针药结合治疗混合痔术后疼痛40例临床观察

Clinical Observation on 40 Cases of Pain after Operation of Mixed Hemorrhoids Treated by Acupuncture and Medicine

目的:观察承山、中髎、下髎穴埋针治疗混合痔术后疼痛的有效性及安全性,为混合痔术后疼痛的缓解寻求可行性方法。方法:选取混合痔外剥内扎术后患者80例,随机分成对照组和治疗组,术后常规治疗,对照组40例口服酮咯酸氨丁三醇胶囊镇痛治疗,治疗组40例在此基础上应用"清铃"牌揿针进行贴压镇痛;体内留针24 h,每日治疗1次,同时嘱患者不定时按压所贴穴位,术后1～5日每天记录患者排便和换药时的疼痛程度以及疼痛持续时间,采用数字评分法(NRS)值评价疗效;比较两组的镇痛效果及不良反应。结果:对照组与治疗组术后5 d疼痛评分相比较,治疗组显著低于对照组(P<0.05),具有统计学意义;伴随着治疗次数的增加,两组患者的疼痛评分值也相继降低,治疗组的术后止痛效果较对照组稳定而持久,两组间比较差异具有统计学意义(P<0.05)。对照组和治疗组的总有效率分别是85%和92.5%,两组比较差异无统计学意义(P>0.05)。结论:混合痔术后采取承山、中髎、下髎穴揿针埋针结合酮咯酸氨丁三醇胶囊口服效果满意。

Objective To observe the efficacy and safety of embedding needles at Chengshan, Zhongliao and Xialiao points in the treatment of post-operative pain of mixed hemorrhoids, and to find a feasible method for relieving post-operative pain of mixed hemorrhoids. Methods 80 patients with mixed hemorrhoids after external stripping and internal ligation were randomly divided into control group and treatment group. Routine treatment was given after operation. 40 patients in control group were given oral ketorolac tromethamine capsule for analgesia. 40 patients in treatment group were given “Qingling” brand acupuncturing needle for pressing and analgesia on this basis. The needle was retained in vivo for 24 hours, once a day. At the same time, the patients were instructed to press the place indefinitely. The pain degree and duration during defecation and dressing change were recorded every day from 1 to 5 days after operation. The curative effect was evaluated by NRS value. The analgesic effect of the two groups was compared and the adverse reactions of the treatment were observed. Results Compared with the treatment group, the pain score of the treatment group was significantly lower than that of the control group ( P <0.05), with statistical significance;with the increase of the number of treatments, the pain score of the two groups also decreased. The analgesic effect of the treatment group was more stable and lasting than that of the control group, and there was significant difference between the two groups ( P <0.05). The total effective rates of the control group and the control group were 85% and 92.5%, respectively. There was no significant difference between the two groups ( P >0.05). Conclusion Chengshan, Zhongliao and Xiaqiao acupoints needle embedding combined with ketorolactic acid ambutriol capsule is effective for mixed hemorrhoids after operation.