1.首都医科大学附属北京中医医院 泌尿外科, 北京, 100010
2.首都医科大学附属北京中医医院 护理部, 北京, 100010
收稿:2025-10-28,
修回:2025-12-15,
录用:2025-12-16,
网络出版:2026-01-30,
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梅雪婷, 裴晓璐, 邢晅毓, 等. 耳穴治疗三部曲联合芬太尼透皮贴治疗1例前列腺癌骨转移患者疼痛的护理[DB/OL].中西医结合临床案例库, 2026.
MEI Xueting, PEI Xiaolu, XING Xuanyu, et al. Nursing Management of a Prostate Cancer Patient with Bone Metastasis Using Triple Auricular Therapy Combined with Fentanyl Transdermal Patch for Pain Relief[DB/OL].Clinical Archives of Integrative Medicine, 2026.
梅雪婷, 裴晓璐, 邢晅毓, 等. 耳穴治疗三部曲联合芬太尼透皮贴治疗1例前列腺癌骨转移患者疼痛的护理[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202510280002.
MEI Xueting, PEI Xiaolu, XING Xuanyu, et al. Nursing Management of a Prostate Cancer Patient with Bone Metastasis Using Triple Auricular Therapy Combined with Fentanyl Transdermal Patch for Pain Relief[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202510280002.
本文总结1例前列腺癌骨转移患者应用耳穴综合疗法(耳部按摩、耳部刮痧、耳穴压丸)联合芬太尼透皮贴剂镇痛的临床效果及护理经验。基于中医整体观及辨证施护理论,采用上述综合干预方案后,患者疼痛症状明显缓解,未出现便秘、恶心呕吐等阿片类药物常见不良反应。
This article evaluates the clinical efficacy and nursing experience of a triple auricular therapy (auricular massage, scraping, and seed embedding) combined with fentanyl transdermal patches for pain management in a prostate cancer patient with bone metastases. Guided by TCM holistic theory and syndrome-differentiated nursing principles, the integrated intervention significantly alleviated the patient's pain without inducing common opioid-related adverse effects such as constipation or nausea.
邓龙昕 , 周睿 , 吴涵 , 等 . 前列腺癌骨转移机制研究进展 [J]. 西南医科大学学报 , 2024 , 47 ( 6 ): 481 - 487 .
DENG L X , ZHOU R , WU H , et al . Research progress on the mechanisms behind prostate cancer bone metastasis [J]. J Southwest Med Univ , 2024 , 47 ( 6 ): 481 - 487 . (in Chinese)
苟晓瑜 , 迟嘉婧 , 于万慧 , 等 . 前列腺癌病人自我报告结局评估工具的研究进展 [J]. 护理研究 , 2024 , 38 ( 10 ): 1793 - 1798 .
GOU X Y , CHI J J , YU W H , et al . Research progress on assessment tools of patient-reported outcome measures for patients with prostate cancer [J]. Chin Nurs Res , 2024 , 38 ( 10 ): 1793 - 1798 . (in Chinese)
LIU H , SUN W X , WANG J M , et al . Alendronate-functionalized ZIF-8 nanoplatform for targeted delivery of SHH siRNA and docetaxel to treat prostate cancer bone metastasis [J]. Pathol Res Pract , 2025 , 273 : 156138 .
程祝强 , 曾永芬 , 金毅 , 等 . 丁丙诺啡透皮贴剂在癌痛治疗中的应用进展 [J]. 中国疼痛医学杂志 , 2025 , 31 ( 8 ): 624 - 630 .
CHENG Z Q , ZENG Y F , JIN Y , et al . Advances in the application of buprenorphine transdermal patch for cancer pain management [J]. Chin J Pain Med , 2025 , 31 ( 8 ): 624 - 630 . (in Chinese)
司继刚 , 曹凯 , 王雪 , 等 . 芬太尼透皮贴剂合并饮酒疑致1例患者死亡分析 [J]. 中国新药与临床杂志 , 2021 , 40 ( 5 ): 399 - 400 .
SI J G , CAO K , WANG X , et al . Analysis of a case of death suspected induced by fentanyl transdermal patch combined with alcohol drinking [J]. Chin J New Drugs Clin Remedies , 2021 , 40 ( 5 ): 399 - 400 . (in Chinese)
陈路佳 , 唐榕 , 向帆 , 等 . 芬太尼透皮贴剂或吗啡缓释片治疗中重度癌痛的系统评价 [J]. 中国药业 , 2015 , 24 ( 18 ): 51 - 55 .
CHEN L J , TANG R , XIANG F , et al . Systematic review on fentanyl transdermal patches and morphine sustained- release tablets for treating moderate- to- severe cancer pain [J]. China Pharm , 2015 , 24 ( 18 ): 51 - 55 . (in Chinese)
张晶晶 , 肖丽丽 , 张鑫杰 . 复方苦参注射液联合芬太尼透皮贴治疗癌性疼痛的疗效观察 [J]. 天津医药 , 2025 , 53 ( 3 ): 317 - 320 .
ZHANG J J , XIAO L L , ZHANG X J . Therapeutic effect of compound Kushen injection combined with fentanyl transdermal patch in the treatment of carcinoma pain [J]. Tianjin Med J , 2025 , 53 ( 3 ): 317 - 320 . (in Chinese)
曾燕聪 , 吴娣 , 李湘 . 133例初次使用芬太尼透皮贴患者滴定率及不良反应 [J]. 中国药物经济学 , 2021 , 16 ( 1 ): 103 - 106, 128 .
ZENG Y C , WU D , LI X . Titration rate and adverse drug reactions in 133 cases of the first time treatment with patients using fentanyl transdermal patch [J]. China J Pharm Econ , 2021 , 16 ( 1 ): 103 - 106, 128 . (in Chinese)
林飞 , 王斌 . 中医综合疗法治疗前列腺癌骨转移疼痛系统综述和meta分析 [J]. 解放军医药杂志 , 2021 , 33 ( 3 ): 100 - 103 .
LIN F , WANG B . Effect of comprehensive therapy of traditional Chinese medicine on pain caused by bone metastasis in pros-Tate cancer: a system review and meta-analysis [J]. Med Pharm J Chin People’s Liberation Army , 2021 , 33 ( 3 ): 100 - 103 . (in Chinese)
于晓丽 , 韩灵敏 , 韩春山 . 芬太尼透皮贴剂治疗癌性腹胀患者的疗效观察 [J]. 川北医学院学报 , 2015 , 30 ( 6 ): 790 - 793 .
YU X L , HAN L M , HAN C S . Clinical observation of transdermal fentanyl for patients with cancer relat-ed abdominal distension [J]. J N Sichuan Med Coll , 2015 , 30 ( 6 ): 790 - 793 . (in Chinese)
张英 , 刘永源 , 李凤英 , 等 . 芬太尼透皮贴剂治疗晚期癌症疼痛的临床应用 [J]. 中国肿瘤临床与康复 , 2004 , 11 ( 2 ): 186 - 188 .
ZHANG Y , LIU Y Y , LI F Y , et al . Ginical application of transdermal fentanyl (Durogesic) in treatment of cancer pain [J]. Chin J Clin Oncol Rehabil , 2004 , 11 ( 2 ): 186 - 188 . (in Chinese)
黄敏 , 杨红 , 欧竹君 , 等 . 芬太尼透皮贴剂与盐酸哌替啶在恶性肿瘤患者术后镇痛中应用的效果评价及护理研究 [J]. 中国实用护理杂志 , 2011 , 27 ( 13 ): 15 - 17 .
HUANG M , YANG H , OU Z J , et al . Study on effects of Fentanyl transdermal patches and pethidine in postoperative analgesia of malig- nant tumor and nursing measures [J]. Chin J Pract Nurs , 2011 , 27 ( 13 ): 15 - 17 . (in Chinese)
李擎 , 于洋 , 晋鑫 , 等 . 低剂量芬太尼透皮贴剂在阿片未耐受中重度癌痛病人中的疗效及安全性 [J]. 中国疼痛医学杂志 , 2021 , 27 ( 8 ): 582 - 590 .
LI Q , YU Y , JIN X , et al . The efficacy and safety of low-dose transdermal fentanyl for moderate-to-severe cancer pain in opioid na? ve patients [J]. Chin J Pain Med , 2021 , 27 ( 8 ): 582 - 590 . (in Chinese)
申珅 , 赵媛 , 杨毅 , 等 . LDL-C/HDL-C比值对急性脑梗死患者出院时ADL恶化的影响 [J]. 临床和实验医学杂志 , 2025 , 24 ( 19 ): 2017 - 2019 .
SHEN S , ZHAO Y , YANG Y , et al . Impact of LDL-C/HDL-C ratio on deterioration of activities of daily living at discharge in patients with acute cerebral infarction [J]. J Clin Exp Med , 2025 , 24 ( 19 ): 2017 - 2019 . (in Chinese)
席豪 , 曾燕 , 李霞 , 等 . 羟考酮联合普瑞巴林治疗带状疱疹后神经痛的疗效观察 [J]. 中国合理用药探索 , 2025 , 22 ( 9 ): 95 - 100 .
XI H , ZENG Y , LI X , et al . Observation of the therapeutic efficacy of oxycodone combined with pregabalin on postherpetic neuralgia [J]. China Licens Pharm , 2025 , 22 ( 9 ): 95 - 100 . (in Chinese)
万崇华 , 陈明清 , 张灿珍 , 等 . 癌症患者生命质量测定量表EORTC QLQ-C30中文版评介 [J]. 实用肿瘤杂志 , 2005 , 20 ( 4 ): 353 - 355 .
WAN C H , CHEN M Q , ZHANG C Z , et al . The Chinese version of EORTC QLQ-C3 form in evaluation of quality of life for patients with cancer [J]. J Pract Oncol , 2005 , 20 ( 4 ): 353 - 355 . (in Chinese)
贾英杰 , 李小江 , 杨佩颖 , 等 . 中医外治法治疗前列腺癌的研究进展 [J]. 中医肿瘤学杂志 , 2021 , 3 ( 5 ): 83 - 87, 93 .
JIA Y J , LI X J , YANG P Y , et al . Research progress of external treatment of traditional Chinese medicine in the treatment of prostate cancer [J]. J Oncol Chin Med , 2021 , 3 ( 5 ): 83 - 87, 93 . (in Chinese)
刘德果 , 陈其华 , 李博 . 益肾通癃汤联合中医外治对中老年前列腺癌骨转移临床疗效研究 [J]. 辽宁中医药大学学报 , 2021 , 23 ( 4 ): 83 - 87 .
LIU D G , CHEN Q H , LI B . Clinical study of yishen tonglong decoction combined with external therapy of traditional Chinese medicine on bone metastasis of prostate cancer [J]. J Liaoning Univ Tradit Chin Med , 2021 , 23 ( 4 ): 83 - 87 . (in Chinese)
刘兴 , 谢薇 , 向毅明 , 等 . 1例慢性偏头痛患者行耳穴三序疗法的护理 [J]. 中国临床护理 , 2024 , 16 ( 1 ): 65 - 67 .
LIU X , XIE W , XIANG Y M , et al . Auricular triple sequence therapy treating chronic migraine: a case report [J]. Chin Clin Nurs , 2024 , 16 ( 1 ): 65 - 67 . (in Chinese)
张卫 . 耳部按摩-刮痧-穴位贴压序贯疗法治疗心脾两虚型失眠症的临床效果观察 [J]. 中国实用医药 , 2025 , 20 ( 6 ): 174 - 176 .
ZHANG W . Observation on the clinical effect of sequential therapy of ear massage-scraping-acupoint pressure on insomnia of heart-spleen deficiency type [J]. China Pract Med , 2025 , 20 ( 6 ): 174 - 176 . (in Chinese)
谭畅 , 何花 . 耳穴贴压联合耳部铜砭刮痧对卒中后失眠患者睡眠质量的影响研究 [J]. 世界中西医结合杂志 , 2025 , 20 ( 3 ): 580 - 585 .
TAN C , HE H . Effect of auricular point sticking combined with auricular copper scraping on sleep quality of post-stroke insomnia patients [J ]. World J Integr Tradit West Med , 2025 , 20 ( 3 ): 580 - 585 . (in Chinese)
SIEGEL R L , MILLER K D , JEMAL A . Cancer statistics, 2016 [J]. CA Cancer J Clin , 2016 , 66 ( 1 ): 7 - 30 .
祖拜热·依斯坎代尔 , 贾志莺 , 王长春 , 等 . 前列腺癌骨转移的预测模型: 基于临床与超声组学特征 [J]. 分子影像学杂志 , 2025 , 48 ( 8 ): 1010 - 1015 .
IskandarZubayr , JIA Z Y , WANG C C , et al . A prediction model for bone metastasis of prostate cancer: based on clinical and ultrasound radiomics features [J]. J Mol Imag , 2025 , 48 ( 8 ): 1010 - 1015 . (in Chinese)
中国抗癌协会泌尿男生殖系肿瘤专业委员会前列腺癌学组 . 前列腺癌骨转移多学科诊疗专家共识(2020版) [J]. 肿瘤防治研究 , 2020 , 47 ( 7 ): 479 - 486 .
Prostate Cancer Group, Chinese Anticancer Association Genitourinary Oncology Committee . Expert consensus of multidisciplinary treatment on bone metastasis of prostate cancer(version 2020) [J]. Cancer Res Prev Treat , 2020 , 47 ( 7 ): 479 - 486 . (in Chinese)
刘德果 , 李姿蓉 , 胡金辉 , 等 . 由“阳化气, 阴成形”理论探讨扶阳法在前列腺癌治疗中的应用 [J]. 中华中医药杂志 , 2021 , 36 ( 5 ): 2775 - 2778 .
LIU D G , LI Z R , HU J H , et al . Discussion on the application of strengthening Yang qi method in prostate cancer based on the theory of ‘Yang transforming Qi, Yin constituting the body’ [J]. China J Tradit Chin Med Pharm , 2021 , 36 ( 5 ): 2775 - 2778 . (in Chinese)
梁文浩 , 朱文静 , 迟大鹏 , 等 . 中医药治疗前列腺癌骨转移研究进展 [J]. 河北中医 , 2025 , 47 ( 1 ): 163 - 167 .
LIANG W H , ZHU W J , CHI D P , et al . Research Progress on the Treatment of Prostate Cancer Bone Metastasis with Traditional Chinese Medicine [J]. Hebei J Tradit Chin Med , 2025 , 47 ( 1 ): 163 - 167 . (in Chinese)
徐佳 , 刘漩 , 范春艳 , 等 . 基于全息理论耳部三联疗法治疗气滞血瘀型原发性头痛临床研究 [J]. 河北中医 , 2025 , 47 ( 6 ): 1006 - 1009 .
XU J , LIU X , FAN C Y , et al . Effects of triple therapy in aural region based on holographic theory of Chinese medicine on patients with primary headache of Qi stagnation and blood stasis [J]. Hebei J Tradit Chin Med , 2025 , 47 ( 6 ): 1006 - 1009 . (in Chinese)
杜思龙 , 郭云亮 , 宰晓哲 , 等 . 耳穴压豆联合舒芬太尼用于混合痔术后镇痛的效果观察 [J]. 中国肛肠病杂志 , 2024 , 44 ( 12 ): 73 .
DU S L , GUO Y L , ZAI X Z , et al . Observation on the Effect of Auricular Point Pressing Beads Combined with Sufentanil for Postoperative Analgesia in Patients with Mixed Hemorrhoids [J]. Chin J Coloproctology , 2024 , 44 ( 12 ): 73 . (in Chinese)
吴开恩 , 徐芳 , 黄文艳 , 等 . 耳穴贴磁法对妇科恶性肿瘤患者围手术期阿片类药物使用的影响 [J]. 癌症进展 , 2025 , 23 ( 3 ): 285 - 288, 305 .
WU K E , XU F , HUANG W Y , et al . Effect of auricular point sticking-magnetism method on perioperative opioid use in patients with gynecological malignant tumors [J]. Oncol Prog , 2025 , 23 ( 3 ): 285 - 288, 305 . (in Chinese)
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