针灸对肛裂术后患者排便状况的影响:随机对照研究  

Influence of acupuncture and moxibustion on defecation in postoperative patients of anal fissure:a randomized controlled trial

作　　者：黄露[1] 伍静[1] 杨春梅[1] 李宁[1] 何洪波[1] 

机构地区：[1]四川大学华西医院中西医结合科,成都610041

出　　处：《中国针灸》2013年第6期503-507,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:验证针灸干预治疗对肛裂术后患者排便及便后疼痛症状的临床疗效。方法:将200例肛裂术后患者随机分为针灸组与药物组,每组100例。两组患者术后基础治疗相同,针灸组在手术24h后的头5天每天上午针刺中髎、下髎,并在患者排便后5～10min内悬灸长强穴;药物组于手术24h后的头5天每日晨起口服福松2包。观察患者术后排便时的疼痛程度、排便意愿、排便时的费力程度及大便质地等。结果:治疗后第1、2天两组排便时的疼痛比较差异无统计学意义(均P>0.05),治疗第3天后,针灸组在改善排便时的疼痛方面较药物组明显(P<0.05);针灸组患者较药物组更具有积极的排便意愿(均P<0.05);两组患者每日排便费力程度及每日排出的大便质地比较,差异无统计学意义(均P>0.05)。结论:在减轻肛裂术后患者排便时的疼痛症状及增强患者排便意愿方面针灸干预具有临床治疗意义。Objective To verify the clinical efficacy of acupuncture and moxibustion on defecating and pain symptoms in postoperative patient of anal fissure. Methods Two hundred cases of postoperation of anal fissure were randomly divided into an acupuncture-moxibustion group and a medication group, 100 cases in each one. The basic treatment after the surgery was the same in two groups, besides, acupuncture was applied at Zhongliao （BL 33） and Xialiao （BL 34） in the morning of first 5 days of postoperative 24 h in the acupuncture-moxibustion group, and suspended moxibusiton was applied at Changqiang （GV 1） within 5 to 10 rain after defecation~ while two bags of forlax was orally administrated in the morning of first 5 days of postoperative 24 h in the medication group. The pain intensity, defecation willingness, defecation difficulty and stool texture during postoperative defecation were observed. Results The defecation pain on the first two days after the treatment was not statistically significant be- tween two groups （both P〉0.05）. From the third day of treatment, the improvements of defecation pain in acu- puncture-moxibustion group were more obvious than those in the medication group （all P〈0.05）. The patients in the acupuncture-moxibustion group had more positive defecation willingness than those in the medication group （all P〈0.05）. The differences of defecation difficulty and stool properties in two groups had no statistical significance （both P〉0.05）. Conclusion The intervention treatment of acupuncture and moxibustion has clinical significance on relieving pain symptoms and improving defecation willingness in postoperative patient of anal fissure.

关 键 词：肛裂术后 排便疼痛 排便意愿 针灸疗法 随机对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]