Effect of wrist-ankle acupuncture plus acupoint herbal patching on post-operational pain of patients with mixed hem-orrhoids
Objective To observe the clinical efficacy of wrist-ankle acupuncture(WAA)plus acupoint herbal patc-hing(AHP)on post-operational pain of patients with mixed hemorrhoids.Methods Totally 120 patients with mixed hemor-rhoids admitted to the hospital from January 2019 to September 2022 were randomly assigned in a 1∶1∶1∶1 ratio to receive routine Western medicine(control group),wrist-ankle acupuncture(WAA group),acupoint herbal patching(AHP group),or WAA + AHP + Western medicine(combined group).The treatment was performed for 7 days in the groups,aiming to com-pare the visual analogue scale(VAS)scores for pain at postoperative day 1,3,5 and 7 as well as time to first defecation in the groups.At postoperative day 1,3,5 and 7,the anal edema,the analgesic drugs user,and the self-rating anxiety scale(SAS)were evaluated,and the incidence of treatment-emergent adverse events(TEAEs)were assessed.Results At postoperative days 5 and 7 as well as time to first defecation,the VAS scores in the combined group,the WAA group and the AHP group were significantly lower than those in the control group(P＜0.05),and the concurrent VAS scores in the combined group were signif-icantly lower than those in the WAA group and the AHP group(P＜0.05),but there was no significant difference in the concurrent VAS scores between the WAA group and the AHP group(P＞0.05).At postoperative days 5 and7,the edema scores in the combined group,the WAA group and the AHP group were significantly lower than those of the control group(P＜0.05),and the concurrent edema scores in the combined group were more pronounced among the groups(P＜0.05),but there was no significant difference in the concurrent edema scores between WAA group and AHP group(P＞0.05).At postoperative days 3 and 5,the user rates of analgesic drugs in the combined group,the WAA group and the AHP group were significantly lower than those in the control group(P＜0.05),and the concurrent user rates of analgesic drugs in the combined group were the lowest among the groups(P＜0.05),but the concurrent user rates of the WAA group were comparable to those in the AHP group(P＞0.05).At postoperative day 5 and 7,the SAS scores of the com-bined group,the WAA group and the AHP group were significantly lower than those in the control group(P＜0.05),and the concurrent SAS scores in the combined group were most common among the three groups(P＜0.05),but there was no signifi-cant difference in concurrent SAS scores between the WAA group and the AHP group(P＞0.05).The total incidence of TEAEs in the combined group,the WAA group and the AHP group was significantly lower than that in the control group(P＜0.05).However,there was no significant difference in the total incidence of TEAEs among the three groups(P＞0.05).Conclusion The application of WAA plus AHP on post-operational pain of mixed hemorrhoids has a good prevention effect,which can sig-nificantly relieve patients'pain symptoms,promote edema regression,reduce the analgesic drugs user,relieve anxiety,and it is safe and reliable.
万方数据
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