基于子午流注虎符铜砭头部刮痧对肝癌患者睡眠质量的影响OA
Effect of Head Hufu Copper-Bian Scraping Therapy Based on Midnight-noon Ebb-flow Theory on Sleep Quality in Patients with Liver Cancer
目的 探讨基于子午流注虎符铜砭头部刮痧对原发性肝癌患者睡眠质量及生活质量的影响.方法 选取2023年1月—2024年7月河南中医药大学第一附属医院收治的60例原发性肝癌失眠患者,按随机数字表法分为试验组与对照组,各30例.对照组采用常规治疗干预,试验组在常规治疗基础上,于申时(15～17点)、戌时(19～21点)实施虎符铜砭头部刮痧治疗,重点刺激头部相关经络及特定穴位,每次治疗15 min,2次/d,持续7 d.分别采用匹兹堡睡眠指数(PSQI)、癌症患者生活质量量表(EORTC QLQ-C30)评估2组患者的睡眠质量及生活质量,并比较2组的临床疗效.结果 干预后,试验组PSQI评分明显低于对照组;EORTC QLQ-C30评分明显高于对照组,差异均有统计学意义(P<0.05).试验组临床疗效优于对照组(P<0.05).结论 基于子午流注虎符铜砭头部刮痧可有效改善原发性肝癌患者的睡眠质量,提升其生活质量,该疗法安全无创、操作简便,符合中医"因时制宜"原则,值得临床推广应用.
Objective To explore the effect of head Hufu copper-bian scraping therapy based on midnight-noon ebb-flow theory on sleep quality and quality of life of patients with primary liver cancer.Methods Sixty patients with primary liver cancer complicated with insomnia admitted to the First Affiliated Hospital of Henan University of Chinese Medicine from January 2023 to July 2024 were enrolled.Patients were divided into an experimental group and a control group by the random number table method,with 30 cases in each group.The control group received routine clinical intervention.On the basis of routine treatment,the experimental group was administered head Hufu copper-bian scraping therapy during the Shen period(15:00-17:00)and Xu period(19:00-21:00).Relevant meridians and specific acupoints on the head were stimulated emphatically.Each session lasted 15 minutes,twice a day,for a total of 7 consecutive days.The Pittsburgh sleep quality index(PSQI)and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30(EORTC QLQ-C30)were adopted to assess sleep quality and quality of life of patients in the two groups respectively,and the clinical efficacy was compared between groups.Results After intervention,the PSQI score of the experimental group which was significantly lower than the control group.The EORTC QLQ-C30 score in the experimental group which was obviously higher than the control group.The differences were statistically significant(P<0.05).Moreover,the clinical efficacy of the experimental group was superior to that of the control group(P<0.05).Conclusion Head Hufu copper-bian scraping therapy based on midnight-noon ebb-flow theory could effectively improve sleep quality and enhance quality of life in patients with primary liver cancer.This therapy is safe,non-invasive and easy to operate.In line with the traditional Chinese medicine principle of"treatment in accordance with seasonal and temporal conditions",it is worthy of clinical popularization and application.
马雪莉;龙洋;许华;葛文优;贾雪阳
河南中医药大学第一附属医院脾胃肝胆病科,河南 郑州 450000河南中医药大学第一附属医院脾胃肝胆病科,河南 郑州 450000河南中医药大学第一附属医院脾胃肝胆病科,河南 郑州 450000河南中医药大学第一附属医院脾胃肝胆病科,河南 郑州 450000河南中医药大学第一附属医院脾胃肝胆病科,河南 郑州 450000
医药卫生
虎符铜砭刮痧原发性肝癌睡眠质量子午流注
Hufu copper-bian scraping therapyprimary liver cancersleep qualitymidnight-noon ebb-flow
《光明中医》 2026 (13)
24-28,5
2022年度河南省医学科技攻关计划专项课题(No.LHGJ20220581)国家中医优势专科(护理学)(No.国中医药医政函[2024]90号)河南省中医药重点学科(中医护理学)(No.豫卫中医药科教[2024]1号)
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