时空针灸飞腾八法辅助三级阶梯止痛治疗癌性疼痛效果及对生活质量的影响

Efficacy of Space-Time Acupuncture Feiteng Eight Methods Assisted Three-Step Analgesic Therapy for Cancer Pain and Its Impact on Quality of Life

摘要: 目的：观察时空针灸飞腾八法辅助三级阶梯止痛治疗癌性疼痛的效果及对生活质量的影响。方法：选取2022年6月~2025年6月于防城港市中医医院住院部接受治疗的80例癌性疼痛患者，采用随机分组的方法将其划分为治疗组和对照组，两组患者数量均等，每组各40例。其中，治疗组采用飞腾八法针灸与药物联合治疗方案，对照组则单纯应用药物治疗，两组均接受1个疗程的干预。治疗完成后，分别对两组患者的疼痛程度(采用数字评价量表(NRS)评分)、计算后得出的疼痛有效减轻比例、止痛过程中所使用阿片类药物的剂量、治疗过程中患者出现爆发痛的频率及次数、治疗过程中的生活质量评分(卡氏评分(KPS))、相应的中医证候评分进行记录与评估。结果：在治疗实施前，两组患者在疼痛程度(采用数字评价量表(NRS)评分)、疼痛缓解率、阿片类药物使用情况、爆发痛发作频次、生活质量(以卡氏功能状态评分(KPS)评估)、中医证候积分等多项指标上的差异无统计学意义(均P > 0.05)。经1个疗程治疗后，治疗组与对照组在上述各项指标(包括疼痛程度NRS评分、计算后得出的疼痛有效减轻比例、止痛过程中所使用阿片类药物的剂量、治疗过程中患者出现爆发痛的频率及次数、治疗过程中的生活质量评分(卡氏评分(KPS))、相应的中医证候评分上的差异均具有极其显著的统计学意义(P值均小于0.001)。结论：在癌性疼痛中给予飞腾八法针刺联合药物疗法治疗，疗效更为显著，不良反应发生率较低，患者满意度更高，具有较高的临床应用价值。

Abstract: Objective: To observe the efficacy of space-time acupuncture Feiteng Eight Methods combined with three-step analgesic therapy for cancer pain and its impact on patients’ quality of life. Methods: A total of 80 inpatients with cancer pain treated in Fangchenggang Hospital of Traditional Chinese Medicine from June 2022 to June 2025 were randomly divided into two groups with 40 cases each: the treatment group received Feiteng Eight Methods acupuncture combined with medication, while the control group received medication alone. Both groups underwent one course of intervention. After treatment, the following indicators were recorded and evaluated for both groups: pain intensity (assessed by Numerical Rating Scale [NRS]), effective pain relief rate, dosage of opioid analgesics used, frequency of breakthrough pain, quality of life (assessed by Karnofsky Performance Status [KPS] score), and Traditional Chinese Medicine (TCM) syndrome score. Results: Before treatment, there were no statistically significant differences between the two groups in NRS score, pain relief rate, opioid dosage, breakthrough pain frequency, KPS score, or TCM syndrome score (all P > 0.05). After one course of treatment, the differences between the two groups in all the above indicators were extremely statistically significant (all P < 0.001). Conclusion: Feiteng Eight Methods acupuncture combined with medication for cancer pain achieves more significant efficacy, lower incidence of adverse reactions, and higher patient satisfaction, thus having high clinical application value.