揿针疗法缓解肛肠科手术后疼痛临床效果观察

Clinical effects of needle-embedding therapy on relieving postoperative pain in anorectal patients

目的术后疼痛一直是困扰肛肠科医生及患者的重大难题之一,麻醉药物虽然可以起到一定的缓解作用,但仍具有疗效短暂,存在不良反应等诸多缺点。本研究通过观察揿针疗法缓解肛肠科患者术后疼痛的临床疗效,验证揿针在麻醉止痛领域的作用,为麻醉科室及手术科室在缓解术后疼痛上提供新思路。方法选取2016-05-01-2018-05-01以混合痔、肛瘘、肛周脓肿和肛裂为诊断收住在辽宁省肛肠医院病房,要求进行手术治疗120例患者为研究对象,将其按入院先后顺序分为观察组和对照组,各60例。观察组在术前予揿针埋针治疗,对照组予常规术前准备。观察两组患者麻醉起效最短时间,术后口服止痛药粒数,及术后24、72、120和168h患者的疼痛评分。结果观察组麻醉起效时间为(12.8±1.260)min,少于对照组的(14.7±1.013)min,t=-9.104,P<0.001;观察组口服止痛药(4.07±2.414)粒,少于对照组的(7.75±2.549)粒,t=-8.128,P<0.001;1周后,观察组疼痛缓解有效率达93.33%,高于对照组的80.00%,差异有统计学意义,χ~2=4.615,P=0.032。结论揿针疗法在缓解肛肠科手术术后疼痛上具有良好的疗效,并且具有缩短麻醉起效时间、减少口服止痛药服用数量等一系列优点,在指导麻醉科室减少麻醉药物的使用、增强肛肠科医生在患者中的信服度及降低肛肠病患者术后疼痛具有一定的临床意义。

OBJECTIVE Postoperative pain has always been one of the major problems that plague anorectal surgeons and patients.Although anesthetic drugs can play a certain role in alleviating,there are still some shortcomings such as short-term effects,side effects and many others.This study is conducted to observe the clinical efficacy of needle-embedding therapy in relieving postoperative pain in anorectal patients,and verify the role of sputum in the field of anesthesia and pain relief,in order to provide new ideas for relieving postoperative pain for anesthesia department and surgical department.METHODS During the period from May 1,2016 to May 1,2018,120 patients requiring surgery were selected as subjects,who were admitted to the ward of the Anorectal Hospital of Liaoning Province with mixed sputum,anal fistula,perianal abscess or anal fissure.And they were divided into observation group and control group according to the order of admission,with 60 cases in each group.The observation group was treated with needle-embedding before the operation,and the control group was given a routine preoperative preparation.It was observed the shortest time for anesthesia,the number of oral analgesics after surgery and pain scores at 24,72,120 and 168 hafter surgery in both groups.RESULTS The onset time of anesthesia in the observation group was(12.8±1.260)min,less than that of control group(14.7±1.013)min,t=-9.104,P<0.001.The number of oral analgesics in the observation group was(4.07±2.414),which was less than that in the control group(7.75±2.549),t=-8.128,P<0.001.One week later,the effective rate of pain relief in the observation group was 93.33%,significantly higher than 80.00%of the control group,the difference was statistically significant,χ~2=4.615,P=0.032.CONCLUSIONS Needle-embedding therapy has a good effect in relieving pain after anorectal surgery,and a series of advantages such as shortening anesthesia time and reducing the amount of painkillers taken after surgery.It is of great significance to guide the anesthesia department to reduce the use of anesthetic drugs,enhance the conviction of an anorectal surgeon in patients and reduce postoperative pain in patients with anorectal diseases.