中药熏洗联合针灸对痔疮患者术后疼痛的影响

Impacts on the Postoperative Pain Treated with Chinese Medicine Fumigation and Acupuncture-Moxibustion Therapy in the Patients with Hemorrhoids

目的观察中药熏洗联合针灸对痔疮患者术后疼痛的影响。方法将156例住院行痔疮切除术患者随机分为两组,每组78例。两组患者术后均给予常规处理。对照组肛门部疼痛明显者,可用镇痛药物如盐酸哌替啶100 mg肌内注射。治疗组肛门部疼痛明显者给予中药熏洗、耳穴及针刺治疗。结果两组患者治疗后各个时间段VAS评分均较治疗前明显降低,然而治疗组治疗后同一时间段与对照组比较VAS评分降低更明显,且疗效维持时间比较长,两组比较,差异均有统计学意义(P<0.05)。结论中药熏洗联合针灸可以明显缓解痔疮患者术后疼痛,效果显著。

Objective To observe the impacts on the postoperative pain treated with Chinese medi- cine fumigation and acupuncture - moxibustion therapy in the patients with hemorrhoids. Methods One hundred and fifty - six cases of hemorrhoidectomy were randomized into two groups ,78 cases in each one. The conventional treatment was applied after treatment in the patients of the two groups. In the control group,the intramuscular injection of Pethidine Hydroehloride 100rag was used for the patients with serious anal pain. In the treatment group, for the patients with serious anal pain, Chinese medicine fumigation, auricular point stim- ulation and acupuncture were applied in combination. Results The score of VAS at each time stage after treatment was reduced apparently as compared with that before treatment in the patients of the two groups. The score decrease of VAS after treatment in the treatment group was much more obvious at the same time stage and the maintenance time of the efficacy was longer. The differences were significant in comparison be- tween the two groups （ P 〈0. 05 ）. Conclusion The combined therapy of Chinese medicine fumigation, acu- puncture and moxibustion relieves the postoperative pain and achieves the significant efficacy in the patients with hemorrhoids.