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

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