论文部分内容阅读
目的观察星状神经节阻滞对乳腺癌术后患者潮热症的治疗效果。方法将乳腺癌术后患者随机分为治疗组和对照组各30例,治疗组在对照组治疗基础上加用星状神经节阻滞(C6水平气管旁入路法),分别于治疗前及治疗后2、4、8周随访,利用潮热评分表(Hot-Flash Score)比较二组潮热分值的变化情况。结果按潮热评分量表积分标准统计,治疗组治疗前症状积分与治疗后2、4、8周症状积分相比差异有统计学意义(P<0.01);对照组治疗前症状积分与治疗后2、4、8周症状积分相比差异有统计学意义(P<0.01);二组治疗后各时间点症状积分比较差异有统计学意义(P<0.01)。按症状疗效评定标准统计,二组治疗后各时间节点的总有效率比较差异有统计学意义(P<0.01)。结论星状神经节阻滞技术可以显著降低乳腺癌术后患者的潮热评分,提高生活质量,从而增加内分泌药物治疗的依从性。
Objective To observe the therapeutic effect of stellate ganglion block on hot flashes in postoperative patients with breast cancer. Methods Thirty patients with breast cancer were randomly divided into treatment group (30 cases) and control group (30 cases). The treatment group was given stellate ganglion block (C6 level tracheal approach) on the basis of the control group, At 2, 4, and 8 weeks after treatment, the changes of hot flashes in the two groups were compared by Hot-Flash Score. Results According to the standard score of hot flashes, the scores of symptom scores before treatment in treatment group were significantly different from those in 2, 4 and 8 weeks after treatment (P <0.01) There were significant differences in symptom scores at 2, 4 and 8 weeks (P <0.01). There was significant difference in symptom score between the two groups after treatment (P <0.01). According to the evaluation standard of symptom curative effect, the total effective rate of the two groups after treatment was statistically significant difference (P <0.01). Conclusion Stellate ganglion block technique can significantly reduce the hot flashes score in postoperative patients with breast cancer and improve the quality of life, thereby increasing the compliance of endocrine drug treatment.