耳穴贴压防治低位肛周脓肿术后疼痛临床观察

Clinical Observation of Auricular Point Sticking in Preventing Pain After Perianal Abscess Surgery

目的观察耳穴贴压防治低位肛周脓肿根治术后患者疼痛的疗效。方法选取2015年9月至2016年2月广州中医药大学第一附属医院肛肠科收治的60例低位肛周脓肿一次性根治术后的患者为研究对象,随机分为常规组和耳压组,对术后不同时间点进行疼痛评分,记录止痛药的应用情况。结果两组患者术后6 h至术后第2天7:30前的疼痛程度比较差异有统计学意义(P<0.05),术后第2天至第7天非换药期间不同时间点的VAS分值统计学差异不稳定(P>0.05或P<0.05);不同时间点换药时疼痛强度分值比较差异有统计学意义(P<0.05)。结论耳穴贴压治疗能有效治疗肛周脓肿术后早期非换药期间的轻中度疼痛,对肛周脓肿术后换药时中重度疼痛的防治亦可取得良好效果。

Objective To observe the therapeutic efficacy of auricular point sticking in preventing pain after perianal abscess surgery. Method Sixty patients going to receive radical perianal abscess surgery admitted by the First Affiliated Hospital of Guangzhou University of Chinese Medicine between December of 2015 and February of 2016 were enrolled and randomized into an ordinary group and an auricular point sticking group. Pain was scored at different time points after the surgery and the use of analgesics was also recorded. Result There were significant inter-group differences in comparing the pain intensity from 6 h after the surgery till 7：30 on the next day of the surgery （P〈0.05）; the between-group differences in comparing the Visual Analogue Scale （VAS） scores from the 2nd day till the 7th day despite of the dressing change time were unstable（P〉0.05,P〈0.05）; the differences in pain intensity at the dressing change were statistical significant （P〈0.05）. Conclusion Auricular point sticking can effectively treat mild-moderate pain in the early stage after perianal abscess surgery at non-dressing-change time, and it can also produce a satisfactory effect in preventing moderate-severe pain at dressing change after perianal abscess surgery.