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腕踝针疗法对缓解痔术后疼痛的疗效观察

Clinical Efficacy of Wrist and Ankle Acupuncture in Relieving Postoperative Pain of Hemorrhoids

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目的:观察腕踝针疗法对缓解痔术后疼痛的临床疗效.方法:选取 2022 年 10 月至 2023 年 3 月,本院 80 例手术治疗的痔患者,随机分为观察组和对照组,每组各 40 例.2 组均采用混合痔外剥内扎术治疗,对照组术后给予镇痛泵止痛,观察组在对照组镇痛基础上联合腕踝针疗法.比较 2 组术后疼痛及止痛药使用情况、术后并发症和患者满意度.结果:观察组术后 6 h、24 h、48 h、72 h、5 d和 7d的疼痛 VAS评分均低于对照组(P<0.05);术后 7d止痛药物的使用率低于对照组(P<0.05);患者的满意度评分高于对照组(P<0.05);术后出血、水肿、排尿困难等发生率低于对照组(P<0.05).结论:腕踝针用于混合痔术后疼痛的镇痛效果显著,患者满意度高,术后并发症少,值得临床推广使用.
Objective To observe the clinical efficacy of wrist and ankle acupuncture therapy in relieving postoperative pain of hemorrhoids.Methods From October 2022 to March 2023,total 80 patients with hemorrhoids undergoing surgical treatment in our hospital were randomly divided into observation group and control group,with 40 cases in each group.The two groups were treated with Milligan-Morgan hemor-rhoidectomy(MMH)for mixed hemorrhoids.The control group was given postoperative analgesia pump,while the observation group was combined with wrist and ankle acupuncture therapy on the basis of the control group.Postoperative pain,analgesic use,postoperative complications and patient satisfaction were compared between the two groups.Results The pain VAS scores of the observation group at 6 h,24 h,48 h,72 h,5 d and 7 d after operation were lower than those of the control group(P<0.05).The utiliza-tion rate of analgesic drugs of the observation group on the 7th day after operation was lower than that of the control group(P<0.05).The satisfaction score of patients of the observation group was higher than that of the control group(P<0.05).The incidence of postoperative hemorrhage,edema and dysuria of the observation group was lower than that of the control group(P<0.05).Conclusion The analgesic effect of wrist and ankle acupuncture for postoperative pain in mixed hemorrhoids is significant.Patient satisfaction is high,and postoperative complications are less,which is worth clinical promotion and applica-tion.

HemorrhoidsPostoperative painWrist and ankle acupuncture therapyEffect

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山东省费县中医医院肛肠科(山东 临沂 273400)

术后疼痛 腕踝针疗法 效果

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(6)