耳穴贴压治疗肛门病术后疼痛118例疗效分析  

Treatment on postoperative pain of anal disease by ear-point taping and pressuring：118 cases clinical observation

作　　者：袁亮[1] 寇玉明[1] 李国栋[1] 李琦[1] 洪子夫[1] 王菲[1] 

机构地区：[1]中国中医科学院广安门医院肛肠科, 北京100029

出　　处：《国际中医中药杂志》2014年第6期505-508,共4页International Journal of Traditional Chinese Medicine

基　　金：中国中医科学院广安门医院院内基金博士项目（项目编号：2007S133）

摘　　要：目的：观察耳穴贴压治疗肛门病术后疼痛的疗效及安全性。方法收集2009年1月至2012年12月本院肛肠科肛门病术后疼痛患者118例，按随机数字表法分主穴组26例、配穴一组20例、配穴二组22例、配穴三组27例、镇痛剂组23例。耳穴贴压主穴组予以耳穴贴压镇痛，主穴：神门、病变部位对应敏感点（痔核点）；配穴一组在主穴基础上配合皮质下、内分泌、交感；配穴二组在主穴基础上配合大肠、直肠下段、肛门；配穴三组在主穴基础上，加交感、皮质下、肛门；镇痛剂组口服意施叮片。5组均治疗30 min后，分析其临床镇痛疗效及安全性。结果耳穴贴压主穴组、配穴一组、配穴二组、配穴三组、镇痛剂组在镇痛后10 min，积分减少率分别为（6.49±1.98）%、（5.90±1.52）%、（6.10±2.22）%、（6.64±2.25）%、（7.61±1.10）%；与镇痛剂组比较，耳穴贴压主穴组、配穴一组、配穴二组的镇痛效果明显（P＜0.05）；镇痛后30 min积分减少率分别为（0.45±0.23）%、（0.43±0.18）%、（0.42±0.19）%、（0.38±0.25）%、（0.38±0.23）%，与镇痛剂组比较，差异均无统计学意义（P＞0.05）。结论耳穴贴压治疗肛门病术后疼痛在治疗10 min后效果显著优于镇痛剂组；治疗30 min后与镇痛剂组疗效相当。Objective To observe the efficacy and safety of the treatment on postoperative pain of anal disease by ear-point taping and pressuring. Methods Using random number table method,118 patients with postoperative pain of anal diseases were divided into 5 groups, namely 26 cases of analgesia group treated by main ear-point, 20 cases of group one treated by analgesia compatibility ear-point, 22 cases of group two treated by analgesia compatibility ear-point, 27 patients of group three treated by analgesia compatibility ear-point, and 23 patients of control group. The main ear-point for analgesia included TF（4） and the sensitive point matching with diseased area;Based on the main ear-point, compatibility ear-point group one add to AT（4）、CO（18）、AH（6a）;compatibility ear-point group two add to CO（7）、HX（2）、HX（5）;compatibility ear-point group three add to AH（6a）、AT（4）、HX（5）;and the control group was treated with oral indomethacin tablets. All five groups were treated for 30 min, and the clinical analgesic efficacy and safety were evaluated. Results Pain scores decreased rates of the main ear-point analgesia group, compatibility ear-point analgesia group one, compatibility ear-point analgesia group two, compatibility ear-point analgesia group three, and the control analgesia group at 10 min after treatment was （6.49±1.98）%, （5.90±1.52）%, （6.10±2.22）%, （6.64±2.25）%, and （7.61± 1.10）%respectively. Compared with the control group , the main ear-point analgesia group or the compatibility ear-point analgesia group one or the compatibility ear-point analgesia group two, the difference was significant （P〈0.05） . At 30 min after treatment, integral reduce pain rate of the above groups was （0.45±0.23）%, （0.43±0.18）%, （0.42±0.19）%, （0.38±0.25）%, and （0.38±0.23）%, the difference was not statistically significant between the control group and the other four groups （P〉0.05）. Conclusion The effects of 10 min treatment of ear-po

关 键 词：肛门病术后 镇痛 耳穴贴压 

分 类 号：R246.2[医药卫生—针灸推拿学]