围手术期双侧承山穴埋针治疗混合痔术后疼痛和水肿的疗效观察

Perioperative Needle Embedding Therapy on Bilateral Chengshan Acupoint for Postoperative Pain and Edema of Mixed Hemorrhoids

为观察围手术期双侧承山穴埋针治疗混合痔术后疼痛的临床疗效，将120例混合痔患者随机分为下预组和埘照组，每组60例，两组术后常规抗感染、止血．治疗，均接受温水坐浴、红外线照射、换药等辅助治疗。在此基础上，干预组实施双侧承山穴埋针超前镇痛干预。结果显示，干预组患者术后疼痛首次出现平均时间明显迟于对照组（P〈0．01），且术后12h、术后第2、3天和第6天肛周皮肤水肿和疼痛程度明显减轻（P〈0．01）。结果表明，围手术期双侧承山穴埋针呵以有效缓解混合痔术后肛门疼痛和创面水肿情况，是一种疗效持续时间长，且安全有效、经济实惠的镇痛方法。

In order to observe the clinical efficacy of perioperative needle embedding therapy on bilateral Chengshan acupoint for postoperative pain of mixed hemorrhoids, 120 cases with mixed hemorrhoids were randomly divided into intervention group and control group,60 cases for each. Both groups were postopera- tively given conventional anti-infective therapy,hemostasis as well as adiuvant therapy including warm sitz bath,infrared radiation and dressing changes. In addition,intervention group underwent needle embedding therapy on bilateral Chengshan acupoint for preemptive analgesia. The results showed that the average time for the occurrence of initial pain was significantly later in intervention group than that in control group （ P 〈0.01） ,and perianal edema and pain were significantly reduced on the 12h,2,3 and 6 days after surgery （ P 〈0.01）. It is concluded that perioperative needle embedding therapy on bilateral Chengshan acupoint is an effective and safe analgesia method for postoperative pain and local edema of mixed hemorrhoids pa- tients,with a long-lasting efficacy and low cost.