耳穴贴压、穴位贴敷、经络艾灸联合情志疗法对乳腺癌根治术患者的效果研究

目的探讨耳穴贴压、穴位贴敷、经络艾灸联合情志疗法对行乳腺癌根治术患者的治疗效果,为行乳腺癌根治术患者的临床治疗提供参考。方法选取2012—2018年在浙江中医药大学附属第三医院治疗的60例乳腺癌手术患者,采用随机数字表法将其分为对照组(30例)和观察组(30例)。对照组采用常规护理方法,观察组在对照组的基础上采用耳穴贴压、穴位贴敷、经络艾灸联合情志疗法进行护理。于术后7 d测量患者臂围、检测患肢伴随症状(上肢皮肤紧绷、肿胀、疼痛)发生情况,于术前及术后7 d采用阿森斯失眠量表测评患者的睡眠质量,术后3个月测量肩关节活动度,术后7 d采用焦虑、抑郁自评量表测评患者的焦虑、抑郁状态,比较2组患者术后7 d并发症(患肢水肿、皮下积液、皮瓣坏死)、伴随症状(上肢皮肤紧绷、肿胀、疼痛)、睡眠情况及焦虑抑郁发生情况,以及术后3个月肩关节功能障碍的发生情况。结果术后7 d,2组患者术后并发症发生率比较差异无统计学意义(P>0.05),观察组术后伴随症状、睡眠情况、焦虑、抑郁情况均明显优于对照组(均P<0.05),术后3个月,观察组肩关节功能障碍发生情况明显低于对照组(P<0.05)。结论耳穴贴压、穴位贴敷、经络艾灸联合情志疗法对行乳腺癌根治术患者具有较好的临床护理疗效,可有效降低患者术后伴随症状及焦虑、抑郁情况的发生率,明显改善患者的睡眠质量,且有助于患者肩关节功能恢复。

Clinical effect of auricular pressing therapy,acupoint sticking,meridian moxibustion combined with emotional therapy on patients undergoing radical mastectomy

Objective To explore the clinical effect of auricular pressing therapy, acupoint sticking, meridian moxibustion combined with emotional therapy on breast cancer patients after radical surgery, and to provide reference for clinical treatment of patients undergoing radical mastectomy. Methods A total of 60 breast cancer patients undergoing radical mastectomy in the third affiliated physician of Zhejiang University of Traditional Chinese Medicine from 2012 to 2018 were selected and divided into control group (30 cases) and observation group (30 cases) by random number table method. The control group received routine nursing, while the observation group received additional auricular application pressure, acupoint sticking, meridian moxibustion combined with emotional therapy. Seven days after surgery, the arm circumference was measured, the concomitant symptom (upper limb skin tightness, swelling and pain) were examined, and the anxiety and depression of the patients were assessed by the depression self-rating scale and anxiety self-rating scales. The sleep quality of the patients was assessed by using the Athens Insomnia Scale (AIS) before the surgery and 7 days after the surgery. The activity of shoulder joint was measured 3 months after surgery. The postoperative complications (limb edema, scalp hydrops and flap necrosis), concomitant symptom (upper limb skin tightness, swelling and pain), sleep quality, anxiety and depression of patients at 7 d after the surgery, and the range of motion of shoulder joint at 3 months after surgery were compared between the two groups. Results There was no significant difference in the incidence of postoperative complications between the two groups at 7 days after the surgery (P>0.05). The concomitant symptom, sleep quality, anxiety and depression in the observation group was improved significantly when compared with the control group (all P<0.05). The incidence of shoulder dysfunction in the observation group was significantly lower than that in the control group at 3 months after the surgery (P<0.05). Conclusion The auricular pressing therapy, acupoint sticking, meridian moxibustion combined with emotional therapy show a good clinical nursing effect on patients undergoing radical mastectomy, which can effectively reduce the occurrence of accompanying symptoms, anxiety and depression after breast cancer surgery, significantly improve the sleep quality of patients, and contribute to the recovery of shoulder joint function.