穴位揿针联合超声引导下的低浓度罗哌卡因阴部神经阻滞用于混合痔切除术后镇痛的临床研究

Clinical study of acupoint press-needle combined with low concentration Ropivacaine pudinal nerve block under ultrasound guidance for analgesia after mixed hemorrhoidectomy

目的探析混合痔切除术患者采用穴位揿针联合超声引导下的低浓度罗哌卡因阴部神经阻滞对术后镇痛效果的影响。方法选取2023年1月至10月九江市中医医院肛肠科收治的混合痔手术治疗的60例患者作为研究对象,采用信封法将其分为观察组、对照组,每组各30例。对照组采用手术治疗和镇痛泵镇痛,观察组采取穴位揿针联合超声引导下的低浓度罗哌卡因阴部神经阻滞。比较两组疼痛评分、不良反应发生率、并发症发生率。结果观察组术后6、24、48、72 h以及术后7 d的疼痛评分均低于对照组,差异均有统计学意义(P<0.05),观察组不良反应总发生率、并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在混合痔切除患者术后镇痛中采用穴位揿针联合超声引导下的低浓度罗哌卡因阴部神经阻滞,患者疼痛感明显减轻,有效防止患者不良反应和并发症发生,临床上可借鉴及推广。

Objective To investigate the effect of acupoint press-needle combined with low concentration Ropivacaine pudinal nerve block under the guidance of ultrasound on postoperative analgesia in patients with mixed hemorrhoidectomy.Methods A total of 60 patients treated with mixed hemorrhoids surgery in the Department of Anorectal of Jiujiang Traditional Chinese Medicine Hospital from January 2023 to October 2023 were selected as the study objects,and they were divided into observation group and control group by envelope method,with 30 cases in each group.The control group was treated with surgery and analgesia pump,and the experimental group was treated with acupoint press-needle combined with low concentration Ropivacaine pudinal nerve block under the guidance of ultrasound.The pain score,incidence of adverse reactions and incidence of complications were compared between the two groups.Results The pain scores of the observation group at 6,24,48,72 h and 7 days after surgery were lower than those of the control group,with statistical significances(P<0.05).The total incidence of adverse reactions and the total complications in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion In the postoperative analgesia of patients with mixed hemorrhoidectomy,the use of acupoint press-needle combined with low-concentration Ropivacaine pudinal nerve block under ultrasound guidance can significantly reduce the pain of patients and effectively prevent the occurrence of adverse reactions and complications,which can be used for reference and promotion in clinical practice.