基于子午流注理论耳穴压豆联合经皮穴位电刺激预处理在乳腺癌术后患者中的应用研究

doi:10.3760/cma.j.cn441417-20250102-12027

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (12): 2069-2072.DOI: 10.3760/cma.j.cn441417-20250102-12027

基于子午流注理论耳穴压豆联合经皮穴位电刺激预处理在乳腺癌术后患者中的应用研究

李盈邓六香夏灵轶钟玉婷

赣南医科大学第一附属医院麻醉手术中心中医科，赣州 0341000

收稿日期:2025-01-02 出版日期:2025-06-15 发布日期:2025-06-17
通讯作者: 钟玉婷，Email：812821564@qq.com
基金资助:
江西省中医药管理局科技计划（202380932）

Application of auricular acupoint compression and percutaneous acupoint potential stimulation pretreatment in postoperative patients with breast cancer based on meridian flow theory

Li Ying, Deng Liuxiang, Xia Lingyi, Zhong Yuting

Department of Traditional Chinese Medicine, Anesthesia and Surgery Center , the First Affiliated Hospital of Gannan Medical University, Ganzhou 0341000, China

Received:2025-01-02 Online:2025-06-15 Published:2025-06-17
Contact: Zhong Yuting, Email: 812821564@qq.com
Supported by:
Science and Technology of Jiangxi Provincial Administration of Traditional Chinese Medicine (202380932)

摘要/Abstract

摘要：

目的　本研究旨在探讨基于子午流注理论耳穴压豆联合经皮穴位电刺激预处理对乳腺癌术后患者睡眠质量、情绪状态和生活质量的影响。方法　采用前瞻性随机对照试验研究方法。选取2023年8月至2024年8月赣南医科大学第一附属医院收治的120例乳腺癌术后患者，均进行乳腺癌根治术。按随机数字表法分为常规治疗组（A组）、耳穴压豆组（B组）、经皮穴位电刺激组（C组）及联合治疗组（D组，耳穴压豆联合经皮穴位电刺激），每组30例。A组年龄（41.35±3.28）岁，乳腺癌分期Ia期8例，Ib期12例，IIa期10例；B组年龄（42.05±4.17）岁，乳腺癌分期Ia期9例，Ib期11例，IIa期10例；C组年龄（42.13±2.73）岁，乳腺癌分期Ia期10例，Ib期11例，IIa期9例；D组年龄（42.42±3.47）岁，乳腺癌分期Ia期8例，Ib期13例，IIa期9例。4组患者均干预1周。比较4组乳腺癌术后患者的干预前后的匹兹堡睡眠质量指数（PSQI）、汉密尔顿焦虑量表（HAMA）、抑郁量表（HAMD）和生活质量量表评分。采用t检验进行统计学分析。结果　干预1周后，D组患者的PSQI、HAMA、HAMD评分均低于A、B、C组［（6.13±0.51）分比（11.48±1.37）分、（9.32±1.43）分、（8.22±1.28）分，（15.43±2.17）分比（23.89±1.78）分、（19.68±2.22）分、（19.73±2.34）分，（12.84±1.75）分比（17.93±1.68）分、（15.74±1.57）分、（15.46±1.64））分］，差异均有统计学意义（均P<0.05）。D组的生活质量评分显著高于A组［（84.39±3.26）分比（79.84±4.34）分］，差异有统计学意义（P<0.05）。结论　基于子午流注理论耳穴压豆联合经皮穴位电刺激预处理可显著改善乳腺癌术后患者的睡眠质量，改善焦虑、抑郁的状态，并提高患者的生活质量。

关键词: 子午流注理论, 耳穴压豆, 经皮穴位电刺激预处理, 乳腺癌术后

Abstract:

Objective　To investigate the effects of auricular point compression and bean compression combined with percutaneous point potential stimulation pretreatment on sleep quality, emotional state, and quality of life of patients after breast cancer surgery based on the theory of meridian flow. Methods　A total of 120 patients treated in the First Affiliated Hospital of Gannan Medical University from August 2023 to August 2024 underwent radical mastectomy. According to the random number table method, they were divided into a conventional treatment group (Group A), a auricular point bean pressing group (Group B), a percutaneous point potential stimulation group (Group C), and a combined treatment group (Group D, auricular point bean pressing combined with percutaneous point potential stimulation), with 30 cases in each group. The age of group A was (41.35 ± 3.28) years, with 8 cases of Stage Ia, 12 cases of Stage Ib, and 10 cases of Stage Ⅱa breast cancer. The age of group B was (42.05 ± 4.17) years, with 9 cases of stage Ia, 11 cases of stage Ib, and 10 cases of stage Ⅱa breast cancer.The average age of Group C was (42.13 ± 2.73) years, with 10 cases of stage Ia, 11 cases of stage Ib, and 9 cases of stage Ⅱa breast cancer.The age of Group D was (42.42 ± 3.47)years, with 8 cases of stage Ia, 13 cases of stage Ib, and 9 cases of stage Ⅱa breast cancer. Patients in all 4 groups were intervened for one week. The Pittsburgh Sleep Quality Index (PSQI), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and quality of life scores were compared before and after the intervention between the four groups. The clinical indicators, scar scores before and after treatment, serum growth factor levels, and adverse reaction rates were compared. Statistical analysis was performed using t-tests. Results After one week of intervention, PSQI scores in groups B, C and D were significantly decreased compared with group A (P < 0.05). The HAMA and HAMD scores in group D were significantly lower than those in groups A, B and C [(6.13±0.51) points vs. (11.48±1.37), (9.32±1.43), (8.22±1.28) points, (12.84 ± 1.75) points vs. (17.93 ± 1.68), (15.74±1.57), (15.46±1.64) points], with a statistically significant differences (all P < 0.05). The quality of life score of group D was significantly higher than that of group A [(84.39 ± 3.26) points vs. (79.84 ± 4.34) points], with statistically significant differences (P < 0.05). Conclusion Based on the theory of meridian injection, auricular acupoint compression combined with percutaneous acupoint potential stimulation pretreatment can significantly improve the sleep quality, anxiety, depression, and quality of life of patients after breast cancer surgery.

Key words: Meridian flow theory, , Auricular point pressure bean, , Percutaneous point potential stimulation preconditioning, , Breast cancer surgery

李盈邓六香夏灵轶钟玉婷. 基于子午流注理论耳穴压豆联合经皮穴位电刺激预处理在乳腺癌术后患者中的应用研究 [J]. 国际医药卫生导报, 2025, 31(12): 2069-2072.

Li Ying, Deng Liuxiang, Xia Lingyi, Zhong Yuting.

Application of auricular acupoint compression and percutaneous acupoint potential stimulation pretreatment in postoperative patients with breast cancer based on meridian flow theory [J]. International Medicine and Health Guidance News, 2025, 31(12): 2069-2072.

参考文献

[1]谢玲玲,曹磊,王银侠.低频脉冲电刺激联合Cox健康行为互动模式在乳腺癌患者中的应用效果[J].中西医结合护理(中英文),2023,9(12):49-52. DOI:10.11997/nitcwm.　202312013.

[2]李锐涛.低温等离子射频消融术治疗慢性扁桃体炎的临床效果[J].临床合理用药杂志,2019,12(12):140-141. DOI:10.15887/j.cnki.13-1389/r.2019.12.069.

[3]袁柳青,梁伟东,李晓玲,等.耳穴压豆联合经皮穴电刺激预防乳腺癌术后恶心呕吐的效果[J].实用医学杂志,2023,39(05):642-646. DOI:10.3969/j.issn.1006-5725.　2023.05.020.

[4]张清杰,杨玲玲.耳穴压豆联合山萸二枣汤治疗神经衰弱性失眠临床研究[J].光明中医,2023,38(2):289-292. DOI:10.3969/j.issn.1003-8914.2023.02.025.

[5]柳琳琳,夏猛,雷雨迟,等.耳穴压豆治疗肝癌患者睡眠障碍的研究[J].广西大学学报(自然科学版),2020,45(3):717-722. DOI:10.13624/j.cnki.issn.1001-7445.2020.0717.

[6]范玲,邓芳,魏雨辰.基于子午流注理论的耳穴压豆对原发性肝癌患者疼痛及睡眠质量的影响[J].医疗装备,2023,36(2):140-141. DOI:10.3969/j.issn.1002-2376.　2023.02.045.

[7]李文静,刘洋.基于子午流注理论耳穴压豆干预肿瘤相关性失眠疗效观察[J].中医药临床杂志,2020,32(10):1896-1899. DOI:10.16448/j.cjtcm.2020.1026.

[8]肖芳芳,张月群,叶传素,等.基于子午流注理论时辰法按压耳穴加揿针在预防妇科开腹手术后腹胀的应用研究[J].内蒙古中医药,2024,43(10):91-93. DOI:10.16040/j.cnki.cn15-1101.2024.10.014

[9]郭迪,张亚平.基于子午流注理论探讨针刺配合耳穴压豆对缺血性脑卒中后失眠的影响[J].中医学报,2023,38(5):1113-1118. DOI:10.16368/j.issn.1674-8999.2023.05.183.

[10]马跃,赵蕊,于珊珊,等.经皮穴位电刺激辅助超声引导下胸椎旁神经阻滞用于乳腺癌根治术的麻醉效果[J].新疆医科大学学报,2023,46(7):957-960. DOI:10.3969/j.issn.1009-5551.2023.07.018.

[11]张阿粉,郑荣芝,李瑞,等.经皮穴位电刺激辅助麻醉对乳腺癌患者术后疼痛和应激反应的影响[J].临床医学研究与实践,2021,6(12):101-103. DOI:10.19347/j.cnki.2096-　1413.202112035.

[12]周影,朱宇敏,钟倩,等.经皮穴位电刺激配合温针治疗乳腺癌相关上肢淋巴水肿的效果[J].中国当代医药,2024,31(24):93-96. DOI:10.3969/j.issn.1674-4721.　2024.24.023.

[13]马苗,夏长军,吴峰,等.经皮穴位电刺激在癌症术后疼痛中的应用进展[J].中医药导报,2023,29(10):90-92. DOI:10.13862/j.cn43-1446/r.2023.10.017.

[14]李菁,彭生,翁浩.经皮自控电刺激耳神门穴对乳腺癌术后疼痛及恶心、呕吐的影响[J].同济大学学报(医学版),2024,45(1):100-105. DOI:10.12289/j.issn.1008-0392.23265.

[15]张梦,赵楠,何金华,等.经皮穴位电刺激对老年衰弱患者术后睡眠质量及炎性因子的影响[J].中国针灸,2023,43(7):751-755. DOI:10.13703/j.0255-2930.20220919-k0002.

[16]龚财芳,熊永福,赵俊宇,等.经皮穴位电刺激对乳腺癌病人术后镇痛疗效的Meta分析[J].中国疼痛医学杂志,2024,30(5):390-396. DOI:10.3969/j.issn.1006-9852.　2024.05.011.

[17]孟杰,于珊珊,陈坤,等.经皮穴位电刺激对乳腺癌根治术患者麻醉效果和心血管系统应激反应的影响[J].山东中医杂志,2023,42(5):485-490. DOI:10.16295/j.cnki.0257- 358x. 2023.05.011.

基于子午流注理论耳穴压豆联合经皮穴位电刺激预处理在乳腺癌术后患者中的应用研究

Application of auricular acupoint compression and percutaneous acupoint potential stimulation pretreatment in postoperative patients with breast cancer based on meridian flow theory

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 2

编辑推荐

Metrics

[1]	张萍葛海英. 择时耳穴压豆+太极拳左右揽雀尾在脱出型腰椎间盘突出症患者中的应用 [J]. 国际医药卫生导报, 2025, 31(7): 1118-1122.
[2]	李润李柳娜王梦琪牛晶晶李瑞丽陈园园江佳美. 子午流注理论下的刮痧干预联合情志护理对痰湿壅盛证原发性高血压患者的影响 [J]. 国际医药卫生导报, 2023, 29(3): 404-408.