中医耳穴压籽法联合穴位电生理对消化系统癌痛的改善作用

目的 探讨中医耳穴压籽法联合穴位电生理在消化系统癌痛治疗中的应用效果。方法 纳入本院2014年11月至2017年11月收治的消化系统癌痛患者112例，利用随机数字表法分成对照组、观察组各56例。对照组采用穴位电生理治疗，观察组在对照组的基础上联合中医耳穴压籽法治疗，两组治疗时间为4周。观察两组患者治疗后临床效果，并比较两组患者治疗前后每日疼痛持续时间、数字疼痛评分法（numerical rating scale，NRS）评分的变化，采用欧洲五维健康量表（European quality of life 5-dimensions，EQ-5D）评价两组治疗前后的生存质量，记录患者不良反应发生率。结果 观察组总有效率为96.43%，高于对照组的83.93%，差异有统计学意义（P<0.05）；观察组治疗后的疼痛持续时间、NRS评分小于对照组，差异有统计学意义（P<0.05）；观察组治疗后的自我照顾能力、焦虑/抑郁、疼痛评分较对照组明显降低，差异有统计学意义（P<0.05）；观察组不良反应发生率与对照组比较差异无统计学意义（P>0.05）。结论 中医耳穴压籽法联合穴位电生理刺激治疗能缓解消化系统癌痛患者的疼痛感，缩短疼痛持续时间，提高生存质量，且优于单用穴位电生理治疗，值得临床推广。

Clinical Effect of Auricular Point Sticking Combined with Electrophysiological Stimulation in Treatment of Cancer Pain in the Digestive System

Objective To explore the clinical effect of auricular point sticking combined with electrophysiological stimulation in the treatment of cancer pain in the digestive system. Methods A total of 112 patients with cancer pain in the digestive system admitted to our hospital from November 2014 to November 2017 were included and divided into control group (56 subjects) and observation group (56 subjects) using a random number table. The patients in the control group were treated by electrophysiological stimulation, while the patients in the observation group were treated by auricular point sticking combined with electrophysiological stimulation. The course of treatment was 4 weeks for both groups. The outcomes of patients in the two groups were evaluated. The changes in daily pain duration and numerical rating scale (NRS) score were evaluated after treatment. The European Quality of Life-5 Dimensions was used to evaluate the quality of life of patients before and after treatment. The incidence of adverse events was recorded. Results The observation group had a significantly higher overall response rate than the control group (96.43% vs 83.93%, P<0.05). The observation group had a significantly shorter pain duration and a significantly lower NRS score after treatment compared with the control group (P<0.05). The observation group had a significantly higher self-care ability score and significantly lower anxiety/depression and pain scores after treatment compared with the control group (P<0.05). There was no significant difference in the incidence of adverse events between the two groups (P>0.05). Conclusion Auricular point sticking combined with electrophysiological stimulation can effectively relieve cancer pain in the digestive system, shorten pain duration, and improve quality of life. It is superior to electrophysiological stimulation alone, thus deserving clinical promotion.