针灸联合五行音乐对肺癌化疗患者癌因性疲乏和睡眠质量的影响  

Effect of acupuncture-moxibustion combined with five-element music on cancer-related fatigue and sleep quality in patients with lung cancer undergoing chemotherapy

作　　者：冯霞[1] 陈新[1] 周丽[1] 杨梅 FENG Xia;CHEN Xin;ZHOU Li;YANG Mei(Sichuan Zigong First People's Hospital,Zigong 643000,China)

机构地区：[1]四川省自贡市第一人民医院,自贡643000

出　　处：《上海针灸杂志》2025年第4期407-410,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：自贡市卫生健康委员会科研课题(22yb068,21yb015);自贡市哲学社会科学重点研究基地健康人文研究中心项目(JKRWY23-02);自贡市哲学社会科学重点研究基地国民体质健康与体育产业研究项目(GT-01202103)。

摘　　要：目的 观察针灸联合五行音乐对肺癌化疗患者癌因性疲乏和睡眠质量的影响。方法 将160例肺癌化疗患者用随机数字表法分为研究组和对照组,每组80例。对照组接受五行音乐治疗,研究组在对照组治疗基础上联合调益三焦针灸治疗。观察两组治疗前后改良Piper疲乏量表(Piper fatigue scale,PFS)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、欧洲癌症研究治疗组织生命质量评估问卷(European Organization for Research and Treatment of Cancerquality of life question naire 30-item core instrument, EORTC QLQ-C30)评分和睡眠时长的变化,比较两组住院时间。结果 治疗后,两组改良PFS各单项评分和PSQI明显降低(P<0.05),而睡眠时长和EORTC QLQ-C30评分明显升高(P<0.05)。研究组治疗后改良PFS各单项评分和PSQI低于对照组(P<0.05),睡眠时长和EORTC QLQ-C30评分高于对照组(P<0.05)。研究组住院时间短于对照组(P<0.05)。结论 针灸联合五行音乐更能缓解肺癌化疗患者的癌因性疲乏,改善睡眠质量,延长睡眠时间,提高生活质量,疗效优于单一五行音乐治疗。Objective To observe the effects of acupuncture-moxibustion plus five-element music on cancer-related fatigue and sleep quality in patients with lung cancer undergoing chemotherapy.Method A total of 160 patients with lung cancer receiving chemotherapy were divided into a research group and a control group using the random number table method,with 80 cases in each group.The control group was offered five-element music for treatment,and the research group additionally received acupuncture-moxibustion to regulate and tonify the triple energizer.The two groups were observed before and after the treatment for changes in the scores of the modified Piper fatigue scale(PFS),Pittsburgh sleep quality index(PSQI),and European Organization for Research and Treatment of Cancer quality of life questionnaire 30-item core instrument(EORTC QLQ-C30)and sleep duration.The length of hospital stay was also compared between the two groups.Result After the treatment,the modified PFS component scores and PSQI score dropped notably(P<0.05),and the sleep duration and EORTC QLQ-C30 score increased significantly in both groups(P<0.05).After the treatment,the research group had lower modified PFS component and PSQI scores(P<0.05),longer sleep duration,and a higher EORTC QLQ-C30 score compared to the control group(P<0.05).The hospital stay was shorter in the research group than in the control group(P<0.05).Conclusion Acupuncture-moxibustion plus five-element music can better relieve cancer-related fatigue,improve sleep quality,extend sleep duration,and enhance the quality of life in patients with lung cancer undergoing chemotherapy,producing more significant efficacy than five-element music alone.

关 键 词：针灸疗法 音乐疗法 肺癌 疲乏 睡眠障碍 

分 类 号：R246.5[医药卫生—针灸推拿学]