耳穴揿针对乳腺肿瘤患者术中冰冻切片等待期焦虑抑郁情绪的影响

Effect of Thumbtack Needle for Subcutaneous Embedding at Auricular Points on Anxietyand Depression of Patients with Breast Tumor During the Waiting Period of Intraopera⁃tive Frozen Sections

目的:观察耳穴揿针治疗乳腺肿瘤患者术中冰冻切片等待期焦虑抑郁情绪的临床疗效。方法:选取80例乳腺肿瘤患者,按随机数字表法分为对照组和观察组各40例,对照组予以围术期心理干预和常规的术前准备,观察组在对照组的基础上予以耳穴揿针治疗。比较2组术前和冰冻切片等待期的心率、血压、应激激素水平以及焦虑情况。结果:术前,2组心率和收缩压水平比较,差异无统计学意义(P>0.05);冰冻切片等待期,2组心率均升高(P<0.05),对照组收缩压水平升高(P<0.05),观察组心率及收缩压水平均低于对照组(P<0.05)。术前,2组血糖、肾上腺素、皮质醇水平比较,差异无统计学意义(P>0.05);冰冻切片等待期,2组血糖、肾上腺素、皮质醇水平均升高(P<0.05),但观察组低于对照组(P<0.05)。术前,2组汉密尔顿焦虑量表(HAMA)评分比较,差异无统计学意义(P>0.05);冰冻切片等待期,2组HAMA评分均升高(P<0.05),但观察组低于对照组(P<0.05)。结论:对乳腺肿瘤患者在术中冰冻切片等待期进行耳穴揿针联合综合心理干预,有助于稳定患者血压和心率水平,不仅能有效降低应激激素水平,减轻手术应激反应强度,还能改善患者的焦虑情绪。

Objective:To observe the clinical effect of thumbtack needle for Subcutaneous Embedding at auricular points on emotional anxiety and depression of patients with breast tumor during the waiting period of intraoperative frozen sections frozen sections.Methods:A total of 80 patients with breast tumor were selected and divided into the control group and the observation group according to the random number table method,with 40 cases in each group.The control group was given perioperative mental interventions and routine preoperative preparations,and the observation group was additionally treated with thumbtack needle for Subcutaneous Embedding at auricular points based on the treatment of the control group.Before operation and during the waiting period of frozen sections,the heart rates,blood pressure,levels of stress hormones and anxiety were compared between the two groups.Results:Before operation,there was no significant difference being found in the comparisons of heart rates and levels of systolic pressure between the two groups(P>0.05);during the waiting period of frozen sections,the heart rates in the two groups were increased(P<0.05),the level of systolic pressure in the control group was increased(P<0.05),and the heart rate and level of systolic pressure in the observation group were lower than those in the control group(P<0.05).Before operation,there was no significant difference being found in the comparisons of levels of blood sugar, epinephrine and cortisol between the two groups (P>0.05). Duringthe waiting period of frozen sections,the levels of blood sugar,epinephrine and cortisol in the two groupswere increased (P<0.05),and the above three levels in the observation group were lower than those in thecontrol group (P<0.05). Before operation, there was no significant difference being found in thecomparison of HAMA scores between the two groups (P>0.05). During the waiting period of frozensections, the Hamilton Anxiety Scale (HAMA) scores in both groups were increased (P<0.05), and theHAMA score in the observation group was lower than that in the control group (P<0.05). Conclusion:Thetherapy of thumbtack needle for Subcutaneous Embedding at auricular points combined withcomprehensive mental interventions during the waiting period of intraoperative frozen sections helpsstabilize the blood pressure and level of heart rate of patients with breast tumor, which can not onlyeffectively reduce the levels of stress hormones and mitigate the stress intensity of operation, but alsoimprove the anxiety of patients.