中药祛毒汤熏洗联合腕踝针对痔疮切除术后患者康复情况的影响

Effect of traditional Chinese medicine Qudu Decoction fumigation combined with wrist-ankle acupuncture on the rehabilitation of patients after hemorrhoidectomy

目的探讨中药祛毒汤熏洗联合腕踝针方案对痔疮切除术后患者疼痛程度及疼痛持续时间的影响。方法选择2020年2月至2022年10月台州市中医院行痔疮切除术的176例患者作为调查对象,并进行回顾性分析,根据不同的治疗和护理方法分为2组,每组有88例患者。对照组给予常规护理措施,观察组给予中药祛毒汤熏洗联合腕踝针护理措施。评价并比较患者的疼痛程度、创口愈合情况和中医症状评分。结果护理后的结果显示,观察组的疼痛程度轻于对照组,表现为重度疼痛比例明显低于对照组(P<0.05),轻度疼痛的比例明显高于对照组(P<0.05),而组间中度疼痛的差异无统计学意义(P>0.05)。观察组的创口愈合情况好于对照组,表现为视觉模拟评分法评分比对照组更低、切口愈合时间比对照组更早、疼痛持续时间比对照组更短(P均<0.05)。观察组的肛门灼热、脓血便和口苦咽干三方面中医症状评分均低于对照组(P均<0.05)。结论采用中药祛毒汤熏洗联合腕踝针干预痔疮切除术后患者,能够有效降低疼痛程度,并缩短疼痛持续时间,且可改善临床症状。

Objective To explore the effect of traditional Chinese medicine Qudu Decoction fumigation combined with wrist-ankle acupuncture on the degree and duration of pain in patients after hemorrhoidectomy.Methods A total of 176 patients who underwent hemorrhoidectomy at Taizhou Hospital of Traditional Chinese Medicine from February 2020 to October 2022 were selected as the survey subjects,and a retrospective analysis was conducted.They were divided into two groups based on different treatment and nursing methods,with 88 patients in each group.The control group received routine nursing measures,while the observation group received traditional Chinese medicine Qudu Decoction fumigation combined with wrist-ankle acupuncture nursing measures.The degree of pain,wound healing status,and traditional Chinese medicine symptom score of patients were evaluated and compared.Results The results after nursing showed that the pain degree in the observation group was less than that in the control group,with a significantly lower proportion of severe pain compared to the control group(P<0.05),and a significantly higher proportion of mild pain compared to the control group(P<0.05).However,there was no statistically significant difference in moderate pain between the groups(P>0.05).The wound healing status of the observation group was better than that of the control group,with lower Visual Analogue Scale scores,earlier wound healing time,and shorter duration of pain compared to the control group(all P<0.05).The traditional Chinese medicine symptom scores of anal burning,purulent and bloody stools,and bitter mouth and dry throat in the observation group were lower than those in the control group(all P<0.05).Conclusion The combination of traditional Chinese medicine Qudu Decoction fumigation and wrist-ankle acupuncture intervention in patients after hemorrhoidectomy can effectively reduce the degree of pain,shorten the duration of pain,and improve the clinical symptoms.