陈亚利 韩子华

    [摘要] 目的 探讨耳穴埋籽对晚期前列腺癌伴失眠患者睡眠质量的影响。 方法 选取2017年1月至2019年2月在浙江省台州医院门诊治疗的晚期前列腺癌伴失眠患者78例，随机分为两组，每组各39例。两组均每晚睡前给予口服艾司唑仑1 mg。对照组在此基础上予常规干预，干预组在对照组基础上加耳穴埋籽治疗，两组均干预4周。观察两组干预前后睡眠障碍改善指标(PSQI评分和SRSS评分)及体力状况指标(KPS评分)好转情况，并比较临床效果。 结果 干预4周后，两组PSQI评分和SRSS评分显著下降，KPS评分显著上升(P<0.05或P<0.01)，且干预组患者变化幅度更显著(P<0.05);同时干预组临床总有效率(94.87%)优于对照组(79.49%)(χ2=4.130，P<0.05)。 结论 耳穴埋籽用于晚期前列腺癌伴失眠患者的疗效确切，能明显改善睡眠障碍，提高体力状况。

    [关键词] 晚期前列腺癌;失眠;耳穴埋籽;睡眠质量;体力状况

    [中图分类号] R245.9? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2022)13-0150-03

    [Abstract] Objective To explore the effect of burying seed in ear acupoints on sleep quality of patients with advanced prostate cancer and insomnia. Methods A total of 78 patients with advanced prostate cancer and insomnia who were treated in the hospital from January 2017 to February 2019 were randomly divided into two groups with 39 cases in each group.The patients in two groups of patients were given oral estazolam ......