| Objective:By observing the effects of auricular acupoint pressing and oral administration of Li Fumin on the symptoms of hot flashes in postoperative patients undergoing breast cancer surgery,we investigated whether these two treatment methods can effectively improve the symptoms of hot flashes and improve the quality of life.Evaluate the efficacy and safety differences between the two treatments.Method:Fifty-seven breast cancer patients meeting the criteria were randomly divided into two groups: 29 in the experimental group and 28 in the control group.The experimental group was treated with auricular acupressure,and the kidney,liver,spleen,heart,Shenmen,endocrine,and subcortical 7 points were selected for continuous treatment for 3 months;the control group was given oral Lifumin(1 capsule/day,2 times/ Days),continuous treatment for 3 months.Evaluate changes in the frequency of hot flashes,degree ratios,and quality of life changes before treatment,on days 2,4,6,8,10,and 12 of treatment and compare the changes.At the same time,the adverse reactions during the treatment of both groups were recorded to assess their safety.Result:1.The comparison of the number of hot flashes and the degree of hot flash before and after treatment in the experimental group showed that the average number of hot flashes before treatment was 85.76±54.88.From the second week,the average number of hot flashes continued to decrease compared with that before treatment,and the results were significantly different.Statistically,the difference was statistically significant(P=0.000<0.05).In terms of hot flashes,the results showed hot flashes after treatment.There was a slight increase in mild scores,and moderate and severe scores decreased gradually;moderate and severe hot flashes scores decreased significantly in the second week of treatment(P<0.05).2.The comparison of the number of hot flashes and hot flashes before and after treatment in the control group before and after treatment showed that the average number of hot flashes was 67.57±34.33.From the second week,the average number of hot flashes continued to decrease compared with that before treatment.Statistically significant differences were observed.Statistically significant(P=0.000<0.05).In the degree of hot flashes,there was no significant difference in the scores of mild and severe hot flashes in the control group at the 2nd to the 12 th week after treatment.There was no statistically significant difference(P>0.05)in the integral scores of moderate hot flashes after statistical treatment.There was a significant difference between the 2nd and the 12 th week of treatment(P<0.05).However,the total score of patients with hot flashes still showed a downward trend after treatment(P<0.05).3.There was no significant difference in the number of hot flashes between the 2nd,4th,6th,8th,10 th,and 12 th weeks after treatment(P>0.05).The degree of hot flashes was related to the number of hot flashes and hot flashes before and after treatment.After treatment,there was no significant difference in total scores of hot flashes between the 2nd and the 12 th week.After statistical treatment,the difference was not statistically significant(P>0.05).4.The scores of the four dimensions of the quality of life scale in the experimental group after treatment showed that the scores were significantly lower than before treatment.Statistically,the differences were statistically significant(P<0.05).Obviously,and effective from the second week;followed by the vasomotor dimension,psychological state dimension.The improvement in vasomotor diastolic dimension started from the 4th week,and the improvement of the psychological state dimension started from the 6th week;the improvement of the sex life situation started from the 8th week,but the improvement was smaller.5.The comparison of the four dimensions scores in the control group's quality of life scale after treatment showed that both had a decrease,which was significantly different from before treatment.Statistically,the difference was statistically significant(P<0.05).In the control group,the improvement of vasomotor diastolic dimension and physiological state dimension began to take effect from the 2nd week,and the physiological state dimension had the most significant decrease,followed by the vasomotor dimension;the improvement of the psychological state dimension started from the 6th week.The improvement in the dimensions of the sex life situation began only in the 8th week.6.The results of the comparison between the groups suggest that for the vasomotor diastolic dimension and psychological state dimension,there was no significant difference in the integral scores at the 2nd,4th,6th,8th,and 10 th weeks after treatment.After statistical treatment,the difference was not statistically significant(P<0.05).>0.05),There was a significant difference between the two groups at the 12 th week(P<0.05).For the assessment of the physiological state dimension,there was a significant difference between the groups during the first 8 weeks.Statistically,the difference was statistically significant(P<0.05).In terms of sexual life dimensions,the comparison between groups suggested that the two groups were at 12 weeks of age.There was no significant difference in the integration of sexuality in the treatment cycle(P>0.05).7.The adverse reactions during the treatment of the subject included flushing and itching of the skin at the site of compression,gastric pain,increased leucorrhea,and elevated blood pressure.Among them,1(3.33%)in the experimental group experienced skin flushing and itching at the site of compression;3 persons in the control group.Gastric pain(10.34%)occurred,1 person had increased leucorrhea(3.45%),and 1 person had elevated blood pressure(3.45%).There was no significant difference between the two groups.Statistically,the difference was not statistically significant(P>0.05).Conclusion:1.The auricle pressing and Lifumin can effectively reduce the number of hot flashes in patients undergoing endocrine therapy after breast cancer surgery,and the efficacy of both is comparable,starting from the second week.2.Both Auricle Pressing and Lifumin can reduce the degree of hot flashes of the patient as a whole,and Auricle Pressing can quickly relieve moderate to severe hot flashes in patients,generally starting from the second week;Lifumin only focuses on The moderate degree of hot flashes improved.3.The auricle pressing and Lifumin can effectively improve the quality of life of patients,and the efficacy is equivalent,but the improvement time of symptoms in each dimension is not equal.Both groups can rapidly improve the symptoms of the physiological state dimension from the second week;for the vasomotor dimension and the psychological state dimension,the effect of auricle pressing seems to be better over time.For the sexual life dimension,the onset time of the two groups was at least 3 months after treatment,and the efficacy was comparable.4.Compared with the Lifumin group,the auricular acupoint sticking group only showed redness and itching of the skin at the site of 1 pressed site.There was no serious adverse reaction and the application was safer. |
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