电针承山穴治疗混合痔术后疼痛疗效对比观察

Effect of electroacupuncture at Chengshan(BL 57) on postoperative pain of mixed hemorrhoids

目的:探讨电针刺激承山穴对混合痔术后疼痛的效果。方法:将120例混合痔术后疼痛的患者随机分为电针组与药物组,每组60例。电针组穴取承山,用频率为2 Hz/100 Hz疏密波治疗,术后30 min治疗第1次,次日起每日上午坐浴后治疗1次;药物组术后30 min口服萘普生缓释胶囊2片,以后每日换药前口服2片。两组各治疗4次,评价术后5、24、48、72 h疼痛视觉模拟评分(VAS)变化情况。结果:术后5、24、48、72 h测得的疼痛积分,电针组分别为6.78±2.12、5.56±1.87、4.34±2.23、3.15±2.11,均低于药物组的7.56±2.01、6.23±1.15、5.57±2.21、4.34±2.12,差异均有统计学意义(均P<0.05)。结论:电针刺激承山穴能改善混合痔术后疼痛。

Objective To discuss the effect of electroacupuncture at Chengshan （BL 57） on postoperative pain of mixed hemorrhoids. Methods. One hundred and twenty cases with postoperative pain of mixed hemorrhoids were divided into an electroacupuncture group （60 cases） and a medication group （60 cases） randomly. The disperse-dense wave in frequency of 2Hz/100Hz at Chengshan （BL 57） were used in the electroacupuncture group. Its first treatment was in 30 rain after the operation, and then it was given once a day after hip bath in the morning. 2 tablets of Naproxen Sunstained Release Capsule were taken in 30 min after operation in the medication group, and then it was taken 2 tablets a day before dressing change. After 4 times of treatment, evaluate the changing condition of Visual Analogue Scale （VAS） at 5 h, 24 h, 48 h and 72 b after operation. Results The VAS at 5 h, 24 h, 48 h and 72 h after operation in the electroacupuncture group （6.78±2.12, 5.56±1.87, 4.34±2.23 and 3.15±2.11） were all lower than those in the medication group （7.56±2.01, 6.23±1.15, 5.57±2.21 and 4.34!2.12）, and the difference was statistically significant （all P〈0.05）. Conclusion Electroacupuncture at Chengshan （BL 57） can reduce the postoperative pain of mixed hemorrhoids.