电针超前干预对混合痔术后疼痛的影响  

Effects of electroacupuncture preemptive intervention on postoperative pain of mixed hemorrhoids

作　　者：伍静[1] 赵雨[1] 杨春梅[1] 薛奇明[1] 李宁[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》2014年第3期279-283,共5页Chinese Acupuncture & Moxibustion

基　　金：四川省中医药管理局"中医注射疗法治疗Ⅲ期内痔的技术规范化研究"项目的部分研究经费支持

摘　　要：目的:评价术前30min电针长强、承山穴干预对混合痔术后患者疼痛不适症状的临床疗效。方法:将行"外剥内扎术"治疗的混合痔患者120例随机分为电针干预组、假电针干预组与空白对照组,每组40例。在基础治疗的同时电针干预组于术前30min给予电针长强、承山穴;假电针干预组术前30min给予破皮浅刺长强、承山穴对照点(两穴旁开1cm的非经非穴处)且不输出电流的刺激;空白对照组术前不采取任何干预。主要观察术后24h患者服用止痛药可普芬总量、术中追加麻醉药物例数、术后24h患者最痛时自评疼痛强度评分及术后当晚患者睡眠时间。结果:3组患者在术中因疼痛追加麻醉药物的例数差异不具有统计学意义(均P>0.05),但电针干预组较假电针干预组、空白对照组可减少术后24h内患者服用止痛药物可普芬用量[(2.43±1.08)片vs(3.23±1.33)片、(3.10±1.22)片],并降低患者最痛时的疼痛强度评分(6.65±1.00vs 7.48±0.96、7.25±1.19),同时增加患者手术当晚的睡眠时间[(220.63±85.50)min vs(162.00±92.69)min、(151.50±80.01)min,均P<0.05]。结论:术前30min电针长强、承山穴对混合痔患者术后疼痛具有超前镇痛的治疗意义。Objective To evaluate clinical efficacy of electroacupuneture at Changqiang （GV 1） and Chengshan （BL 57） 30 min before surgery on postoperative pain and discomforts in patients with mixed hemorrhoids. Methods One hundred and twenty cases of mixed hemorrhoids who received Milligan-Morgan operation were randomly divi- ded into an electroacupuncture group, a sham electroacupuncture group and a blank group, 40 cases in each one. At the same time of basic treatment, the electroacupuncture was applied at Changqiang （GV 1） and Chengshan （BL 57） 30 rain before surgery in the electroacupuncture group, while shallow needling without electrical stimula- tion at sham acupoint （1 cm next to acupoint） was applied 30 min before surgery in the sham electroacupuncture group, while no treatment was given before the surgery in the blank group. The total dose of painkillers in the first 24 h after operation, the number of cases who received additional anesthetic in the operation, the self-score of most severity pain in the first 24 h after operation and sleeping time in the night of surgery were observed. Results The differences of the numbers of cases who received additional anesthetic in the operation had no statistical significance among the three groups （all P〉0.05）, but compared with the sham electroacupuncture group and blank group, the total dose of painkillers in the first 24 h after operation was reduced in the eleetroacupuncture group [（2.43± 1.08） tablets vs （3. 23±1.33） tablets, （3. 10±1.22） tablets], and the score of most severity pain was also decreased （6. 65±1.00 vs 7.48 ± 0. 96, 7.25 ±1.19）, besides, the sleeping time in the night of surgery was increased [（220. 63±85.50） min vs （162.00±92.69） min, （151. 50±80.01） min, all P〈0.05]. Conclusion The electroacupuncture at Changqiang （GV 1） and Chengshan （BL 57） 30 min before surgery has effects of pre- emptive analgesia on postoperative pain for patients with mixed hemorrhoids.

关 键 词：混合痔 术后疼痛 电针 超前镇痛 穴 长强 穴 承山 

分 类 号：R246.2[医药卫生—针灸推拿学]