子午流注择时杵针对大肠癌术后癌因性疲乏(气血两虚证)患者睡眠质量的影响研究
Study on the Effect of Meridian-Based Timing Acupoint Pressing with a Pestle Needle on Sleep Quality in Patients with Cancer-Related Fatigue (Qi and Blood Deficiency Pattern) after Colorectal Cancer Surgery
DOI: 10.12677/acm.2026.162702, PDF,    科研立项经费支持
作者: 曾晓凤, 杨 俊*, 蒲 雨, 张林艳：成都中医药大学附属医院肿瘤科，四川 成都
关键词: 子午流注；杵针；大肠癌术后；癌因性疲乏；气血两虚；Meridian-Based Timing； Pestle Needle； Cancer-Related Fatigue； Qi and Blood Deficiency
摘要: 目的：评价子午流注择时杵针改善大肠癌术后癌因性疲乏(气血两虚证)患者睡眠质量的效果。方法：选取2023年4月至2024年4月成都市某三甲医院收治的135例大肠癌术后癌因性疲乏(气血两虚证)患者为研究对象。患者被随机分为三组：对照组(常规治疗及护理)、试验组1 (常规 + 子午流注择时杵针)和试验组2 (常规 + 普通杵针)。于术前、术后第1天(d1)及术后第7天(d7)评估三组患者的阿森斯失眠量表(AIS)评分和卡氏功能状态(KPS)评分。结果：术后d1及术后d7三组组间的AIS评分、KPS评分差异均具有统计学意义(P < 0.05)，时间点比较结果显示：三组AIS评分均为总体呈现下降趋势，KPS总体呈现先下降(术后d1)后上升(术后d7)的趋势，且各时间点间两两比较差异均具有统计学意义(P < 0.05)。结论：子午流注择时杵针技术在改善大肠癌术后癌因性疲乏(气血两虚证)患者睡眠质量(降低AIS评分)及提高生活质量(提升KPS评分)方面效果优于普通杵针治疗，值得临床推广应用。
Abstract: Objective: To evaluate the effect of meridian-based timing acupoint pressing with a pestle needle on improving sleep quality in patients with cancer-related fatigue (qi and blood deficiency pattern) after colorectal cancer surgery. Methods: A total of 135 patients with cancer-related fatigue (qi and blood deficiency pattern) after colorectal cancer surgery, admitted to a tertiary hospital in Chengdu between April 2023 and April 2024, were enrolled as study subjects. They were randomly divided into three groups: the control group (conventional surgery and nursing), experimental group 1 (conventional care + meridian-based timing pestle needle technique), and experimental group 2 (conventional care + conventional pestle needle technique). The Athens Insomnia Scale (AIS) score and Karnofsky Performance Status (KPS) score were assessed preoperatively, and on postoperative day 1 (d1) and day 7 (d7). Results: On postoperative d1 and d7, statistically significant differences were observed in AIS and KPS scores among the three groups (P < 0.05). Comparison across time points revealed: AIS scores in all three groups showed an overall decreasing trend; KPS scores exhibited an overall trend of initial decline (postoperative d1) followed by an increase (postoperative d7). Pairwise comparisons between all time points showed statistically significant differences (P < 0.05). Conclusion: The meridian-based timing with a pestle needle technique demonstrated superior efficacy compared to the conventional pestle needle technique in improving sleep quality (reducing AIS scores) and enhancing quality of life (increasing KPS scores) for colorectal cancer surgery patients with cancer-related fatigue (qi and blood deficiency pattern). It is worthy of clinical adoption and promotion.
文章引用：曾晓凤, 杨俊, 蒲雨, 张林艳. 子午流注择时杵针对大肠癌术后癌因性疲乏(气血两虚证)患者睡眠质量的影响研究[J]. 临床医学进展, 2026, 16(2): 2918-2926. https://doi.org/10.12677/acm.2026.162702

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