针刺防治混合痔剥扎术后疼痛临床研究  

Clinical Study of Acupuncture to Prevent Postoperative Pain of Mixed Hemorrhoid

作　　者：萧华文 沈卫东[1] 

机构地区：[1]上海中医药大学附属曙光医院,上海201203

出　　处：《中医学报》2015年第9期1365-1367,共3页Acta Chinese Medicine

基　　金：上海市自然科学资助项目(121PCXTD511)

摘　　要：目的:观察针刺用于防止混合痔剥扎术后疼痛的临床疗效。方法:选取行混合痔剥扎术的患者80例,随机分为试验组和对照组。对照组予以吲哚美辛栓术后纳肛,试验组予以针刺治疗。对比两组患者治疗前及治疗1周后的主要症状评分、视觉模拟评分法((visual analogue scale,VAS))评分、主要症状消失时间。结果:两组患者治疗1周后的水肿、肛门坠涨和疼痛评分显著低于治疗前(P<0.05);试验组治疗1周后的水肿、肛门坠涨和疼痛评分显著低于对照组(P<0.05)。两组患者治疗后1d、3 d、5 d、7 d的VAS评分显著低于前一时间点(P<0.05);试验组治疗后1 d、3 d、5 d、7 d的VAS评分显著低于对照组同一时间点(P<0.05)。试验组的水肿、肛门坠涨和疼痛消失时间显著短于对照组(P<0.01)。结论:针刺疗法可有效改善混合痔剥扎术后患者的疼痛症状,减少止痛药物用量。Objective：To observe the clinical efficacy of acupuncture to prevent postoperative pain of mixed hemorrhoid. Methods：80 ca-ses with mixed hemorrhoid were randomly divided into experimental group and control group. The control group was given Indometacin Suppositories and treatment group was given acupuncture treatment. Compare the main symptom score,visual analogue scale method （visual analogue scale,VAS）score,main symptoms disappear time of two groups. Results：The edema,anus falling and inflation and pain score of two groups were significantly lower than before treatment（P ﹤ 0. 05）. The edema,anus falling and inflation and pain score of treatment group after one week was significantly lower than control group（P ﹤ 0. 05）. The 1 d,3 d,5 d,7 d VAS score of two groups was significantly lower than before（P ﹤ 0. 05）. The 1 d,3 d,5 d,7 d VAS score of treatment group was significantly lower than that of control group（P ﹤ 0. 05）. The edema,anus falling and inflation and pain score of treatment group were significantly shorter than that of control group（P ﹤ 0. 01）. Conclusion：Acupuncture therapy can effectively improve postoperative pain of patients with mixed hemorrhoid and reduce the dosage of analgesic drugs.

关 键 词：针刺疗法 混合痔剥扎术 术后疼痛 

分 类 号：R245.571.8[医药卫生—针灸推拿学]