Zhen Ci Yan Jiu. 2026 Jan 22;51(3):381-387. doi: 10.13702/j.1000-0607.20250755.
ABSTRACT
OBJECTIVES: To observe the improvement effect of preoperative percutaneous auricular point electrical stimulation (PAES) on preoperative anxiety state and postoperative quality of recovery in breast cancer patients.
METHODS: A total of 60 patients who underwent breast-conserving surgery or radical mastectomy for breast cancer in Guang’anmen hospital from August 2023 to August 2024 were enrolled. The patients were randomly divided into a treatment group and a control group. The treatment group received 30 minutes of PAES daily for 3 days before surgery until the day of operation;the control group had electrical stimulation electrodes clamped at the same auricular points without any stimulation. The 15-item Quality of Recovery Score (QoR-15) was used to evaluate patients’ postoperative recovery;the Amsterdam Preoperative Anxiety and Information Scale (APAIS) was applied to assess their preoperative anxiety state;the Pittsburgh Sleep Quality Index (PSQI) was used to evaluate their preoperative sleep quality;the number of non-steroidal anti-inflammatory drug (NSAID) administrations within 48 hours after surgery was statistically analyzed to assess postoperative pain.
RESULTS: The QoR-15 scores of both groups at 48 hours after surgery were significantly lower than those at admission (P<0.01), and the QoR-15 score of the treatment group was higher than that of the control group (P<0.01). Compared with admission, the APAIS anxiety scores of both groups increased before treatment and before surgery (P<0.05), while the information demand scores before surgery decreased (P<0.05). The anxiety scores and information demand scores of the treatment group were significantly lower than those of the control group before surgery (P<0.05). The PSQI scores of both groups before surgery were lower than those before treatment (P<0.05), and the PSQI score of the treatment group was lower than that of the control group (P<0.05). After surgery, the number of oral NSAID administrations in the treatment group within 48 hours postoperatively was less than that in the control group (P<0.05). No PAES (or sham stimulation) related adverse reactions were reported in both groups.
CONCLUSIONS: Preoperative PAES can significantly improve the perioperative quality of recovery in breast cancer patients, alleviate anxiety caused by the disease and surgery, improve sleep quality, relieve postoperative pain and reduce the use of analgesics, with good safety.
PMID:41839587 | DOI:10.13702/j.1000-0607.20250755
