盐酸度洛西汀肠溶片对晚期癌痛伴抑郁患者癌痛程度、负性情绪及β-内啡肽水平的影响

Effect of Duloxetine Hydrochloride Enteric-coated Tablets on the Degree of Cancer Pain, Negative Emotion and β-Endorphin Level in Patients with Advanced Cancer Pain and Depression

ES评分 0

DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(2)
作者
作者单位

鹤壁市人民医院肿瘤内科 ;

摘要
【摘要】研究晚期癌痛伴抑郁患者服用盐酸度洛西汀肠溶片对其癌痛程度、β-内啡肽水平和负性情绪的影响。方法 选取我科95例晚期癌痛伴抑郁患者作为研究对象,按照随机数字表法分为对照组和观察组。对照组47例给予羟考酮缓释片联合加巴喷丁,观察组48例在对照组基础上联合盐酸度洛西汀肠溶片,对比两组患者疼痛缓解率、癌痛程度、负性程度及β-内啡肽水平及羟考酮用量的不同。结果 治疗后两组患者各项指标较干预前均有明显改善,其中两组患者羟考酮用量较治疗前均有不同幅度上升,但观察组患者上升幅度低于对照组,且观察组患者β-内啡肽水平高于对照组(P<0.05),NRS评分、癌痛频率、SDS评分、和SAS评分低于对照组(P<0.05)。结论 盐酸度洛西汀肠溶片可以降低患者晚期癌痛程度,减少癌痛发生频率,同时缓解抑郁状况的产生,减少负性情绪,调节体内β-内啡肽水平,从而提高患者生活质量,具有良好的临床效果。
Abstract
【Abstract】Objective To study the effects of taking duloxetine hydrochloride enteric-coated tablets on the degree of cancer pain, β-endorphin levels and negative emotions in patients with advanced cancer pain and depression. Methods Ninety-five patients with advanced cancer pain and depression in our department were selected as the research objects, and they were divided into control group and observation group according to the random number table method. Forty-seven patients in the control group were given oxycodone sustained-release tablets combined with gabapentin, and 48 patients in the observation group were combined with duloxetine hydrochloride enteric-coated tablets on the basis of the control group. The pain relief rate, cancer pain degree, negative degree and β of the two groups were compared -The level of endorphins and the amount of oxycodone are different. Results After treatment, the indicators of the two groups of patients were significantly improved compared with those before the intervention. Among them, the oxycodone dosage of the two groups of patients increased differently than before the treatment, but the increase of the observation group was lower than that of the control group, and the observation group had β -Endorphin levels were higher than the control group (P<0.05), and the NRS score, cancer pain frequency, SDS score, and SAS score were lower than the control group (P<0.05). Conclusion Duloxetine hydrochloride enteric-coated tablets can reduce the degree of pain in patients with advanced cancer, reduce the frequency of cancer pain, at the same time alleviate the generation of depression, reduce negative emotions, and regulate the level of β-endorphin in the body, thereby improving the quality of life of patients. Has a good clinical effect.
关键词
【关键词】盐酸度洛西汀肠溶片;晚期癌痛;抑郁;癌痛程度;负性情绪
KeyWord
【Keywords】duloxetine hydrochloride enteric-coated tablets; advanced cancer pain; depression; cancer pain degree; negative emotion
基金项目
页码 306-309
  • 参考文献
  • 相关文献
  • 引用本文

闫海山*. 盐酸度洛西汀肠溶片对晚期癌痛伴抑郁患者癌痛程度、负性情绪及β-内啡肽水平的影响 [J]. 国际精神病学杂志. 2022; 49; (2). 306 - 309.

  • 文献评论

相关学者

相关机构