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中国当代医药  2020, Vol. 27 Issue (21): 126-129    
  临床药学 本期目录 | 过刊浏览 | 高级检索 |
盐酸羟考酮缓释片与盐酸曲马多缓释片治疗中度癌痛的临床效果比较
陈彩霞
广东省茂名市中医院临床药学部,广东茂名 525000
Clinical effect comparison of the Oxycodone Hydrochloride Sustained-release Tablets and Tramadol Hydrochloride Sustained-release Tablets in the treatment of moderate cancer pain
CHEN Cai-xia
Department of Clinical Pharmacy,Maoming Traditional Chinese Medicine Hospital,Guangdong Province,Maoming 525000,China
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摘要 目的 比较盐酸羟考酮缓释片与盐酸曲马多缓释片治疗中度癌痛的临床效果。方法 选取2014年1月~2018年12月我院收治的100 例中度癌痛患者作为研究对象,按照随机抽签法将其分为对照组(50 例)与研究组(50 例)。对照组患者采用盐酸曲马多缓释片口服治疗方法,研究组患者采用盐酸羟考酮缓释片口服治疗方法。比较两组患者的镇痛效果、治疗前后生活质量评分、不良反应发生情况。结果 研究组患者的镇痛总有效率为96.00%,高于对照组(82.00%),差异有统计学意义(P<0.05);研究组患者的便秘发生率为14.00%,恶心发生率为16.00%,头晕发生率为2.00%,嗜睡发生率为6.00%,排尿困难发生率为2.00%,与对照组(16.00%、14.00%、4.00%、8.00%、4.00%)比较,差异均无统计学意义(P>0.05);研究组患者治疗前的食欲评分为(1.75±0.55)分,精神状态评分为(1.65±0.70)分,睡眠评分为(1.80±0.65)分,日常生活能力评分为(1.95±0.70)分,与对照组[(1.70±0.60)、(1.60±0.75)、(1.85±0.60)、(1.90±0.75)分]比较,差异均无统计学意义(P>0.05);两组患者治疗后的生活质量评分高于本组治疗前,差异有统计学意义(P<0.05);研究组患者治疗后的食欲评分为(3.80±0.35)分,精神状态评分为(4.25±0.60)分,睡眠评分为(4.10±0.70)分,日常生活能力评分为(3.15±0.60)分,与对照组[(3.65±0.40)、(4.15±0.55)、(3.95±0.85)、(3.05±0.45)分]比较,差异均无统计学意义(P>0.05)。结论 中度癌痛患者应用盐酸羟考酮缓释片治疗的临床效果确切,可以有效改善治疗后生活质量,提高临床疗效,而且其不良反应发生率不增加,有重要临床应用价值。
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陈彩霞
关键词 盐酸羟考酮缓释片盐酸曲马多缓释片中度癌痛临床效果    
AbstractObjective To compare the clinical effect of Oxycodone Hydrochloride Sustained-release Tablets and Tramadol Hydrochloride Sustained-release Tablets in the treatment of moderate cancer pain. Methods From January 2014 to December 2018,100 patients with moderate cancer pain were selected as subjects and randomly divided into control group (n=50) and study group (n=50).The patients in the control group were treated with Tramadol Hydrochloride Sustained-release Tablets,and the patients in the study group were treated with Oxycodone Hydrochloride Sustained-release Tablets.The analgesic effect,quality of life scores before and after treatment and adverse reactions were compared between the two groups. Results The total effective rate of analgesia in the study group was 96.00%,which was higher than that in the control group (82.00%),the difference was statistically significant (P<0.05).The incidence rates of constipation,nausea,dizziness,lethargy and dysuria in the study group were 14.00%,16.00%,2.00%,6.00% and 2.00%,respectively,which were not significantly different from those in the control group (16.00%,14.00%,8.00%,4.00%,P>0.05).Before treatment,the appetite score of the study group was (1.75±0.55) points,mental state score of the study group was (1.65±0.70) points,sleep score of the study group was (1.80±0.65) points and daily living ability score of the study group was (1.95±0.70) points,compared with the control group [(1.70±0.60),(1.60±0.75),(1.85±0.60),(1.90±0.75) points],there were no significant differences between the two groups (P>0.05).The scores of quality of life after treatment in the two groups were higher than those before treatment,and the differences were statistically significant (P<0.05).After treatment,the appetite score of the study group was (3.80±0.35) points,mental state score of the study group was (4.25±0.60) points,sleep score of the study group was (4.10±0.70) points and daily living ability score of the study group was (3.15±0.60) points,compared with the control group [(3.65±0.40),(4.15±0.55),(3.95±0.85),(3.05±0.45) points],there were no significant differences between the two groups (P>0.05).Conclusion The clinical effect of Oxycodone Hydrochloride Sustained-release Tablets in the treatment of moderate cancer pain is accurate,which can effectively improve the quality of life after treatment and improve the clinical efficacy,and the incidence of adverse reactions is not increased,so it has important clinical application value.
Key wordsOxycodone Hydrochloride Sustained-release Tablets    Tramadol Hydrochloride Sustained-release Tablets    Moderate cancer pain    Clinical effect
    
引用本文:   
陈彩霞. 盐酸羟考酮缓释片与盐酸曲马多缓释片治疗中度癌痛的临床效果比较[J]. 中国当代医药, 2020, 27(21): 126-129.
CHEN Cai-xia. Clinical effect comparison of the Oxycodone Hydrochloride Sustained-release Tablets and Tramadol Hydrochloride Sustained-release Tablets in the treatment of moderate cancer pain. 中国当代医药, 2020, 27(21): 126-129.
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