电针八髎穴结合西医常规疗法对混合痔术后疼痛及创面恢复的影响

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目的:探讨电针八髎穴结合西医常规疗法对混合痔患者手术后疼痛及创面恢复的影响。方法:将符合入选标准的2017年12月-2020年6月南通市中医院80例混合痔患者按随机数字表法分2组,每组40例。对照组采用西医常规疗法治疗,观察组在对照组基础上电针八髎穴(上髎、次髎、中髎、下髎)。2组均治疗3 d,出院后每周换药2次至创面愈合。采用VAS量表评价患者术后疼痛程度,观察并记录疼痛持续时间、止痛起效时间、镇痛药物使用量、创面愈合时间及治疗期间的不良反应。结果:观察组术后12 h及1、2、3 d疼痛VAS评分明显低于对照组(n t值分别为13.18、13.71、23.53、26.10,n P值均<0.001);观察组术后1、2、3 d疼痛持续时间及止痛起效时间均短于对照组(n t值分别为4.79、7.54、5.66、15.60,n P值均<0.001);观察组术后第2、3天镇痛药物使用量低于对照组(n t值分别为2.37、4.50,n P<0.05或n P<0.01);观察组术后止痛起效时间[(7.10±0.55)d比(11.32±1.62)d,n t=15.60]、创面愈合时间[(26.58±1.47)d比(35.75±1.46)d,n t=27.99]均早于对照组(n P<0.01)。n 结论:电针八髎穴可减轻患者术后的疼痛,减少镇痛药物使用量,加快术后创面的愈合。“,”Objective:To investigate the effect of electroacupuncture Baliao points [bilateral Shangliao (BL 31), Ciliao (BL 32), Zhongliao (BL 33) and Xialiao (BL 34)] combined with conventional western medicine therapy on postoperative pain and wound recovery of mixed hemorrhoids patients.Methods:A total of 80 patients with mixed hemorrhoids who met the inclusion criteria in Nantong Hospital of Traditional Chinese Medicine from December 2017 to June 2020 were divided into 2 groups according to random number table method, with 40 patients in each group. The control group was treated with conventional western medicine therapy, and the observation group was treated with Baliao points electroacupuncture on the basis of the control group for 3 days. Postoperative pain was evaluated by VAS scale, pain duration, analgesic onset time, analgesic drug usage, wound healing time, nausea, vomiting and vertigo at 3 days after surgery were observed and recorded.Results:The VAS scores in the observation group were significantly lower than those in the control group at 12 hour and 1, 2,3 d postoperatively (n t=13.18, 13.71, 23.53 and 26.10, n P<0.001). The duration of pain and the onset time of analgesia in the observation group were significantly shorter than those in the control group (n t=4.79, 7.54, 5.66, 15.60, n P<0.001). The dosage of analgesic drugs in the observation group was significantly less than that in the control group at 48 and 72 h after operation (n t value 2.37 and 4.50, n P<0.05 orn P<0.01, respectively). The postoperative wound healing time [(26.58 ± 1.47) dn vs. (35.75 ± 1.46) d,n t=27.99] in the observation group was significantly earlier than that in the control group (n P<0.01), postoperative analgesic time [(7.10 ± 0.55) dn vs. (11.32 ± 1.62) d, n t=15.60] in the observation group were significantly earlier than those in the control group ( n P<0.01).n Conclusion:Electroacupuncture Baliao points can quickly reduce the postoperative pain, reduce the use of analgesic drugs, and speed up the postoperative recovery of patients with mixed hemorrhoids.
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