穴位埋线用于混合痔外剥内扎术后镇痛的疗效观察  

Therapeutic Observation of Acupoint Thread Embedding in Alleviating Pain After Milligan-Morgan for Mixed Hemorrhoids

作　　者：沈忠[1] 邓群[1] 杨关根[1] 刘智勇[1] 杨琴燕[1] 俞艳艳[1] 张秀峰[1] 

机构地区：[1]杭州市第三人民医院,杭州310009

出　　处：《上海针灸杂志》2014年第12期1129-1131,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：杭州市卫生科技计划一般项目(2011B010);杭州市科技局引导项目

摘　　要：目的评价穴位埋线法对痔术后疼痛的疗效。方法将60例混合痔术后患者随机分为治疗组30例,对照组30例。术毕治疗组患者行长强穴及双侧秩边穴埋线,对照组为空白组。观察术后疼痛发生时间、1星期内平均疼痛指数、排便疼痛指数、肛门肌电图、肛管压力变化,患者满意程度、不良反应发生率等指标。结果治疗组平均疼痛指数、排便疼痛指数低于对照组(P<0.05),疼痛发生时间晚于对照组(P<0.01);治疗组术后肛管静息压低于对照组(P<0.05);两组患者肛管收缩压差异没有统计学意义(P>0.05)。两组患者术后检测静息相及缩肛相的波幅MUP分析,静息相治疗组Ampl、Ar/Am与对照组比较差异有统计学意义(P<0.05),缩肛相两组Ampl、Area、Ar/Am、Freq的差异没有统计学意义(P>0.05)。患者的满意度以及不良反应发生率、镇痛药物使用率方面比较差异有统计学意义(P<0.05)。结论穴位埋线法对痔术后疼痛有较好的止痛作用,且安全可靠。Obejective To evaluate the efficacy of acupoint thread embedding in easing pain after Milligan-Morgan （M-M） for mixed hemorrhoids. Method Sixty patients undergone M-M for mixed hemorrhoids were randomized into a treatment group of 30 cases and a control group of 30 cases. After M-M, patients in the treatment group received thread embedding at Changqiang （GV1） and bilateral Zhibian （BL54）, while the control group didn＇t receive any intervention. The onset time of post-operative pain, average pain index within a week, and pain index after defecation, electromyogram （EMG）, change of anal canal pressure, patients＇ satisfaction, and adverse-event rate were observed. Result The average pain index and pain index after defecation in the treatment group were significantly lower than that in the control group （P〈0.05）, and the onset of pain in the treatment group was significantly later than that in the control group （P〈0.01）; after surgery, the anal canal resting pressure in the treatment group was markedly lower than that in the control group （P〈0.05）; there was no significant difference in comparing the squeeze pressure of anal canal between the two groups （P〉0.05）. According to the motor unit potential （MUP） analysis, there were significant differences in comparing the amplitude （Ampl） and Ar/Am of the resting phase between the two groups （P〈0.05）, while there were no significant differences in comparing the Ampl, Area, Ar/Am, and Freq of the contraction phase between the two groups （P〉0.05）. There were significant differences in comparing the patients＇ satisfaction, adverse-event rate, and use of analgesics between the two groups （P〈0.05）. Conclusion Acupoint thread embedding can produce a content analgesic effect, and it＇s safe and reliable.

关 键 词：穴位疗法 埋线 疼痛 手术后 

分 类 号：R246.2[医药卫生—针灸推拿学]