穴位电磁疗配合塞来昔布治疗阑尾切除术后疼痛的疗效分析

Clinical Efficacy Analysis of Acupoint Electromagnetic Therapy Assisting Oral Use of Celecoxib Capsules to Alleviate Postoperative Pain After Laparoscopic Appendectomy

【目的】观察和评价穴位电磁疗配合口服塞来昔布对急性阑尾炎患者行腹腔镜手术后镇痛的疗效和安全性。【方法】将74例行腹腔镜阑尾切除术治疗的急性阑尾炎患者随机分为治疗组和对照组,每组各37例。在术后常规治疗和护理基础上,治疗组给予穴位电磁疗配合口服塞来昔布胶囊治疗,对照组给予口服塞来昔布胶囊治疗,疗程为2 d。观察2组患者干预前后疼痛视觉模拟量表(VAS)评分和布氏舒适状态量表(BCS)评分的变化情况,评价2组患者的镇痛疗效及安全性。【结果】(1)脱落情况:治疗期间,治疗组37例患者全部完成试验;对照组有2例患者因使用其他镇痛方法而脱落,实际纳入研究35例。(2)镇痛疗效:疗程结束后,治疗组的愈显率为83.78%,对照组为54.29%,治疗组的总体疗效和愈显率均明显优于对照组,差异均有统计学意义(P<0.01)。(3)干预后各时点,2组患者的疼痛VAS评分均较干预前(术后清醒时)明显降低(P<0.05),且治疗组干预后各时点的疼痛VAS评分均明显低于对照组,差异均有统计学意义(P<0.05)。(4)干预结束后,2组患者的BCS评分均较干预前提高(P<0.01),且治疗组对BCS评分的提高作用优于对照组,差异有统计学意义(P<0.01)。(5)在治疗过程中,2组患者均未出现不良反应。【结论】穴位电磁疗配合口服塞来昔布对腹腔镜阑尾切除术后疼痛的镇痛疗效确切,而且治疗过程中患者无痛苦、无副作用、安全有效。

Objective To evaluate the efficacy and safety of acupoint electromagnetic therapy assisting oral use of Celecoxib Capsules for the treatment of postoperative pain after laparoscopic appendectomy. Methods A total of 74 participants diagnosed with acute appendicitis and having had laparoscopic appendectomy were randomized into treatment group and control group, 37 cases in each group. The two groups were given routine postoperative treatment and nursing. For relieving postoperative pain,the control group was given Celecoxib Capsules orally,and the treatment group was given acupoint electromagnetic therapy assisting oral use of Celecoxib Capsules,the treatment course lasting 2 days. Before and after intervention,the outcomes of Visual Analogue Scale(VAS)pain scores and Bruggrmann Comfort Scale(BCS)scores were observed for the evaluation of analgesic effect and safety in the two groups. Results(1)During the trial,all of the 37 cases in the treatment group completed the trial;there were 2 cases of the control group dropped out for adopting other analgesic agents,and a total of 35 cases in the control group completed the trial.(2)At the end of the intervention,the curative and markedly effective rate for analgesic effect in the treatment group was 83.78%,and that in the control group was 54.29%,indicating that the treatment group had stronger overall efficacy and curative and markedly effective rate than the control group,the difference being statistically significant(P<0.05).(3)At various time points of the intervention,VAS pain scores in the two groups were much decreased(P<0.05 compared with those before intervention,i.e.,at the time of being awaking after operation), and VAS pain scores in the treatment group at various time points of the intervention were lower than those in the control group(P<0.05).(4)At the end of intervention,BCS scores in the two groups were much increased(P<0.01 compared with those before intervention),and the increase of BCS scores in the treatment group was superior to that in the control group(P<0.01).(5)During the trial,no obvious adverse reaction was found in the two groups, indicating the safety was ensured. Conclusion Acupoint electromagnetic therapy assisting oral use of Celecoxib Capsules is effective and safe for the treatment of postoperative pain after laparoscopic appendectomy,without irritation or side effects during the trial.