五音配合TEAS疗法在乳腺肿瘤患者围术期焦虑紧张情绪方面的应用与研究  

The Application and Research of TEAS Therapy Combined with Five Tones in Anxiety and Tension of Perioperative Breast Tumor Patients

作　　者：王绚 赵庆盼 梁冰[1] 方洁[1] WANG Xuan;ZHAO Qingpan;LIANG Bing;FANG Jie(Department of Anesthesiology,The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan 450000,China)

机构地区：[1]河南中医药大学第一附属医院麻醉科,河南郑州450000

出　　处：《临床研究》2024年第10期96-99,共4页Clinical Research

摘　　要：目的 探讨经皮穴位电刺激(TEAS)联合五音疗法对乳腺良性肿瘤患者围术期焦虑的影响。方法 选取2023年1月至2023年7月河南中医药大学第一附属医院收治的160例乳腺良性肿瘤患者,以随机数字表法分成研究组(n=80,TEAS联合五音疗法)与对照组(n=80,TEAS),比较两组焦虑情况、术后恢复程度、疼痛程度、麻醉药物用量、不良反应。结果 术后1个月(T_(5))两组汉密尔顿焦虑量表(HAMA)评分均降低,且研究组低于对照组,差异有统计学意义(P<0.05);术后3 d(T_(4))两组术后恢复质量评估量表(PQRS)评分均低于术前30 min(T_(1)),差异有统计学意义(P<0.05),研究组T_5时PQRS评分高于T_(1),差异有统计学意义(P<0.05),研究组T_(4)、T_(5)时PQRS评分高于对照组,差异有统计学意义(P<0.05);研究组术后6 h(T_2)、术后第1 d(T_(3))、T_(4)时痛觉模拟评分(VAS)均低于对照组,差异有统计学意义(P<0.05);研究组丙泊酚、瑞芬太尼用量少于对照组,差异有统计学意义(P<0.05);研究组不良反应发生率(6.25%)低于对照组(18.75%),差异有统计学意义(P<0.05)。结论 TEAS联合五音疗法应用于乳腺良性肿瘤患者围术期中,能够减轻患者焦虑情绪,促进术后恢复,缓解术后疼痛,减少术中麻醉药物用量,减少不良反应。Objective To investigate the effect of transcutaneous electrical acupoint stimulation(TEAS)combined with five-tone therapy on perioperative anxiety in patients with benign breast tumors.Methods A total of 160 patients with benign breast tumors admitted to The First Affiliated Hospital of Henan University of Chinese Medicine from January 2023 to July 2023 were selected and randomly divided into a study group(n=80,TEAS combined with five-tone therapy)and a control group(n=80,TEAS).The anxiety levels,postoperative recovery,pain levels,anesthetic drug usage,and adverse reactions were compared between the two groups.Results At 1 month postoperatively(T_(5)),the Hamilton Anxiety Scale(HAMA)scores of both groups decreased,with the study group scoring lower than the control group,showing a statistically significant difference(P<0.05).At 3 days postoperatively(T_(4)),the Postoperative Quality Recovery Scale(PQRS)scores of both groups were lower than 30 minutes preoperatively(T_(1)),showing a statistically significant difference(P<0.05).The PQRS score of the study group at T_(5) was higher than at T_(1),showing a statistically significant difference(P<0.05).The PQRS scores of the study group at T_(4) and T_(5) were higher than those of the control group,showing a statistically significant difference(P<0.05).The Visual Analog Scale(VAS)scores of the study group at 6 hours postoperatively(T_(2)),1 day postoperatively(T_(3)),and T_(4) were lower than those of the control group,showing a statistically significant difference(P<0.05).The usage of propofol and remifentanil in the study group was lower than that in the control group,showing a statistically significant difference(P<0.05).The incidence of adverse reactions in the study group(6.25%)was lower than that in the control group(18.75%),showing a statistically significant difference(P<0.05).Conclusion The application of TEAS combined with five-tone therapy in the perioperative period of patients with benign breast tumors can reduce anxiety,promote postoperative recovery,all

关 键 词：经皮穴位电刺激 五音疗法 乳腺良性肿瘤 焦虑 

分 类 号：R737.9[医药卫生—肿瘤]