目的 观察揿针耳穴对乳腺癌手术患者围术期焦虑的影响。方法 100例择期乳腺癌手术患者随机数字表法分为揿针治疗组(T组)和对照组(C组),每组50 例(n=50)。两组患者均采用相同麻醉和手术方法,术前1 d对实验组患者进行耳穴神门、内分泌、心揿针埋针。对照组在相同位置贴外观相同,但无针的假贴片。观察两组患者焦虑情况。结果 与C组同时点比较,T组入手术室即刻、术后3 d焦虑值明显降低(P<0.05)。结论 耳穴神门、内分泌、心揿针埋针护理干预能缓解乳腺癌患者围手术期焦虑。
Objective To observe the effect of auricular acupuncture with thumbtack needle on perioperative anxiety in breast cancer patients.Methods One hundred patients undergoing breast cancer surgery were randomly divided into two groups: treatment group (group T) and control group (group C), 50 patients in each group.The two groups of patients were given the same anesthesia and surgery.One day before surgery, the patients in the group T were treated with auricular acupuncture at Shenmen acupoint, Endocrine acupoint, and Epicardy acupoint with thumbtack needle, while the patients in the group C were treated with fake patch with no needles in the same position.Anxiety scores of the two groups were compared.Results Compared with the group C, the anxiety scores of the group T were reduced at the time entering operation room and 3 days after operation (P<0.05).Conclusion The nursing intervention of auricular acupuncture at Shenmen acupoint,Endocrine acupoint, and Epicardy acupoint with thumbtack needles can relieve perioperative anxiety in breast cancer patients.
[1] 黄淑俊,司俊丽.经皮穴位电刺激法对乳腺癌患者术前焦虑的护理干预[J].广东医学, 2009,30(8):1206-1207.
[2] 陈万青,郑荣寿.中国女性乳腺癌发病死亡和生存状况[J].中国肿瘤临床, 2015,42(13):668-674.
[3] 张彦收,刘运江.乳腺癌手术治疗回顾和进展[J].现代肿瘤医学, 2015,23(05):719-723.
[4] 金艾香,章小飞,沈利凤.乳腺癌患者手术前后生存质量与焦虑抑郁状况调查研究[J].中国现代医生, 2017,55(25):114-117.
[5] 李玲,施军平,邵喜英.术后乳腺癌患者焦虑、抑郁及生活质量分析[J].中国肿瘤, 2014,23(07):580-584.
[6] 俞国红,胡婵娟,汪永坚.耳穴贴压对乳腺癌改良根治术后焦虑和疼痛的影响[J].上海针灸杂志, 2014,33(4):332-334.