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耳穴压豆对医学生睡眠、焦虑及注意力的影响：基于漂移扩散模型的证据
The Impact of Auricular Acupressure Beads on Sleep, Anxiety, and Attention in Medical Students: Evidence Based on the Drift Diffusion Model  [PDF]
陈凯歌, 杨雨石, 林婉瑜, 胡雨晴, 王轶丹
Advances in Psychology (AP) , 2026, DOI: 10.12677/ap.2026.161041
Abstract: 目的：探讨耳穴压豆(AA)对医学生考试焦虑的干预效果，重点分析其对睡眠质量、焦虑状态及注意偏向的影响。方法：采用随机对照试验设计，将62名医学生分为实验组和对照组。通过匹兹堡睡眠质量指数(PSQI)、状态–特质焦虑量表(STAI)评估睡眠与焦虑，结合漂移扩散模型(DDM)量化点探测任务的注意偏向参数(起始点z值)。干预周期为2周。结果：52名完成者的数据显示睡眠改善：AA组PSQI评分显著降低(p < 0.001)，注意偏向调节：DDM起始点z值部分改变(p = 0.028)，表明注意分配模式发生变化；两组STAI评分随考试临近均下降，但组间差异无统计学意义(p > 0.05)。结论：耳穴压豆可有效改善考试压力下医学生的睡眠状况及注意偏向，具备非侵入性、操作简便等优势。
Objective: This study aimed to investigate the effects of Auricular Acupressure Beads (AA) on test anxiety among medical students, with a specific focus on its impact on sleep quality, state anxiety, and attentional bias. Methods: A randomized controlled trial was conducted with 62 medical students, who were allocated to either an experimental (AA) group or a control group. Sleep quality and state anxiety were assessed using the Pittsburgh Sleep Quality Index (PSQI) and the State-Trait Anxiety Inventory (STAI), respectively. Attentional bias was quantified by applying the Drift Diffusion Model (DDM) to data from a dot-probe task, with a focus on the starting point parameter (z). The intervention period was two weeks. Results: Data from 52 participants who completed the study revealed significant improvements in sleep and attentional modulation. The AA group showed a significant reduction in PSQI scores, indicating enhanced sleep quality (p < 0.001). Furthermore, the DDM starting point (z) was significantly modulated in the AA group (p = 0.028), suggesting a shift in attentional allocation patterns. While STAI scores decreased in both groups as the examination approached, the between-group difference was not statistically significant (p > 0.05). Conclusion: Auricular Acupressure Beads can effectively improve sleep quality and modulate attentional bias in medical students under exam-related stress, offering a non-invasive and easily administered intervention.
Auricular acupressure for insomnia in hemodialysis patients: study protocol for a randomized controlled trial
Aicheng Yang,Airong Qi,Chuan Zou,Cun Cai,Daixin Zhao,Guobin Su,Hongyan Ma,Lihong Yang,Lingli Li,Lixin Wang,Qizhan Lin,Xiangxin Meng,Xinfeng Guo,Xiuqing Wu,Xusheng Liu,Yuchi Wu,Zhaoyu Lu,Zhicong Zhong,Zhiren He
- , 2018, DOI: 10.1186/s13063-018-2546-2
Abstract:
耳穴贴压在肿瘤化疗患者夜寐欠安(失眠)中的应用
Application of Auricular Point Sticking in Insomnia of Patients with Tumor Chemotherapy  [PDF]
梁西云, 王敏
Nursing Science (NS) , 2023, DOI: 10.12677/NS.2023.125114
Abstract: 目的：观察耳穴贴压在肿瘤科化疗患者夜寐欠安(失眠)中的临床疗效。方法：肿瘤科化疗致夜寐欠安(失眠)的患者取脑、神门、心三个穴位进行耳穴贴压，观察治疗前后患者睡眠时间、睡眠质量的变化。结果：耳穴贴压后肿瘤化疗患者睡眠质量、睡眠时间均有明显改善。结论：耳穴贴压能降低肿瘤化疗患者失眠严重程度，改善患者睡眠质量，提高患者睡眠效率。
Objective: To observe the clinical effect of auricular point sticking on insomnia in patients with chemotherapy in oncology department. Method: Patients with insomnia caused by chemotherapy in oncology department were treated with auricular point sticking at three acupoints of brain, Shenmen and heart to observe the changes of sleep time and sleep quality before and after treatment. Result: After auricular point sticking, the sleep quality and sleep time of patients with tumor chemotherapy were significantly improved. Conclusion: Auricular point sticking can reduce the severity of insomnia in patients with tumor chemotherapy, improve the sleep quality of patients, and improve the sleep efficiency of patients.
反流性食管炎的外治疗法效果探讨
Discussion on the Effect of External Therapy for Reflux Esophagitis  [PDF]
冯林, 陈万鸿, 魏润民, 齐洪军, 万晓燕
Advances in Clinical Medicine (ACM) , 2025, DOI: 10.12677/acm.2025.1592498
Abstract: 反流性食管炎(Reflux Wsophagitis, RE)已逐渐发展成一种常见的消化道病症，其全球和国内的发病率均非常高。据统计，西方国家中大约有7%~15%的人口患有此种症状，而在中国则大概是7%~8%的比例。这种状况对患者的健康和生活品质造成了极大的威胁，因为它可能引发一系列并发的胃肠道问题，如上消化道出血、Barrett食管、食管溃疡与食管狭窄等，严重时该病甚至会进展为食管腺癌。此外，一些更极端的情况可能会引起诸如支气管哮喘或阻塞性睡眠呼吸暂停综合征等症状，从而进一步降低了患者的生活质量。根据西医学界的研究成果，质子泵抑制剂作为首选疗法，但这类药品也面临着诸多副 作用、疗效短暂且费用较高的挑战。本文主要基于国内相关最新研究进展，对如何减低反流性食管炎的复发率进行深刻讨论。
At present, reflux esophagitis (RE) has gradually developed into a common digestive tract disease, with a very high incidence rate both globally and domestically. According to statistics, approximately 7% to 15% of the population in Western countries suffer from this condition, while in China, the proportion is roughly 7% to 8%. This situation poses a significant threat to patients’ health and quality of life as it may lead to a series of concurrent gastrointestinal problems, such as upper gastrointestinal bleeding, Barrett’s esophagus, esophageal ulcers, and esophageal stenosis. In severe cases, the disease may even progress to esophageal adenocarcinoma. Moreover, some more extreme cases may cause symptoms such as bronchial asthma or obstructive sleep apnea syndrome, further reducing the patients’ quality of life. According to the research results of the Western medical community, proton pump inhibitors are considered the first choice of treatment, but these drugs also face many challenges such as numerous side effects, short-term efficacy, and high costs. This article mainly discusses the latest domestic research progress on how to reduce the recurrence rate of reflux esophagitis.
耳穴压豆在混合痔围手术期便秘管理中的应用现状与机制探讨
Application and Mechanisms of Auricular Acupressure for Constipation in Mixed Hemorrhoids Perioperative Care  [PDF]
秦誉宁, 蔡增进
Traditional Chinese Medicine (TCM) , 2025, DOI: 10.12677/tcm.2025.1411689
Abstract: 背景与目的：混合痔术后便秘严重影响康复，常规药物疗法存在局限性。耳穴压豆作为一种安全简便的中医外治技术，在围手术期应用潜力显著。本文系统探讨其应用方案、疗效及作用机制。方法：结合中医“耳脉相通”理论与现代医学机制，分析耳穴选穴原则、操作方法及预防性干预时机。结果：耳穴压豆通过疏通经络、调节脑肠轴、缓解疼痛等多靶点途径，有效促进排便，兼具通便与身心调节双重优势。结论：耳穴压豆是防治混合痔术后便秘的有效非药物疗法，值得临床推广。未来应聚焦标准化方案构建与高质量研究深化。
Background & Objective: Constipation after mixed hemorrhoid surgery impedes recovery, and conventional drug therapies remain limited. Auricular acupressure, a safe and straightforward TCM technique, holds promise for perioperative management. This paper reviews its protocols, efficacy, and mechanisms. Methods: Drawing on TCM theory and modern medicine, we analyzed acupoint selection, procedure, and timing for preventive intervention. Results: Auricular acupressure facilitates bowel motility through multiple pathways—including meridian regulation, brain-gut axis modulation, and pain relief—offering both physical and psychological benefits. Conclusion: Auricular acupressure is an effective non-pharmacologic therapy for postoperative constipation in mixed hemorrhoids and merits clinical adoption. Future work should emphasize protocol standardization and rigorous research.
腕踝针联合耳穴贴压在急性胰腺炎伴腹痛患者中的应用效果
Effect of Wrist-Ankle Acupuncture Combined with Auricular Acupressure in Patients with Acute Pancreatitis and Bellyache  [PDF]
熊思宇, 王会芳, 李兆莹
Traditional Chinese Medicine (TCM) , 2026, DOI: 10.12677/tcm.2026.151031
Abstract: 目的：评价腕踝针配合耳穴贴压治疗急性胰腺炎腹痛的疗效。方法：本研究共纳入56名急性胰腺炎患者，所有患者均符合既定纳入标准，选自成都中医药大学附属医院急诊科。通过随机分组方法，受试者被分配至试验组与对照组，每组最终各纳入28例。对照组实施常规治疗、护理及耳穴贴压，试验组则在对照组干预方案上增用腕踝针。两组干预周期均为7天。研究比较了双方的腹部疼痛评估量表(NVPS)与焦虑自评量表(SAS)评分差异，为评估肠麻痹的改善状况，研究重点监测了临床症状的恢复时间，包括首次排气、首次排便及肠鸣音恢复时间。此外，腹痛与腹胀的缓解程度亦被纳入统计观测范围。结果：对两组数据的整体分析揭示，NVPS与SAS评分在组别、时间点以及交互作用方面的比较，均呈现出显著的统计学差异(P < 0.05)。随后的进一步分析表明：首先，在干预后24小时与28小时，两组的NVPS和SAS评分均较干预前显著降低；而至干预后48小时，这两项评分又较24小时进一步下降，该趋势具有统计学意义(P < 0.05)。其次，在干预后24小时与48小时，试验组的NVPS和SAS评分均显著低于同期对照组(P < 0.05)。最后，在临床症状改善方面，在各项临床观察指标中，试验组所记录的时间均显著短于对照组。具体而言，腹胀减轻、腹痛缓解、肠鸣音恢复，以及首次排气、首次排便和住院时间均呈现出一致的缩短趋势。上述所有差异均经统计分析确认具有统计学意义(P < 0.05)。结论：本研究结果表明，采用腕踝针结合耳穴贴压的综合干预方案，能显著减轻急性胰腺炎患者的腹痛与焦虑，并有效促进肠麻痹状态的恢复。
Objective: To evaluate the efficacy of wrist-ankle acupuncture combined with auricular acupressure in treating bellyache associated with acute pancreatitis. Methods: This study enrolled 56 patients with acute pancreatitis, all meeting predetermined inclusion criteria, from the Emergency Department of Chengdu University of Traditional Chinese Medicine Affiliated Hospital. Participants were randomly assigned to either the experimental group or the control group, with 28 patients in each group. The control group received conventional treatment, nursing care, and auricular acupressure, while the experimental group additionally underwent wrist-ankle acupuncture alongside the control group’s intervention protocol. Both groups underwent a 7-day intervention period. Differences in the Nausea and Vomiting Pain Scale (NVPS) and Self-Rating Anxiety Scale (SAS) scores were compared between groups. To assess improvements in intestinal paralysis, the study focused on monitoring the recovery time of clinical symptoms, including the time to first flatus, first bowel movement, and return of bowel sounds. Additionally, the degree of relief from abdominal pain and bloating was included in statistical observations. Results: Comprehensive analysis of both groups revealed statistically significant differences (P < 0.05) in NVPS and SAS scores across group comparisons, time points, and their interactions. Subsequent further analysis indicated: Firstly, at 24 and 28 hours post-intervention, both groups exhibited significantly reduced NVPS and SAS scores compared to pre-intervention levels; by 48 hours post-intervention, these scores had further decreased from the 24-hour
Effects of Auricular Acupressure on Constipation in Patients With Breast Cancer Receiving Chemotherapy: A Randomized Control Trial
Hyojung Park,Jeongran Shin
- , 2018, DOI: 10.1177/0193945916680362
Abstract: The purpose was to examine the effects of auricular acupressure to relieve constipation in patients with breast cancer who were undergoing chemotherapy. Participants were 52 patients with breast cancer receiving chemotherapy at E University Hospital, Seoul, Korea, randomized into two groups of equal size. For the experimental group, auricular acupressure was applied to seven auricular acupoints for 6 weeks using vaccaria seeds, whereas the control group received the usual care. Constipation-assessment scores of the experimental group were significantly lower compared with the control group (p < .001). Stool-form scores of the experimental group were significantly higher compared with the control group (p = .003). Patient Assessment of Constipation–Quality of Life scores of the experimental group were significantly lower compared with the control group (p < .001). Auricular acupressure was effective at relieving constipation in patients with breast cancer receiving chemotherapy. Auricular acupressure was also a safe and acceptable nursing intervention
穴位按压联合耳穴贴压护理对脊柱手术PONV的干预效果研究
Acupressure Combined with Auricular Point Pressing Nursing: A Study on Its Intervention Effect on PONV after Spinal Surgery  [PDF]
王新茹, 赵建花, 魏蓉
Nursing Science (NS) , 2026, DOI: 10.12677/ns.2026.153064
Abstract: 目的：探讨穴位按压联合耳穴贴压护理对脊柱手术后恶心呕吐(PONV)的干预效果。方法：回顾性分析2023年1月至2024年12月在新疆医科大学第六附属医院脊柱外二科收治的120例脊柱手术患者，根据干预方式分为观察组(穴位按压 + 耳穴贴压 + 常规护理，n = 60)和对照组(常规护理，n = 60)。比较两组患者术后恶心呕吐发生率、视觉模拟评分(VAS)、止吐药物使用情况、胃肠功能恢复时间及护理满意度。结果：观察组术后恶心呕吐总发生率为23.33% (14/60)，显著低于对照组的56.67% (34/60) (P < 0.05)。术后24 h、48 h、72 h，观察组恶心VAS评分分别为(3.25 ± 1.12)分、(2.08 ± 0.89)分、(1.12 ± 0.56)分，均显著低于对照组(P < 0.05)。观察组止吐药物使用率为15.00% (9/60)，显著低于对照组的38.33% (23/60 < 0.05)。观察组肠鸣音恢复时间、首次排气时间、首次进食时间分别为(22.35 ± 4.12) h、(28.45 ± 5.23) h、(30.15 ± 6.34) h，均显著短于对照组 < 0.05)。结论：穴位按压联合耳穴贴压护理能有效降低脊柱手术后恶心呕吐发生率，减轻恶心呕吐程度，促进胃肠功能恢复，提高护理满意度，值得临床推广应用。
Objective: To explore the intervention effect of acupressure combined with auricular point plaster therapy nursing on postoperative nausea and vomiting (PONV) after spinal surgery. Methods: A retrospective analysis was conducted on 120 patients who underwent spinal surgery in the Second Department of Spinal Surgery, the Sixth Affiliated Hospital of Xinjiang Medical University from January 2023 to December 2024. Based on the intervention methods, they were divided into an observation group (acupressure + auricular point plaster therapy + routine nursing, n = 60) and a control group (routine nursing, n = 60). The incidence of PONV, Visual Analogue Scale (VAS) scores, usage of antiemetics, gastrointestinal function recovery time, and nursing satisfaction were compared between the two groups. Results: The total incidence of PONV in the observation group was 23.33% (14/60), significantly lower than 56.67% (34/60) in the control group (P < 0.05). At 24 h, 48 h, and 72 h postoperatively, the nausea VAS scores in the observation group were (3.25 ± 1.12), (2.08 ± 0.89), and (1.12 ± 0.56) points, respectively, all significantly lower than those in the control group (P < 0.05). The antiemetic drug usage rate in the observation group was 15.00% (9/60), significantly lower than 38.33% (23/60) in the control group (P < 0.05). The recovery time of bowel sounds, time to first flatus, and time to first oral intake in the observation group were (22.35 ± 4.12) h, (28.45 ± 5.23) h, and (30.15 ± 6.34) h, respectively, all significantly shorter than those in the control group (P < 0.05). Conclusion: Acupressure combined with auricular point plaster therapy nursing can effectively reduce the incidence of PONV after spinal surgery, alleviate the severity of nausea and vomiting, promote the recovery of
Efficacy and safety of auricular point acupressure treatment for gastrointestinal dysfunction after laparoscopic cholecystectomy: study protocol for a randomized controlled trial
Tian He,Wang Cai,Yandong Wang,Ye Zhao,Yueshen Ma,Yuhua Tan
- , 2016, DOI: 10.1186/s13063-016-1404-3
Abstract:
子午流注择时耳穴压豆对乳腺癌术后化疗患者睡眠质量和癌因性疲乏的影响
Effects of Midnight-Noon Ebb-Flow of Auricular Acupressure on Sleep Quality and Cancer-Related Fatigue in Breast Cancer Patients with Postoperative Chemotherapy  [PDF]
马纪蕾, 李振云, 张振清, 王爱敏
Advances in Clinical Medicine (ACM) , 2022, DOI: 10.12677/ACM.2022.12101352
Abstract: 目的：探讨子午流注择时耳穴压豆护理干预对乳腺癌术后化疗患者睡眠质量和癌因性疲乏的影响。方法：将2020年5月至2021年2月在青岛市某三甲医院乳腺外科住院的80例乳腺癌术后化疗患者随机分为对照组和实验组，对照组和实验组每组患者均为40例。对照组给予常规护理干预，以此为基础，实验组给予子午流注择时耳穴压豆护理干预。分别采用匹兹堡睡眠质量指数量表(PSQI)和癌症疲乏量表(CFS)，在干预前和干预后对患者进行测评。结果：干预6周后，实验组在睡眠质量、入睡时间、睡眠时间、睡眠障碍、催眠药物使用、日间功能障碍得分及睡眠总分均低于对照组，差异有统计学意义(P < 0.05)；实验组在躯体疲乏、情感疲乏、认知疲乏得分和疲乏总分均低于对照组，差异有统计学意义(P < 0.05)。结论：子午流注择时耳穴压豆能够有效提高乳腺癌术后化疗患者睡眠质量，缓解其癌因性疲乏。
Objective: To explore the effects of midnight-noon ebb-flow of auricular acupressure rehabilitation on sleep quality and cancer-related fatigue in breast cancer patients with postoperative chemo-therapy. Methods: 80 cases of breast cancer patients with postoperative chemotherapy who were hospitalized in the breast department of a tertiary hospital of Qingdao during May 2020 to Febru-ary 2021 were selected and randomly divided into the control group and the experimental group, with 40 cases in each group. The control group was given routine care, while the experimental group was given the midnight-noon ebb-flow of auricular acupressure therapy on the basis of rou-tine care. Pittsburgh Sleep Quality Index (PSQI) and Cancer Fatigue Scale (CFS) were used to assess patients before and after the intervention. Results: After 6-week intervention, the mean scores of sleep quality, fall sleep time, sleep time, sleep disturbance, sleep medication, daytime dysfunction and total sleep in the experimental group were lower than those in the control group, the differ-ences were statistically significant (P < 0.05). The mean scores of physical fatigue, emotional fatigue, cognitive fatigue and overall fatigue in the experimental group were lower than those in the control group, the differences were statistically significant (P < 0.05). Conclusion: The midnight-noon ebb-flow of auricular acupressure therapy can effectively improve sleep quality and reduce the de-gree of cancer-related fatigue in breast cancer patients with postoperative chemotherapy.
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