穴位贴敷联合耳穴贴压对混合痔术后疼痛的影响

Effect of acupoint application plus auricular point sticking on pain after mixed hemorrhoid surgery

目的 观察穴位贴敷联合耳穴贴压对混合痔术后肛门疼痛的影响。方法 将124例行混合痔外剥内扎术的患者随机分为4组,分别为对照组、穴位贴敷组、耳穴贴压组和联合组,每组31例。对照组术后予抗炎消肿等常规治疗,穴位贴压组在对照组治疗基础上予穴位贴敷,耳穴贴压组在对照组治疗基础上予耳穴贴压,联合组在对照组治疗基础上予穴位贴敷联合耳穴贴压治疗。试验过程中,当患者的疼痛视觉模拟量表(visual analog scale,VAS)评分≥4分时口服洛索洛芬钠片用于镇痛。观察4组术后4 h、12 h、24 h、48 h和72 h肛门疼痛VAS评分变化,比较4组首次排便时间、首次排便时疼痛VAS评分、术后48 h肢体活动评分以及术后72 h内口服洛索洛芬钠片的剂量。结果 穴位贴敷组和耳穴贴压组术后12 h、24 h和48 h的肛门疼痛VAS评分、首次排便时疼痛VAS评分以及术后72 h内口服洛索洛芬钠片的剂量均低于对照组(P<0.05),两组首次排便时间均早于对照组(P<0.05)。联合组术后12 h、24 h和48 h的肛门疼痛VAS评分、首次排便时疼痛VAS评分、术后48 h肢体活动评分和术后72 h内口服洛索洛芬钠片的剂量均低于其余3组(P<0.05),联合组首次排便时间早于其余3组(P<0.05)。结论 在术后常规抗炎消肿治疗基础上,穴位贴敷联合耳穴贴压可缓解混合痔术后肛门疼痛,使术后首次排便时间提前并减轻排便时的疼痛,减少术后72 h内洛索洛芬钠片的用量,优于单一耳穴贴压或穴位贴敷。

Objective To observe the effect of acupoint application plus auricular point sticking on pain after mixed hemorrhoid surgery.Method A total of 124 patients undergoing Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids were randomly divided into four groups,i.e.,control,acupoint application,auricular point sticking,and integrated groups,with 31 cases in each group.The control group received conventional treatments for reducing inflammation and swelling;based on the interventions in the control group,the acupoint application group received additional acupoint application treatment,the auricular point sticking group was given additional auricular point sticking treatment,and the integrated group received both acupoint application and auricular point sticking treatments additionally.During the trial,patients were prescribed oral Loxoprofen sodium tablets for analgesia when they had a pain visual analog scale(VAS) score of ≥4 points.The anal pain VAS score was observed 4 h,12 h,24 h,48 h,and 72 h after the surgery for all four groups.The initial defecation time and the corresponding pain VAS score,physical movement score 48 h after the surgery,and oral Loxoprofen sodium tablet consumption during 72 h after the surgery were compared.Result The anal pain VAS scores 12 h,24 h,and 48 h after the surgery,the initial defecation pain VAS score,and the oral Loxoprofen sodium tablet consumption during 72 h after the surgery were lower in the acupoint application and auricular point sticking groups than in the control group(P<0.05),and the initial defecation time in the two groups was earlier than that in the control group(P<0.05).The anal pain VAS scores 12 h,24 h,and 48 h after the surgery,the initial defecation pain VAS score,the physical movement score 48 h after the surgery,and the oral Loxoprofen sodium tablet consumption during 72 h after the surgery in the integrated group were lower than those in the other three groups(P<0.05),and the initial defecation time was earlier in the integrated group than in the other three groups(P<0.05).Conclusion Based on the conventional postoperative treatments for inflammation and swelling,the combined use of acupoint application and auricular point sticking can ease the pain after mixed hemorrhoid surgery,encourage the initial postoperative defecation,reduce defecation pain,and lower the Loxoprofen sodium tablet consumption during 72 h after the surgery,outperforming the sole use of auricular point sticking or point application.