Effect of ear acupoint "three sequence" therapy combined with fire dragon jar in improving insomnia of cancer patients
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摘要:
目的 观察耳穴"三序"疗法联合火龙罐综合灸技术对肿瘤患者睡眠、情绪及体力状况的影响。 方法 选取2023年1-12月于贵州中医药大学第一附属医院治疗的108例肿瘤失眠患者, 采用随机数字表法将患者分为耳穴组、火龙罐组及联合组, 每组36例。最终完成研究98例, 耳穴组33例, 火龙罐组31例, 联合组34例。3组患者均给予常规护理, 耳穴组予患者耳穴"三序"疗法, 火龙罐组予患者火龙罐综合灸治疗, 联合组予患者耳穴+火龙罐治疗。3组治疗频次相同, 干预时间均为1个月。干预前后使用匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)、功能状态评分表(KPS)评估患者睡眠、焦虑、体力状况。 结果 耳穴组显效率为72.7%(24/33), 火龙罐组为64.5%(20/31), 联合组为94.1%(32/34)。干预后, 3组PSQI总分比较差异有统计学意义(P < 0.05), 联合组低于火龙罐组(P < 0.05);3组SAS标准分比较差异有统计学意义(P < 0.05), 耳穴组和联合组均低于火龙罐组(P < 0.05);3组KPS评分比较差异有统计学意义(P < 0.05), 联合组高于耳穴组(P < 0.05)。 结论 耳穴"三序"疗法联合火龙罐综合灸可有效提高肿瘤失眠患者的睡眠质量, 缓解焦虑情绪, 改善体力状态。 Abstract:Objective To observe the effects of the ear acupoint "three sequence" therapy combined with the fire dragon jar comprehensive moxibustion technique on the sleep, mood, and physical condition of cancer patients. Methods A total of 108 cases of tumor insomnia treated at the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from January 2023 to December 2023 were selected.The patients were randomly divided into ear acupoint group, fire dragon jar group, and combination group using a random number table method, with 36 patients in each group.A total of 98 cases were finally included in the study, with 33 cases in the ear acupoint group, 31 cases in the fire dragon jar group, and 34 cases in the combination group.All three groups received routine care.The ear acupoint group provided patients with the ear acupoints "three sequence" therapy, the fire dragon jar group provided patients with fire dragon jar comprehensive moxibustion treatment, and the combination group provided patients with ear acupoints and fire dragon jars.The three groups received the same treatment frequency, with an intervention duration of 1 month.Before and after intervention, Pittsburgh sleep quality index (PSQI), self-rating anxiety scale (SAS), and Karnofsky performance status (KPS) were used to evaluate the sleep, anxiety, and physical condition of the subjects. Results The ear acupoint group showed a significant efficacy rate of 72.7%(24/33), the effective rate of the fire dragon jar group was 64.5%(20/31), and the combination group showed a significant efficacy rate of 94.1%(32/34).After intervention, there was statistically significant difference in the PSQI total score between the three groups (P < 0.05), and the PSQI total score of the combined group was lower than that of the fire dragon jar group (P < 0.05).There was statistically significant difference in SAS standard score between the three groups (P < 0.05), and the SAS standard score in the ear acupoint group and the combination group was lower than that in the fire dragon jar group (P < 0.05).There was a significant difference in KPS scores among the three groups (P < 0.05), and the KPS score in the combination group was higher than that in the ear acupoint group (P < 0.05). Conclusion The combination of the ear acupoint "three sequence" therapy combined with the fire dragon jar comprehensive moxibustion can effectively improve the sleep quality of cancer insomnia patients, alleviate anxiety and negative emotions, improve their physical state to a certain extent. -
表 1 3组肿瘤失眠患者干预后临床显效率比较
Table 1. Comparison of clinical efficacy among three groups of tumor insomnia patients after intervention
组别 例数 痊愈
[例(%)]显效
[例(%)]有效
[例(%)]无效
[例(%)]显效率
(%)耳穴组 33 10(30.3) 14(42.4) 4(12.1) 5(15.2) 72.7(24/33) 火龙罐组 31 8(25.8) 12(38.7) 7(22.6) 4(12.9) 64.5(20/31) 联合组 34 14(41.2) 18(52.9) 2(5.9) 0 94.1(32/34) 注：3组显效率比较，χ2=10.320，P=0.035。 
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表 2 3组肿瘤失眠患者干预前后PSQI总分比较(x±s, 分)
Table 2. Comparison of PSQI total scores before and after intervention in three groups of tumor insomnia patients (x±s, points)
组别 例数 PSQI总分 t值 P值 干预前 干预后 耳穴组 33 15.01±2.45 8.41±2.17 16.383 ＜0.001 火龙罐组 31 14.72±2.68 9.32±2.14 12.398 ＜0.001 联合组 34 14.89±2.52 7.18±2.35a 18.451 ＜0.001 F值 0.104 7.597 P值 0.901 ＜0.001
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表 3 3组肿瘤失眠患者干预前后SAS标准分比较(x±s, 分)
Table 3. Comparison of SAS standard scores before and after intervention in three groups of tumor insomnia patients (x±s, points)
组别 例数 SAS标准分 t值 P值 干预前 干预后 耳穴组 33 51.04±9.75 40.13±6.84 7.571 ＜0.001 火龙罐组 31 50.93±8.69 45.75±6.73a 3.711 ＜0.001 联合组 34 51.76±9.46 39.16±4.57b 9.890 ＜0.001 F值 0.077 10.782 P值 0.926 ＜0.001 注：与耳穴组比较，aP＜0.05；与火龙罐组比较，bP＜0.05。
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表 4 3组肿瘤失眠患者干预前后KPS评分比较(x±s, 分)
Table 4. Comparison of KPS scores before and after intervention in three groups of tumor insomnia patients (x±s, points)
组别 例数 KPS评分 t值 P值 干预前 干预后 耳穴组 33 81.76±6.16 83.70±6.18 1.806 0.076 火龙罐组 31 81.48±5.90 86.29±4.83 4.317 ＜0.001 联合组 34 80.74±6.63 87.78±5.67a 6.655 ＜0.001 F值 0.238 4.530 P值 0.788 0.013 注：与耳穴组比较，aP＜0.05。
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