穴位按摩联合芳香疗法对中老年大肠癌化疗患者睡眠障碍的影响  

Effect of acupoint massage combined with aromatherapy on sleep disorders in middle-aged and elderly patients with colorectal cancer undergoing chemotherapy

作　　者：刘金花 杨玲[1] 覃美绿 陈洁[1] 唐新华[1] 冯禧 LIU Jinhua;YANG Ling;QIN Meilv;CHEN Jie;TANG Xinhu;aFENG Xi(Department of Digestive Oncology,Affiliated Tumor Hospital of Guangxi Medical University,Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西医科大学附属肿瘤医院消化肿瘤内科,广西南宁530021

出　　处：《中国当代医药》2025年第4期66-70,共5页China Modern Medicine

基　　金：广西壮族自治区中医药管理局自筹经费科研项目(GXZYZ20210384)。

摘　　要：目的探讨穴位按摩联合芳香疗法对中老年大肠癌化疗患者睡眠障碍的影响。方法选取2021年7月至2022年6月广西医科大学附属肿瘤医院收治的147例中老年大肠癌化疗患者作为研究对象,按照随机数字表法分为穴位组(49例)、芳香组(49例)和联合组(49例),穴位组给予单一穴位按摩,芳香组给予单一芳香疗法,联合组给予穴位按摩联合芳香疗法,比较三组患者干预前后的睡眠[匹兹堡睡眠质量指数量表(PSQI)]与生活质量[生命质量测定量表(QLQ-C30)]。结果联合组干预后的PSQI评分中的睡眠效率、睡眠障碍、催眠药物维度评分与总分均高于穴位组、芳香组,睡眠时间、入睡时间、睡眠质量、日间功能障碍维度评分均低于穴位组、芳香组,差异有统计学意义(P<0.05)。联合组干预后的QLQ-C30中躯体功能、角色功能、总体健康状况评分均高于穴位组和芳香组,情绪功能、认知功能均低于穴位组和芳香组,差异有统计学意义(P<0.05)。结论相较于单一的穴位按摩法或芳香疗法,穴位按摩联合芳香疗法能更好地改善中老年大肠癌化疗患者的睡眠与生活质量。Objective To explore the effect of acupoint massage combined with aromatherapy on sleep disorders in middle-aged and elderly patients with colorectal cancer undergoing chemotherapy.Methods A total of 147 middle-aged and elderly patients with colorectal cancer undergoing chemotherapy in Affiliated Tumor Hospital of Guangxi Medical University from July 2021 to June 2022 were selected as the research objects.According to the random number table method,they were divided into acupoint group(49 cases),aromatic group(49 cases)and combination group(49 cases).The acupoint group was given single acupoint massage,the aromatic group was given single aromatherapy,and the combination group was given acupoint massage combined with aromatherapy.The sleep(Pittsburgh sleep quality index[PSQI])and quality of life(quality of life questionnare-core 30[QLQ-C30])were compared among the three groups before and after intervention.Results After intervention,the scores of sleep efficiency,sleep disorders,hypnotic drugs and total score in PSQI score of the combination group were higher than those of the acupoint group and the aromatic group,the scores of sleep time,sleep onset time,sleep quality and daytime dysfunction of the combination group were lower than those of the acupoint group and the aromatic group,and the differences were statistically significant(P<0.05).After intervention,the scores of physical function,role function and general health in QLQ-C30 of the combination group were higher than those of the acupoint group and the aromatic group,the scores of emotional function and cognitive function were lower than those of the acupoint group and the aromatic group,and the differences were statistically significant(P<0.05).Conclusion Compared with single acupoint massage or aromatherapy,acupoint massage combined with aromatherapy can better improve the sleep and quality of life of middle-aged and elderly patients with colorectal cancer undergoing chemotherapy.

关 键 词：穴位按摩 芳香疗法 中老年 大肠癌 睡眠障碍 化疗 

分 类 号：R735.34[医药卫生—肿瘤]