目的 探讨短期针刺缓解胰腺癌疼痛和抑郁的疗效.方法 将符合纳入标准的住院患者分为两组,针刺组(31例)给予最佳药物止痛治疗和1周特定穴体针配合耳揿针的镇痛治疗,药物组(37例)仅接受最佳药物止痛治疗.采用疼痛11点数字评分法(NRS-11)及汉密尔顿抑郁量表-6(HAMD-6)评分观察比较两组患者疼痛强度和抑郁水平的变化.结果 两组NRS-11评分治疗前后比较差异均无统计学意义(P＞0.05).两组疼痛疗效经Ridit分析差异无统计学意义(P＞0.05).两组患者治疗前HAMD-6总分及子条目比较差异无统计学意义(P＞0.05),治疗1周后两组HAMD-6总分及子条目比较差异亦无统计学意义(P＞0.05).结论 短期针刺不能缓解胰腺癌疼痛和改善抑郁水平.%Objective To explore the short - term effect of acupuncture for treating pain and depression in pancreatic cancer patients. Methods The hospitalized patients who meet the inclusion criteria were divided into acupuncture group ( n = 31 ) receiving one week treatments of specific body and auricular acupuncture therapies, and drug group ( n =37 ) receiving optimal drug analgesic therapy ( ODAT ). The changes of pain and depression were evaluated by using the 11 -point numeric rating scale ( NRS -11) and Hamilton Depression Rating Scale - 6 items ( HAMD - 6 ), the results of the two groups were compared. Results The differences in NRS - 11 score before and after the treatment between the two groups showed no statistical significance ( P >0. 05 ), and so did the difference in pain effect between the two groups through Ridit analysis ( P > 0. 05 ). The differences in total and factional scores of HAMD - 6 before the treatment between the two groups showed no statistical significance ( P > 0. 05 ), and so did the differences one week after the treatment ( P > 0. 05 ) . Conclusion A short term acupuncture therapy could not alleviate the pain and depress level in pancreatic cancer patients.
展开▼
