基于"以通为用"理论指导耳穴疗法对乳腺癌术后上肢淋巴水肿患者的干预效果研究
Effect of auricular acupoint therapy on upper limb lymphedema patients after breast cancer surgery based on"yi tong wei yong"theory
金翠凤 1徐海萍2
作者信息
- 1. 江苏省人民医院南京医科大学第一附属医院乳腺中心,江苏南京 210003
- 2. 江苏省人民医院南京医科大学第一附属医院大外科,江苏南京 210003
- 折叠
摘要
目的:评价基于"以通为用"理论指导耳穴疗法对乳腺癌术后上肢淋巴水肿患者的干预效果.方法:选取2021年3～12月在江苏省人民医院乳腺癌相关淋巴水肿(BCRL)护理门诊治疗的80例乳腺癌术后上肢淋巴水肿患者为研究对象,自意接受基于"以通为用"理论指导耳穴疗法联合综合消肿治疗(CDT)治疗的患者纳入干预组(40例),接受CDT治疗的患者纳入对照组(40例).分别在治疗前1天、治疗后1、2、3个月比较两组患肢周径,治疗后3个月比较两组患侧上肢功能及生活质量评分情况.结果:对照组治疗3个月后上肢周径各指标均较治疗前下降(P＜0.05).干预组治疗2、3个月后上肢周径各指标(虎口指标除外)均较治疗前下降(P＜0.05),干预组治疗3个月后上肢周径虎口指标较治疗前下降(P＜0.05).干预组治疗3个月后上肢周径各指标均较对照组下降(P＜0.05),干预组治疗后的DASH评分低于对照组(P＜0.05),生理状况、社会家庭状况、情感状况、功能状况、附加关注及生活质量总分等均高于对照组(P＜0.05).上肢功能障碍程度越高,生活质量评分越低(r=-0.538,P＜0.001).结论:基于"以通为用"理论指导耳穴疗法联合CDT对乳腺癌术后上肢淋巴水肿的治疗相较于CDT治疗更加有效,可供临床参考.
Abstract
Objective:To evaluate the effect of auricular acupoint therapy guided by"yi tong wei yong"theory(The theory of regarding unimpeded flow as essential for normal bodily functions)on upper limb lymphedema patients after breast cancer surgery.Methods:Between March 2021 and December 2021,we recruited 80 upper limb lymphedema patients after breast cancer surgery treated in the breast cancer lymphedema nursing outpatient clinic of Jiangsu Provincial People's Hospital.The intervention group included 40 patients who were willing to receive auricular acupoint therapy combined with complete decongestive therapy(CDT)based on"yi tong wei yong"theory,and the control group consisted of 40 patients who chose CDT treatment alone.The circumference of the affected limb was compared between the two groups 1 day before treatment and at 1,2 and 3 months after treatment.The function of the affected upper limb and quality of life scores were compared between the two groups 3 months after treatment.Results:In the control group,all indicators of upper limb circumference were decreased after three months of treatment compared to pre-treatment levels(P＜0.05).In the intervention group,these indicators except Hukou(Hegu acupoint)were decreased after 2 and 3 months of treatment(P＜0.05),and Hukou also showed a decrease after 3 months of treatment compared to pre-treatment levels(P＜O.05).After 3 months of treatment,all indicators in the intervention group were decreased compared to those in the control group(P＜0.05).The DASH score of the intervention group after treatment was lower than that of the control group(P＜0.05).Scores for physiological status,social and family status,emotional status,functional status,additional concerns and quality of life were higher than those of the control group(P＜0.05).The higher the degree of upper limb dysfunction,the lower the quality of life score(r=-0.538,P＜0.001).Conclusion:Auricular acupoint therapy combined with CDT based on"yi tong wei yong"theory is more effective than CDT alone in treating postoperative lymphedema in breast cancer patients,providing a valuable reference for clinical practice.
关键词
乳腺肿瘤/淋巴水肿/"以通为用"理论/耳穴治疗/综合消肿治疗/上肢功能/生活质量Key words
breast tumor/lymphedema/"yi tong wei yong"theory/auricular acupoint therapy/complete decongestive therapy/upper limb function/quality of life引用本文复制引用
基金项目
江苏省医院协会医院管理创新研究课题(JSYGY-2-2023-551)
出版年
2024
NETL
NSTL
万方数据