| ObjectiveThis subject, through clinical observation of random cases, compares the effect of relieving cancer pain by using catgut implantation at acupoints combined with external application of traditional Chinese medicine plaster Shuangbai powder with the effect by using western medicine. Catgut implantation at acupoints and external application of traditional Chinese medicine plaster Shuangbai powder have respectively achieved certain success in treating cancer pain, nevertheless, no report can be seen in treating cancer pain by clinically combining these two methods. This paper aims at finding a better method of traditional Chinese medicine to treat cancer pain by combining aforementioned two methods.MethodsThe research adopts clinical observation method and conduct clinical research by random comparation. Prior to clinical observation, sample including and excluding standards and clinical experiments suspension standards are set. The research selects80cases of hospitalized patients and randomly and equally divides them into treatment group and contrast group. Patients in treatment group are implanted catgut once during a course of treatment of relieving cancer pain by using catgut implantation at acupoints. Meanwhile, traditional Chinese medicine plaster (Shuangbai Powder) is applied once a day to spots where patients feel painful and the plaster is kept in painful spots for4to6hours and the treatment course lasts7days. Replacement therapy:to the above treatment in patients with moderate to severe pain in the process, be titrated according to standard pain treatment and medication usage with the control group. Patients in contrast group orally take OxyContin according to cancer pain standard titration. The degree of pain of both groups prior to and after treatment is recorded as well as the time of analgesia taking effect, usage amount of OxyContin and effect of The Karnofsky score and evaluation. All the data are statistically processed.ResultsBaseline data analysis, after comparing the experimental and control groups in gender, age structure, quality of life score, disease distribution, NRS score index, the average amount of painkillers and other person through the use of statistical analysis, the difference was not statistically significant, indicating that the two groups were comparable in terms of these indicators.Rank-sum test, Which is two independent samples of ordinal variables, Z=-2.033, P=0.04<0.05, is adopted to compare the treatment effects of cancer pain of two groups. The differences are statistically significant. The average rank of the treatment group is lower than that of the contrast group, which means the effect of easing cancer pain of the treatment group is better than the contrast group.Two groups of patients before treatment and therapy OxyContin average amount given relatively poor per capita. Moderate pain in patients treated group OxyContin per capita consumption decreased after treatment than before treatment, the control group OxyContin usage increased compared with before treatment, but after t test, P greater than0.05, the difference was not statistically significant; the treatment group and the control group before and after the use of the poor were compared, P>0.05, the difference was not statistically significant. Tip moderate pain group in the two treatments per capita usage of OxyContin was no significant difference before and after treatment, still can not believe the amount of moderate pain treatment group than the control group. In patients with severe pain, the treatment group and the control group compared the average usage of OxyContin, the treatment group Houaoshikang given usage less than before treatment, compared with the control group increased usage by t test, treatment group P less than0.05, the difference was statistically significant, P greater than0.05in the control group, still can not believe the amount compared to the control group before treatment increased, suggesting the two treatment methods OxyContin average usage there are differences, the amount of the treatment group than the control group. The number of cases of the outbreak of the treatment group aft-er treatment reduced pain than control group, by chi-square test, P value less than0.05, the difference was statistically significant, indie-ating that the two treatments have reduced the incidence of breakth-rough pain, and reduce treatment group a greater proportion.By comparing Karnofsky scores prior to and after the treatment, tested by t, it is can be seen that all P’s of both groups before and after the treatment are lower than0.05. The differences are statistically significant. Both treatment methods can enhance Karnofsky scores and improve patients’life quality with the effect of the treatment group more notable.In terms of safety, during the clinical experiment, there is no invalid case whose Adverse reactions due to treatment. The main adverse reaction is feeling sore and swollen in catgut implanted acupoints, nevertheless, patients find it bearable and thus, there is no need to give special care. The major adverse effect of applying Shuangbai powder is causing skin allergy. Two patients during the experiment had skin allergy but the symptom was alleviated by reducing the time of the medicine staying on the skin. Patients in the treatment group also had similar adverse reactions to the contrast group including feeling sick, vomiting, constipation, and dizziness with the treatment group suffering less severe reactions than the contrast group, but P values were greater than0.05, the difference was not statistically significantConclusionCatgut implantation combined double powder good topical effect, markedly higher than the treatment of cancer pain better than western medicine. By contrast, the quality of life of patients to treatment groups than the control group, indicating that improve quality of life in patients with cancer pain catgut embedding combined double powder topical treatment can to some extent. Using catgut implantation combined double powder topical treatment method is simple, to not not high, accessible, safe, reliable, satisfactory, good practicality and maneuverability, worthy of further application. Catgut implantation at acupoints combined with external application of traditional Chinese medicine plaster Shuangbai powder can effectively treat cancer pain, and improve patients’life quality. Hence, it can be used to clinically treat cancer pain. |
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