Clinical Research On Acupuncturing Siguan With Auricular Pressure For Cancerous Pain

Objective:Currently malignant tumor in global has become a serious threat to human health and life. The world health organization (WHO) published in 2000, There were totally 10 million patients with malignant tumors,6.2 million died from this disease, accaunted for 12% of the total deaths, in most developed countries the number can reach 25%. Pain is cancer patients'common, frightening complication. According to statistics,30%～50% of new cancer cases have different degree of pain,15% of the untransfer patients have pain and 50% of those who are accepting anti-cancer treatment have aching feeling, among patients with advanced cancer,31%～90% have different levels of pain.In palliative care, WHO has raised the control of pain to the status of "priorities". But when patients use the analgesics for a long time, the dependence and side effects are so strong, and the limit tolerability get poorer. Compared with Opioids, Chinese medicine without addiction, aims at the etiology, actively improve patients' symptoms, sleep quality and time, and improve the life quality of advanced cancer patients, it can reduce physical and emotional pain, prolong the survival time, all these have extremely vital significance. Nearly ten years, TCM treatment got a greater development in the treatment of cancer pain, which brings new ideas and methods in treating cancer pain, provides a broad development prospects.In Chinese medicine, Cancerous pain belongs to "pain syndrome" category. The traditional Chinese medicine treatments on cancerous pain are also various. As one of the traditional Chinese medicine therapy, acupuncture therapy with its advantages such like safety, no analgesic drug addiction and side effects and so on, now is playing an important role in cancer pain treatment. At present, the methods adopted in relevant acupuncture analgesia reported in literature is different, have no unified observation and treatment standards, so the conclusions cannot be compared and summarized, and can not be widely applied, the credibility needs to be improved as well.This study chose acupuncture and auricular Pressure to treat cancer pain according to international general pain assessment standards, observed the length of pain time, simple pain scale, survival quality scale (WHOQOL-BREF) pasteurella rating scale. And then used statistical analysis to appraise the effect of it and make a comprehensive evaluation, aimed to explore a simple and effective method to provide ideas for clinical application, and further improved the patients'quality of life, improved its self-care ability. Methods:The literature overviewed on the recognitions and treatments of cancer pain in traditional Chinese medicine and modern medicine, and the clinical application of Siguan in recent four yearsClinical study:60 cases who met the inclusion criteria according to the order of diagnosis and random number table were divided into the treatment group and control group,30 cases each group. The patients all took analgesia drugs according to the "three steps drug analgesic method", on this basis, the treatment group were treated with acupuncture point Siguang and auricular Pressure by wangbuliuxing, according the dialectical results to choose reinforcing or reducing method, according disease diagnosing to choose the ear point, observed it's score in the pain standing time, simple pain scale, survival quality scale (WHOQOL-BREF), Barthel Index scale, and its safety. Results:In pain, average pain time and pain degree were all improved obviously in two groups; the treatment group got better effect. In pain interference, compared with before treatment all patients'pain interference degree declined obviously, compared the treatment group with control group,there were no significant differences.In the WHOQOL-BREF scoring, all patients'subjective feeling markedly reduced in the physiological field, psychological field, social relation field, the environment field and life quality; But compared treatment group with control group in all directions, Treatment group got more scores than control group in physiological field.In Barthel Index rating, two treatments obviously increased Barthel Index score; compared treatment group with control group in this rating, treatment group improved more apparently.In safety, we did not find serious adverse reactions about acupuncture therapy. No patients discontinued the treatment because of they could not tolerate or retreated from the research because of the side effects of the drug Conclusion:Acupuncturing Siguan with auricular pressure treatment can obviously help relieve cancerous patients from Cancerous pain, improve the life quality, improve its self-care ability. Patients are easy to accept it Because this treatment with definite effect and easy to operate and without adverse reaction. It's a good treatment that worths widely application.