Case Report of Traditional Chinese Medicine External Treatment Nursing for Cancer Pain in a Patient with Prostate Cancer Bone Metastasis

Abstract

Abstract: For a patient with persistent pain in the waist and back after prostate cancer surgery accompanied by bone metastasis, traditional Chinese medicine external treatment was adopted for nursing intervention in the case of difficulty in effectively relieving pain by pure Western medicine pain relief treatment and palliative radiotherapy, while also maintaining Western medicine medication pain relief treatment. Three traditional Chinese medicine methods were mainly used, including: ①Applying ear acupoint pressure pills to the ear acupoint reaction points related to cancer pain to suppress sustained basic pain and explosive pain;②Selecting Taichong, Hegu, Neiguan, Qimen, and Zusanli for moxibustion to resolve the cold coagulation block caused by cancer;③Applying self-made traditional Chinese medicine acupoints to the pain points Ashi and dialectical acupoints to relieve persistent and stubborn pain. Through the combined nursing of traditional Chinese and Western medicine, the patient’ s cancerous burst pain and basic pain have been suppressed.

Key words: cancer pain, ear acupoint pressing, moxibustion, Chinese medicine acupoint application, nursing

CLC Number:

R473.73

TONG Li-na, ZHOU Yuan, YE Lei, LI Fei, XU Ai-huan, XU Ya-xin, ZHAO Ling-ling, REN Xue-mei, DU Nan-nan, WU Si-yuan, XIA Jing-jing. Case Report of Traditional Chinese Medicine External Treatment Nursing for Cancer Pain in a Patient with Prostate Cancer Bone Metastasis[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(20): 168-171.

References

[1] 国家癌症中心,国家肿瘤质控中心前列腺癌质控专家委员会.中国前列腺癌规范诊疗质量控制指标(2022版)[J].中华肿瘤杂志,2022,44(10):1011-1016.
[2] 双卫兵,邓欣.前列腺癌骨转移的治疗[J].现代泌尿生殖肿瘤杂志,2015,7(6):373-377.
[3] 陈金东. 中国各类癌症的发病率和死亡率现状及发展趋势[J].遵义医学院学报,2018,41(6):653-662.
[4] SAAD F, CLARKE N, COLOMBEL M.Natural history and treatment of bone complications in prostate cancer[J].Eur Urol,2006,49(3):429-440.
[5] 吴恒鹏,钟倩,瓦庆德.前列腺癌骨转移机制的研究进展[J].遵义医科大学学报,2023,46(9):915-920.
[6] 韦丹丹,黄英凡,卢杏新,等.前列腺癌患者骨转移性疼痛的治疗及护理研究进展[J].微创医学,2020,15(4):521-524.
[7] 刘俐,李芸,谢徐萍.疼痛科护理手册[M].1版.北京:科学出版社,2015:9.
[8] 林巾孝. 癌性疼痛的中药治疗分析与临床研究[J].中国医药指南,2016,14(1):194-195.
[9] 董士丽,梁惠,李要轩.自拟止痛方穴位敷贴联合盐酸羟考酮治疗中度癌痛30例[J].医药导报,2019,38(6):762-764.
[10] 严广斌. NRS疼痛数字评价量表[J].中华关节外科杂志,2014,8(3):410.
[11] 刘平. 耳穴压豆疗法[M].郑州:中原农民出版社,2006:7.
[12] 杨曦. 神奇的耳穴[J].开卷有益(求医问药),2022,2:20-21.
[13] 杨晓全. 朱丹耳穴镇痛临床应用及机理探讨[J].实用中医药杂志,2020,6(8):1093-1094.
[14] 刘德承. 基于癌痛爆发痛发生频率对镇痛用药的合理性分析[J].中文科技期刊数据库(引文版)医药卫生,2022(8):65-68
[15] 顾亮亮,姚兰红,龚爱琴,等.中医耳穴压籽法在缓解癌痛中的应用价值分析[J].中国全科医学,2017,20(18):2249-2252.
[16] 郑美珍. 耳穴贴压防治强阿片类药物相关便秘的疗效观察[J].上海针灸杂志,2012,31(12):895-896.
[17] 罗安. 耳穴治疗癌痛研究进展[J].山西医药杂志,2018,47(13):1551-1552.
[18] 姜义明,张丽萍,林美蓉.耳穴压豆疗法对癌痛患者临床疗效的影响[J].广州中医药大学学报,2019,36(12):1961-1966.
[19] 耿碧竹,吴昊,李志成,等.中医治疗癌性疼痛的研究进展[J].现代中西医结合杂志,2021,30(12):1356-1360.
[20] 陈雨,林青,刘传波,等.癌性疼痛的中医治疗进展[J].医学综述,2020,26(20):4112-4116.
[21] 曾志航. 补肾健脾法联合奥施康定治疗中重度癌痛的临床研究[D].广州:广州中医药大学,2018.
[22] 李萍,丁慧,张恩欣.针刺结合麦粒灸联合三阶梯止痛法治疗中重度癌性疼痛效果观察[J].山东医药,2017,57(18):43-45.