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目的:探讨穴位注射辅助阶梯镇痛对胃癌晚期患者心理状态及生活质量的影响。方法:选取2013年4月—2014年5月收治晚期胃癌患者130例,采用随机数字表法分为对照组(65例)和观察组(65例);其中对照组患者采用常规阶梯镇痛治疗,观察组患者则在此基础上加用穴位注射治疗,比较两组患者治疗前后抑郁自评量表评分(SDS),焦虑自评量表评分(SAS),简明健康调查问卷评分(SF-36)及匹兹堡睡眠质量评分(PSQI)等。结果:对照组患者治疗前后SDS评分,SAS评分及SF-36评分比较差异无统计学意义(P>0.05);观察组患者治疗后3项评分均显著优于对照组和治疗前,差异有统计学意义(P<0.05);两组患者治疗后PSQI评分较治疗前均显著下降,且观察组患者治疗后PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论:穴位注射辅助阶梯镇痛用于胃癌晚期患者可有效缓解负面心理状态,提高生活质量,并在改善睡眠方面具有优势。
Objective: To investigate the effect of acupoint injection of auxiliary step analgesia on the psychological status and quality of life in patients with advanced gastric cancer. Methods: A total of 130 patients with advanced gastric cancer who were admitted to our hospital from April 2013 to May 2014 were selected and divided into control group (65 cases) and observation group (65 cases) by random number table. The patients in control group were treated with routine step analgesia , The observation group was added acupuncture points on this basis. The SDS, SAS, SF-36 scores of two groups were compared before and after treatment ) And Pittsburgh Sleep Quality Score (PSQI). Results: There was no significant difference in SDS score, SAS score and SF-36 score before and after treatment in the control group (P> 0.05). The scores of the three groups in the observation group were significantly better than those in the control group and before treatment, with statistical differences (P <0.05). The PSQI score of both groups decreased significantly after treatment compared with that before treatment, and the PSQI score of the observation group was lower than that of the control group after treatment (P <0.05). Conclusion: Acupoint injection of adjuvant step analgesia for advanced gastric cancer patients can effectively alleviate the negative psychological state, improve the quality of life, and have an advantage in improving sleep.