅助治疗对癌痛患者疼痛程度、生活质量的影响

中华养生保健 ›› 2025, Vol. 43 ›› Issue (8): 22-26.

四维立体镇痛针法辅助治疗对癌痛患者疼痛程度、生活质量的影响

王振亚¹, 孙樱玻², 王凌宇³, 赵东晖⁴, 姜利国^5,*, 丛艳红⁶, 汤桂丽¹

1.河北省围场满族蒙古族自治县中医院肿瘤科,河北承德,068450;
2.河北省围场满族蒙古族自治县中医院医务科,河北承德,068450;
3.河北省围场满族蒙古族自治县中医院急诊科,河北承德,068450;
4.河北省围场满族蒙古族自治县卫生进修学校,河北承德,068450;
5.河北省围场满族蒙古族自治县中医院中医科,河北承德,068450;
6.河北省围场满族蒙古族自治县中医院中药房,河北承德,068450

发布日期:2025-04-22
通讯作者: ^*姜利国,E-mail：wzy841122@163.com。
作者简介:王振亚（1984—）,男,满族,籍贯：河北省承德市,硕士研究生,副主任医师,研究方向：恶性肿瘤的中西医结合治疗。

Effect of Four-Dimensional Stereoscopic Analgesic Acupuncture Adjuvant Therapy on Pain Degree and Quality of Life Cancer Pain Patients

WANG Zhen-ya¹, SUN Ying-bo², WANG Ling-yu³, ZHAO Dong-hui⁴, JIANG Li-guo^5,*, CONG Yan-hong⁶, TANG Gui-li¹

1. Department of Oncology, Weichang Manchu and Mongolian Autonomous County Traditional Chinese Medicine Hospital of Hebei Province, Chengde, Hebei 068450, China;
2. Department of Medical, Weichang Manchu and Mongolian Autonomous County Traditional Chinese Medicine Hospital of Hebei Province, Chengde, Hebei 068450, China;
3. Hebei Weichang Manchu and Mongolian Autonomous County Traditional Chinese Medicine Hospital Health Training School, Chengde, Hebei 068450, China;
4. Department of Traditional Chinese Medicine, Weichang Manchu and Mongolian Autonomous County Traditional Chinese Medicine Hospital of Hebei Province, Chengde, Hebei 068450, China;
5. Department of Traditonal Chinese Medicine, Weichang Manchu and Mongolian Autonomous County Traditional Chinese Medicine Hospital of Hebei Province, Chengde, Hebei 068450, China;
6. Pharmacy of Traditional Chinese Medicine, Weichang Manchu and Mongolian Autonomous County Traditional Chinese Medicine Hospital of Hebei Province, Chengde, Hebei 068450, China

Published:2025-04-22

摘要/Abstract

摘要： 目的探讨四维立体镇痛针法辅助治疗对癌痛患者疼痛程度、生活质量的影响。方法选择2021年5月—2023年5月河北省围场满族蒙古族自治县中医院收治的70例癌痛患者,采取计算机随机抽选的方式将患者分为对照组与研究组,每组35例。对照组接受三级阶梯止痛法治疗,研究组在对照组基础上接受四维立体镇痛针法治疗。比较两组总有效率、疼痛介质[血清5-羟色胺（5-HT）、血管内皮素-1（ET-1）、前列腺素E2（PGE2）]水平、疼痛数字评分法（NRS）评分、世界卫生组织生存质量测定量表简表（WHOQOL-BREF）评分以及不良反应发生率。结果研究组治疗总有效率为94.29%（33/35）,高于对照组的74.29%（26/35）,差异有统计学意义（P<0.05）。两组治疗2个疗程后NRS评分均下降,研究组下降幅度大于对照组,差异有统计学意义（P<0.05）。两组治疗2个疗程后WHOQOL-BREF评分均升高,研究组升高幅度大于对照组,差异有统计学意义（P<0.05）。两组治疗2个疗程后血清PGE2、5-HT、ET-1水平均下降,研究组下降幅度大于对照组,差异有统计学意义（P<0.05）。对照组和研究组的不良反应发生率分别为17.14%和11.43%,组间比较差异无统计学意义（P>0.05）。结论四维立体镇痛针法辅助治疗能有效缓解癌痛,降低疼痛介质水平,改善患者的生活质量。

关键词: 四维立体镇痛针法, 癌痛, 疼痛程度, 生活质量

Abstract: Objective To explore the effect of Four-dimensional stereoscopic analgesic acupuncture adjuvant therapy on pain degree and quality of life of cancer pain patients. Method A total of 70 cancer pain patients were admitted to Weichang Manchu and Mongolian Autonomous County Traditional Chinese Medicine Hospital of Hebei Province from May 2021 to May 2023 were selected, and patients were randomly selected by computer and divided into control group and study group, 35 cases in each group. The control group received three-level ladder pain relief treatment, while the study group received Four-dimensional stereoscopic analgesic acupuncture on the basis of the control group. The total effective rate, pain mediators [serum serotonin (5-HT), endothelin-1 (ET-1), prostaglandin E2 (PGE2)] levels, numerical rating scale (NRS) score, World Health Organization Quality of Life-Brief (WHOQOL-BREF) score and incidence of adverse reactions were compared between two groups. Result The total effective rate of the study group was 94.29% (33/35), which was higher than that of the control group [74.29% (26/35)], the difference was statistically significant (P<0.05). The NRS score of both groups decreased after two courses of treatment, and the decrease of the study group was greater than that of the control group, the difference was statistically significant (P<0.05). The WHOQOL-BREF score of both groups increased after two courses of treatment, and the increase of the study group was greater than that of the control group, the difference was statistically significant (P<0.05). Serum levels of PGE2, 5-HT and ET-1 were decreased in both groups after two courses of treatment, and the decrease in the study group was greater than that in the control group, the difference was statistically significant (P<0.05). The incidence of adverse reactions in control group and study group was 17.14% and 11.43%, respectively, and there was no statistical significance between groups (P>0.05). Conclusion The adjuvant treatment of Four-dimensional stereoscopic analgesic acupuncture can effectively relieve cancer pain, decrease the levels of pain mediators, and improving the quality of life for patients.

Key words: four-dimensional stereoscopic analgesic acupuncture, cancer pain, pain level, quality of life

中图分类号:

R246.5

王振亚, 孙樱玻, 王凌宇, 赵东晖, 姜利国, 丛艳红, 汤桂丽. 四维立体镇痛针法辅助治疗对癌痛患者疼痛程度、生活质量的影响[J]. 中华养生保健, 2025, 43(8): 22-26.

WANG Zhen-ya, SUN Ying-bo, WANG Ling-yu, ZHAO Dong-hui, JIANG Li-guo, CONG Yan-hong, TANG Gui-li. Effect of Four-Dimensional Stereoscopic Analgesic Acupuncture Adjuvant Therapy on Pain Degree and Quality of Life Cancer Pain Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(8): 22-26.

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