| 引用本文:刘晓芳，张鑫，孔晶.温针灸对乳腺癌患者术后上肢水肿的疗效及焦虑抑郁的观察研究[J].世界中医药,2019,(07):. |
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| 温针灸对乳腺癌患者术后上肢水肿的疗效及焦虑抑郁的观察研究 |
| Observational Study on the Efficacy of Needle Warming Moxibustion in Edema of the Upper Extremity and Anxiety-depression of Mammary Cancer Patients After Operation |
| 投稿时间：2019-02-26 |
| DOI：10.3969/j.issn.1673-7202.2019.07.051 |
| 中文关键词: 温针灸 乳腺癌 上肢水肿 抑郁 焦虑 生命质量 心理状况 |
| English Keywords:Needle Warming Moxibustion Mammary cancer operation Edema of the upper extremity Depression Anxiety Quality of life Psychologic status |
| 基金项目:黑龙江省中医药科研项目(ZHY16-022) |
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| 中文摘要: |
| 目的：探究温针灸对乳腺癌患者术后上肢水肿及焦虑抑郁的影响。方法：选取2016年8月至2017年8月黑龙江中医药大学附属第二医院收治的乳腺癌术后患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组采用口服地奥司明治疗;观察组采用温针灸治疗。治疗后统计2组患者临床疗效;比较治疗后2组患者肘上10 cm处有效指数、肩关节活动度(ROM)、生命质量和心理状况。结果：治疗后观察组临床总有效率为92.50%,显著高于对照组的70.00%(P<0.05);治疗后,2组患者肘上10 cm处有效指数及生命质量评分均显著升高(P<0.05),且观察组高于同期对照组,差异有统计学意义(P<0.05)。治疗后观察组所有ROM比值均显著升高(P<0.05),对照组仅有前屈肩关节活动度比值显著升高(P<0.05),且观察组所有ROM比值均高于对照组,差异有统计学意义(P<0.05)。与治疗前比较,2组患者的抑郁量表(SDS)和焦虑量表(SAS)评分均显著降低(P<0.05),且观察组患者的SAS和SDS分值显著低于对照组,差异有统计学意义(P<0.05)。结论：温针灸在乳腺癌术后治疗中疗效显著,能有效改善水肿,降低抑郁焦虑风险,提高患者生命质量,值得临床推广应用。 |
| English Summary: |
| To explore the effects on edema of the upper extremity,anxiety and depression in mammary cancer patients after operation by using needle warming moxibustion.Methods：A total of 80 mammary cancer patients after the operation admitted in The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from August 2016 to August 2017 were selected as research objects,and they were randomly divided into observation group(40 cases)and control group(40 cases).The control group was treated with oral diosmin,while the observation group was treated with needle warming moxibustion.After the treatment,the clinical efficacy of the 2 groups was analyzed.Effective indexes of the part 10 cm above the elbow,range of motion(ROM)of the shoulder joint,quality of life and psychologic status were compared between the 2 groups after the treatment.Results：After the treatment,the total clinical effective rate of the observation group was 92.50%,which was significantly higher than that of the control group 70.00%(P<0.05).After the treatment,the effective indexes of the part 10 cm above the elbow and the score of life quality were increased significantly in both 2 groups(P<0.05),and those in the observation group were higher than those in the control group at the same time,with significant difference(P<0.05).After the treatment,the ROM scores in the observation group were significantly increased(P<0.05).In the control group,only the anteflexion ratio in the shoulder joint ROM was increased significantly(P<0.05).And all the ROM ratios in the observation group were higher than those in the control group,with significant differences(P<0.05).The scores of SDS and SAS in both groups were decreased significantly(P<0.05),and those in the observation group were significantly lower than those in the control group,with significant differences(P<0.05).Conclusion：Needle warming moxibustion has significant efficacy in the treatment of mammary cancer after the operation.It can effectively alleviate edema,reduce the risk of depression and anxiety,and improve patients' quality of life,which is worthy for clinical application. |
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