电针联合红光治疗肛肠疾病术后疼痛临床研究

Clinical Study on Treatment of Postoperative Pain in Anorectal Diseases with Electroacupuncture Combined with Red Light Therapy

目的观察电针联合红光治疗在肛肠疾病术后患者疼痛中的应用效果。方法将我院2020年6月—2021年10月收治的肛肠疾病术后疼痛患者80例,按随机数字表法,分为对照组和治疗组,每组各40例。对照组给予常规治疗及护理,治疗组在对照组基础上加电针和红光治疗。采用疼痛视觉模拟量表(visual analogue scale,VAS)、匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)、焦虑自评量表(self rating anxiety scale,SAS)、抑郁自评量表(self rating depression scale,SDS)进行评分,比较两组患者术后疼痛程度、睡眠质量及情绪状态,并评估临床疗效。结果治疗后两组患者术后6 h、12 h、36 h的VAS评分均逐渐降低,治疗组优于对照组(P<0.05);治疗后两组患者PSQI、SAS、SDS评分均明显改善,治疗组改善优于对照组(P<0.05);治疗后治疗组总有效率87.50%,显著优于对照组66.67%(P<0.05)。结论电针联合红光治疗能明显缓解肛肠疾病患者术后疼痛,改善患者睡眠质量及情绪状态,值得临床推广应用。

Objective To observe the application effect of electroacupuncture combined with red light therapy on postoperative pain in patients with anorectal diseases.Methods 80 postoperative pain patients with anal and intestinal diseases admitted to our hospital from June 2020 to October 2021 were randomly divided into a control group and a treatment group,with 40 patients in each group.The control group received routine treatment and nursing care,while the treatment group received additional electroacupuncture and red light therapy on the basis of the control group.The pain visual analogue scale(VAS),pittsburgh sleep quality index(PSQI),self rating anxiety scale(SAS),and self rating depression scale(SDS)were used to score.The postoperative pain degree,sleep quality,and emotional state of the two groups were compared,and the clinical efficacy was evaluated.Results The VAS scores of the two groups of patients gradually decreased at 6 h,12 h,and 36 h after surgery,and the treatment group was better than the control group(P<0.05);After treatment,the PSQI,SAS,and SDS scores of both groups of patients improved significantly,and the improvement in the treatment group was better than that in the control group(P<0.05);After treatment,the total effective rate of the treatment group was 87.50%,significantly better than the control group of 66.67%(P<0.05).Conclusion The combination of electroacupuncture and red light therapy can significantly alleviate postoperative pain in patients with anorectal diseases,improve their sleep quality and emotional state,and is worthy of clinical promotion and application.