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中医情志疗法联合针灸对肝郁气滞型乳腺癌术后患者的影响OA

Effect of Traditional Chinese Medicine Emotional Therapy Combined with Acupuncture on Postoperative Breast Cancer Patients with Liver Depression and Qi Stagnation

中文摘要英文摘要

目的:探究中医情志疗法联合针灸对肝郁气滞型乳腺癌术后患者的影响.方法:选取 2022 年 1 月—2023 年6 月海安市中医院收治的 60 例肝郁气滞型乳腺癌术后患者作为研究对象,通过随机数表法将其分为对照组(常规护理,30 例)和观察组(中医情志疗法联合针灸,30 例).比较两组干预前后匹兹堡睡眠指数(PSQI)评分、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分、症候积分、疼痛程度[视觉模拟评分法(VAS)]、生活质量[简易生活量表(SF-36)].结果:干预前,两组PSQI评分、SAS评分、SDS评分、中医症候积分、VAS评分、SF-36 评分比较,差异无统计学意义(P>0.05);观察组干预后PSQI评分、SAS评分、SDS评分、中医症候积分、VAS评分低于对照组,SF-36 评分高于对照组,差异有统计学意义(P<0.05).结论:中医情志疗法与针灸联合应用于肝郁气滞型乳腺癌术后患者,可改善心理状态,提高睡眠质量和生活质量,且有助于降低术后疼痛程度.

Objective:To explore the effect of traditional Chinese medicine emotional therapy combined with acupuncture on postoperative breast cancer patients with liver depression and Qi stagnation.Method:From January 2022 to June 2023,60 postoperative breast cancer patients with liver depression and Qi stagnation who treated in Hai'an Hospital of Traditional Chinese Medicine were selected as the research objects,the patients were divided into the control group(routine nursing,30 cases)and observation group(traditional Chinese medicine emotional therapy combined with acupuncture,30 cases)by random number table method.The Pittsburgh sleep index(PSQI)score,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)score,traditional Chinese medicine symptom score,pain degree[visual analogue scale(VAS)]and quality of life[simple life scale(SF-36)]were compared between two groups before and after intervention.Result:There were no statistically significant differences in the PSQI score,SAS score,SDS score,traditional Chinese medicine syndrome score,VAS score and SF-36 score between two groups before intervention(P>0.05);the PSQI score,SAS score,SDS score,traditional Chinese medicine symptom score and VAS score of the observation group after intervention were lower than those of the control group,and the SF-36 score was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Traditional Chinese medicine emotional therapy combined with acupuncture in postoperative breast cancer patients with liver depression and Qi stagnation can improve the mental state,improve the quality of sleep and life,and help to reduce the degree of postoperative pain.

秦亚丽

海安市中医院 江苏 海安 226600

乳腺癌肝郁气滞中医情志疗法针灸心理状态

Breast cancerLiver depression and Qi stagnationTraditional Chinese medicine emotional therapyAcupunctureMental state

《中外医学研究》 2024 (012)

159-162 / 4

南通市卫生健康委员会科研课题项目(MB2021082)

10.14033/j.cnki.cfmr.2024.12.040

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