揿针疗法联合商调音乐在中重度混合痔患者术后疼痛中的应用效果分析

Analysis of the practical effect of thumb-tack needle for subcutaneous embedding combined with commercial music on postoperative pain in patients with moderate to severe mixed hemorrhoids

目的 探讨揿针疗法联合商调音乐对中重度混合痔(湿热下注证)患者术后疼痛的疗效。方法 选择156例接受硬膜外麻醉下行直肠黏膜悬吊术治疗的混合痔(湿热下注证)患者作为研究对象,运用随机数字表法分为研究组(75例)及对照组(81例)。对照组手术后实施常规疼痛护理措施并聆听非五行音乐,研究组在常规疼痛护理基础上应用揿针疗法联合商调音乐。比较两组患者术后不同时间的疼痛评分及术后3 d内注射双氯芬酸钠盐酸利多卡因注射液的次数。结果 研究组术后6、24、72 h的疼痛评分分别为(0.47±0.70)、(2.72±1.31)、(1.08±0.63)分,对照组分别为(0.56±0.81)、(3.17±1.17)、(1.59±1.03)分。术后6 h,两组患者疼痛评分比较差异无统计学意义(P>0.05);术后24、72 h,研究组的疼痛评分均低于对照组(P<0.05)。干预后3 d内,研究组注射双氯芬酸钠盐酸利多卡因注射液的次数为(0.64±0.46)次,对照组为(0.97±0.54)次,研究组注射双氯芬酸钠盐酸利多卡因注射液的次数少于对照组(P<0.05)。结论 中重度混合痔(湿热下注证)患者手术后疼痛的防治中,可以应用揿针疗法联合商调音乐进行干预,具有一定的积极效果,值得临床应用推荐。

Objective To explore the curative effect of thumb-tack needle for subcutaneous embedding combined with commercial music on postoperative pain in patients with moderate and severe mixed hemorrhoids(damp-heat pouring downward syndrome).Methods A total of 156 patients with mixed hemorrhoids(damp-heat pouring downward syndrome)who were treated with rectal mucosal suspension under epidural anesthesia were selected as the subjects of this study.The subjects were divided into a study group(75 cases)and a control group(81 cases)by random number table method.The control group received routine pain nursing measures after operation,and listen to non-five-element music.On the basis of routine pain nursing,the study group applied thumb-tack needle for subcutaneous embedding combined with commercial music.The pain score at different time points after surgery,injection frequency of diclofenac sodium and lidocaine hydrochloride injection within 3 d after surgery of the two groups were compared.Results The pain scores at 6,24 and 72 h after surgery in the study group were(0.47±0.70),(2.72±1.31)and(1.08±0.63)points,while those in the control group were(0.56±0.81),(3.17±1.17)and(1.59±1.03)points.At 6 h after surgery,there was no significant difference in pain scores between the two groups(P>0.05).The pain scores of the study group were lower than those of the control group at 24 and 72 h after surgery(P<0.05).Within 3 d after intervention,the injection frequency of diclofenac sodium lidocaine hydrochloride injection was(0.64±0.46)times in the study group and(0.97±0.54)times in the control group.The injection frequency of diclofenac sodium and lidocaine hydrochloride injection in the study group was less than that in the control group(P<0.05).Conclusion For the prevention and treatment of postoperative pain in patients with moderate to severe mixed hemorrhoids(damp-heat pouring downward syndrome),thumb-tack needle for subcutaneous embedding combined with commercial music can be used to intervene,which has certain positive effects and is worthy of clinical recommendation.