耳穴贴压联合洛芬待因缓释片口服防治混合痔术后疼痛的效果观察

Ear-point Pressing Therapy Combined with Oral Administration of Ibuprofen Codeine Delayed-release Tablet in Preventing ＆ Treating Postoperative Pain of Mixed Hemorrhoids Patients：Efficacy Observation

为观察耳穴贴压联合洛芬待因缓释片口服防治混合痔患者术后疼痛的效果，将120例混合痔手术患者随机分为观察组和对照组，各60例，观察组术前一天晚给予耳穴贴压，术后3h、9h分别给予洛芬待因缓释片2片口服；对照组患者术后诉疼痛难忍时给予洛芬待因缓释片2片口服。2组患者疼痛评分≥7分时均遵医嘱给予盐酸曲马多注射液100mg肌肉注射。对比观察2组患者术后6h、12h、24h、48h静息状态下的疼痛评分，术后24h内盐酸曲马多使用率，以及尿潴留、呕吐等并发症的发生率。结果显示，观察组术后6h、12h、24h、4Sh静息状态r的疼痛评分均明显低于对照组，P〈0．05；而且观察组术后24h内盐酸曲马多使用率及术后尿潴留、呕吐发牛率均明显低十对照组，P〈0．05。结果表明，耳穴贴压联合洛芬待因缓释片口服能有效避免或缓解混合痔术后疼痛，减少镇痛药使用量，预防或减少尿潴留等并发症的发生，减轻患者的痛苦。

This study was to observe the efficacy of ear-point pressing therapy combined with oraladminis tration of ibuprofen codeine delayed-release tablet in preventing . treating pain after mixed hemorrhoids surgery,randomly divided 120 cases of mixed hemorrhoids to be subject to surgery into observation group and control one, 60 cases for each;on the night before operation gave observation group ear-piaster pressing therapy,and at 3,9 h after operation ibuprofen codeine delayed-release tablet（ X 2） orally and respectively, while gave control group ibuprofen codeine delayed release tablet（X 2） orally when patients complain un- endure pain;if pain score 97 points in two groups gave 100 mg of tramadol hydrochloride injection i.m as prescribed;then the indexes were compared between two groups such as the pain score at 6,12,24 and 48 h under rest,the use ratio of tramadol hydrochloride within 24 h after operation, as well the incidence of uroschesis,voraiting,etc complication. As results,in above all indexes observation group was significantly lower than control group（all p 〈0.05）.Results show that above combined therapy can effectively avoid or relieve middle and severe pain after operation,reduce the dosage of used analgesics,and prevent or reducethe incidence of uroschesis,etc complication,relieve the patients＂ pain.