Article(id=1317125665258852787, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317125500041015883, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2026.02.021, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1791956829608, onlineDateStr=2026-10-14, pubDate=1770652800000, pubDateStr=2026-02-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1791956829608, onlineIssueDateStr=2026-10-14, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1791956829608, creator=13701087609, updateTime=1791956829608, updator=13701087609, issue=Issue{id=1317125500041015883, tenantId=1146029695717560320, journalId=1255847919539208197, year='2026', volume='44', issue='2', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1770652800000', pubDateStr='2026-02-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1791956790217, creator='13701087609', updateTime=1791958795145, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1317133909368877755, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317125500041015883, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1317133909373072060, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317125500041015883, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=116, endPage=119, ext={EN=ArticleExt(id=1317125665476956596, articleId=1317125665258852787, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Preventive Effect of Banxia Baizhu Tianma Decoction（半夏白术天麻汤）Combined with Ear Acupoint Stimulation on Postoperative Nausea and Vomiting in Breast Surgery, columnId=1256183361521967297, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Target on National Project, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the preventive effect of Banxia Baizhu Tianma Decoction（半夏白术天麻汤）combined with ear acupoint stimulation on postoperative nausea and vomiting（PONV）in breast surgery.
Methods One hundred and thirty patients with breast cancer who were admitted to Longhua Hospital affiliated to Shanghai University of Traditional Chinese Medicine from January 2023 to March 2024 were enrolled for the research. They were divided into the observation group（Banxia Baizhu Tianma Decoction combined with ear acupoint stimulation）and the control group（ear acupoint stimulation alone）through a random number table，65 cases in each group. The preoperative baseline data，surgery related data，postoperative incidences of PONV，headache and headache and visual analogue scale（VAS）score as well as blood levels of tumor necrosis factor-α（TNF-α），interleukin-6（IL-6）and 5-hydroxytryptamine（5-HT）at 30 minutes before and 24 hours after surgery were compared between observation group and control group.
Results There were no statistically significant differences in preoperative baseline data，surgical related data and the blood levels of TNF-α，IL-6 and 5-HT at 30 minutes before surgery between the observation group and the control group（P>0.05）. The total incidence of PONV and the incidence of PONV above grade 2 in the observation group were significantly lower than those in the control group（P<0.05）. The blood levels of TNF-α，IL-6 and 5-HT in two groups at 24 hours after surgery were significantly higher than those at 30 minutes before surgery，and the blood levels of TNF-α，IL-6 and 5-HT in the observation group were significantly lower than those in the control group at the same time（P<0.05）. There were no significant differences between the observation group and the control group in the incidence of dizziness，headache or VAS score after breast cancer surgery（P>0.05）.
Conclusions Banxia Baizhu Tianma Decoction combined with ear acupoint stimulation could effectively reduce the risk of PONV in patients with breast cancer after surgery，and the preventive effect was better than that of ear acupoint stimulation alone，which is worthy of promoting.
, authors=Zijie ZHANG, Juan WANG, Sheng PENG, authorsList=Zijie ZHANG, Juan WANG, Sheng PENG, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1317125665795723701, articleId=1317125665258852787, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=半夏白术天麻汤联合耳穴刺激对乳腺癌术后恶心呕吐预防作用分析, columnId=1256183362172142382, journalTitle=中华中医药学刊, columnName=国家项目点击, runingTitle=null, highlight=null, articleAbstract=
目的 探讨半夏白术天麻汤联合耳穴刺激对乳腺术后恶心呕吐（Post-operative nausea and vomiting，PONV）的预防作用。
方法 选取2023年1月—2024年3月上海中医药大学附属龙华医院收治的130例择期乳腺癌术后患者为研究对象，通过随机数字表将其分为观察组（半夏白术天麻汤联合耳穴刺激）和对照组（单用耳穴刺激），每组65例。比较两组患者的术前基线资料、手术相关资料、术后PONV、头痛、头痛的发生率、疼痛视觉模拟评分法（Visual analogue scale，VAS）评分，以及术前30 min与术后24 h的血肿瘤坏死因子-α（Tumor necrosis factor-α，TNF-α）、白介素-6（Interleukin-6，IL-6）以及5-羟色胺（5-Hydroxytryptamine，5-HT）水平。
结果 两组患者的术前基线资料、手术相关资料、术前30 min的血TNF-α、IL-6以及5-HT水平比较，差异均无统计学意义（P>0.05）。观察组患者乳腺癌术后PONV的总发生率、在2级以上PONV的发生率均明显低于对照组，差异均有统计学意义（P<0.05）。两组患者术后24 h的血TNF-α、IL-6以及5-HT水平均显著高于术前30 min水平，且观察组患者术后24 h的血TNF-α、IL-6以及5-HT水平均显著低于同期对照组，差异均有统计学意义（P<0.05）。两组患者乳腺癌术后头晕、头痛的发生率及术后VAS疼痛评分比较，差异均无统计学意义（P>0.05）。
结论 半夏白术天麻汤联合耳穴刺激能有效降低乳腺癌术后患者PONV的发生风险，预防效果优于单用耳穴刺激，值得推广应用。
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