摘要目的 探讨中医经络操结合中药沐足对改善肺癌术后患者睡眠障碍效果.方法 选取2015年2月~2017年8月该院收治的肺癌手术后睡眠障碍患者120例,将其随机分为研究组与对照组,各60例.对照组患者实施中药沐足,研究组患者在对照组患者方法基础上实施中医经络操,对比两组患者术后24 h、干预第7天患者的生活质量、SDS评分、SAS评分.术后24 h、干预第1天、第3天、第7天睡眠质量.结果 研究组患者的生活质量明显优于对照组患者,差异有统计学意义( P<0. 05) ;术后24 h两组患者SDS以及SAS评分无明显差异,干预第7天研究组患者的SDS以及SAS评分显著优于对照组患者,差异有统计学意义( P<0. 05);术后24 h、干预第1天两组患者的睡眠质量无明显差异,干预第3天、干预第7天研究组患者睡眠质量水平明显优于对照组患者,差异有统计学意义(P<0. 05).结论 中医经络操结合中药沐足可以有效改善肺癌患者术后的睡眠质量,减轻患者在治疗过程中的焦虑、抑郁情绪,以及提高治疗有效率,减缓患者病情.

abstractsObjective To investigate the effect of traditional Chinese medicine meridian manipulation com-bined with traditional Chinese medicine foot massage on sleep disturbance in patients with lung cancer after operation. Methods A total of 120 patients with sleep disorders after lung cancer surgery admitted to the hospital from February 2015 to August 2017 were selected. They were randomly divided into research group and control group, 60 cases of each group. The patients in the control group were treated with Chinese medicine foot massage. The patients in the re-search group were treated with Chinese medicine meridian exercise on the basis of the methods of the patients in the con-trol group. The quality of life, Self-rating Depression Scale ( SDS) score and Self-rating Anxiety Scale ( SAS) score of the two groups were compared 24 hours after the operation and 7 days after the intervention. The sleep quality of the pa-tients was compared 24 hours after the operation, on day 1, day 3 and day 7 after the intervention. Results The quality of life of the study group was significantly better than that of the control group, and the difference was statistical-ly significant ( P<0. 05) . There was no significant difference in SDS and SAS scores between the two groups at 24 hours after operation. The scores of SDS and SAS of patients in the study group were significantly better than those in the control group on the 7th day of intervention, and the differences were statistically significant (P<0. 05). There was no significant difference in sleep quality between the two groups on day 1 after 24 hours of intervention. The sleep quali-ty level of the study group was significantly better than that of the control group on the 3rd and 7th day of intervention, and the differences were statistically significant ( P<0. 05) . Conclusion Traditional Chinese medicine meridian ma-nipulation combined with traditional Chinese medicine foot message can effectively improve the sleep quality of patients after lung cancer surgery, reduce the depression of patients in the process of treatment, as well as improve the efficien-cy of treatment, reduce the patientˊs condition.