Objective:To investigate the clinical efficacy of Neurotropin combined with oxycodone hydrochloride in moderating the severe pain in neuropathic cancer pain (NCP) patients. Methods: NCP patients who received drug therapy with a visual analog scale (VAS) score of>4 were randomly divided into the placebo combined oxycodone group (group A) and Neurotropin combined oxy-codone group (group B). The VAS score, pain relief rate, frequency of pain outbreaks, average dose of oxycodone per day, and adverse drug reactions between the two groups were compared. Results:The VAS scores in groups A and B both had significant reduction after treatment (P<0.05), whereas the VAS score in group B after 14 days of treatment decreased more significantly than that in group A (P=0.03). The pain relief rate in group B patients 14 days after treatment was significantly higher than that in group A (P<0.001). The out-break pain in groups A and B 7 and 14 days after treatment significantly decreased, whereas the outbreak pain in group B was signifi-cantly lower than that in group A (P values were 0.07 and 0.07, respectively). The average dose of oxycodone per day in group B 14 days after treatment was lower than that in group A (P<0.001). Adverse reactions, such as nausea and vomiting, in group B were signifi-cantly less than those in group A (P<0.05). Conclusion:Neurotropin combined with oxycodone can effectively lower the NCP, average dose of oxycodone per day, and adverse reactions.%目的:探讨神经妥乐平(NTP)联合盐酸羟考酮控释片(OST)治疗癌性神经病理性疼痛(NCP)的临床疗效.方法:将2012年8月至2013年8月在天津医科大学肿瘤医院疼痛治疗科接受药物治疗且VAS评分>4分的102例NCP患者随机分成安慰剂联合OST治疗组(A组)和NTP联合OST治疗组(B组).比较两组VAS评分、疼痛缓解率、爆发痛发作次数、OST使用剂量及药物不良反应.结果:两组患者在治疗后VAS评分、爆发痛发作次数均较治疗前显著降低(P<0.05);治疗第14天后B组VAS评分、疼痛程度、爆发痛发作次数以及OST日均用量均优于A组(P<0.05),且B组患者恶心、呕吐等不良反应明显少于A组(P<0.05).结论:NTP联合OST能有效减轻NCP,并减少OST的用量及不良反应,值得临床进一步推广.
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