首页|中药热奄包联合穴位贴敷对混合痔患者术后疼痛的干预效果

中药热奄包联合穴位贴敷对混合痔患者术后疼痛的干预效果

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目的:分析中药热奄包联合穴位贴敷对混合痔患者术后疼痛的干预效果.方法:采用随机数字表法将2020年3月—2023 年 6 月于本院行外科手术治疗的 186 例混合痔患者分为两组,各 93 例.两组术后均给予创面清洁、消肿、抗感染、镇痛等处理,对照组给予高锰酸钾溶液熏洗治疗,观察组在对照组基础上加用中药热奄包联合穴位贴敷治疗,比较两组术后疼痛干预效果.结果:观察组干预3 d、5 d时VAS评分低于对照组(P<0.05);观察组镇痛药使用剂量少于对照组,术后排尿时间及排便时间短于对照组(P<0.05);两组干预 7 d时最大尿流率(Qmax)、逼尿肌压力高于干预前,残余尿量(RV)、首次尿意膀胱容量(FDV)低于干预前,且观察组优于对照组(P<0.05);观察组尿潴留发生率低于对照组(P<0.05).结论:中药热奄包联合穴位贴敷可减轻混合痔患者术后疼痛,减少镇痛药物使用剂量,缩短术后排尿时间及排便时间,并改善尿动力学,减少术后尿潴留发生.
Intervention Effect of Traditional Chinese Medicine Hot Pack Combined with Acupoint Application on Postoperative Pain in Patients with Mixed Hemorrhoids
Objective:To analyze the intervention effect of traditional Chinese medicine hot pack combined with acupoint application on postoperative pain in patients with mixed hemorrhoids.Methods:A total of 186 patients with mixed hemorrhoids who underwent surgical treatment in the hospital from March 2020 to June 2023 were divided into two groups by random number table method,with 93 patients in each group.Both groups were given targeted treatment of wound cleaning,detumescence,anti-infection and analgesia after operation.The control group was treated with potassium permanganate solution fumigation and washing.The observation group was treated with traditional Chinese medicine hot package combined with acupoint application on the basis of the control group.The effect of postoperative pain intervention was compared between the two groups.Results:The VAS score of the observation group was lower than that of the control group at 3 d and 5 d after intervention(P<0.05).The dosage of analgesics in the observation group was less than that in the control group,and the postoperative urination time and defecation time were shorter than those in the control group(P<0.05).The maximum urinary flow rate(Qmax)and detrusor pressure of the two groups at 7 days after intervention were higher than those before intervention,and the residual urine volume(RV)and first urinary bladder volume(FDV)were lower than those before intervention,and the observation group was better than the control group(P<0.05).The incidence of urinary retention in the observation group was lower than that in the control group(P<0.05).Conclusion:Traditional Chinese medicine hot pack combined with acupoint application can reduce postoperative pain in patients with mixed hemorrhoids,reduce the dosage of analgesic drugs,shorten postoperative urination time and defecation time,improve urodynamics,and reduce postoperative urinary retention.

Mixed hemorrhoidsTraditional Chinese medicine hot packAcupoint applicationPain

任江华、高春波

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三门峡市中医院普通外科,河南 三门峡 472000

三门峡市中医院肛肠科,河南 三门峡 472000

混合痔 中药热奄包 穴位贴敷 疼痛

河南省中医药科学研究专项课题

20ZY2055

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(6)
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