天枢穴药物敷贴联合硬膜外镇痛泵对痔疮术后疼痛患者VAS评分及血清β-内啡肽的影响  

Effect of VAS Score and Serum β- endorphin on Post- operation Pain of Hemorrhoids by Application at Tianshu Combined with Epidural Analgesia Pump

作　　者：洪顺垣 

机构地区：[1]佛山市顺德区中医院,广东佛山528333

出　　处：《针灸临床杂志》2016年第2期54-56,共3页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:探讨天枢穴药物敷贴联合硬膜外镇痛泵对痔疮术后疼痛患者VAS评分及血清β-内啡肽的影响。方法:将60例患者按随机数字表法分为观察组和对照组,每组30例。观察组予天枢穴药物敷贴联合硬膜外镇痛泵,对照组予硬膜外镇痛泵,且两组术后予常规处理。观察治疗前后的VAS评分及血清β-内啡肽含量,进行对比分析。结果:术后2 h、6 h、24 h、48 h两组的VAS评分较本组术前30 min均升高(P<0.05),术后24 h、48 h两组间的VAS评分比较,观察组低于对照组,差异有统计学意义(P<0.05),而术后2 h、6 h两组间的VAS评分比较,差异无统计学意义(P>0.05);术后24 h、48 h两组的血清β-内啡肽含量较本组术前均降低(P<0.05),组间比较观察组高于对照组,差异有统计学意义(P<0.05)。结论:天枢穴药物敷贴联合硬膜外镇痛泵能有效缓解痔疮术后疼痛,其作用机制可能是血清β-内啡肽含量升高,进而达到镇痛作用。Objective： To observe the effect of VAS score and serum β- endorphin on post- operation pain of hemorrhoids by application at Tianshu combined with epidural analgesia pump. Methods： Sixty cases were randomly divided into a treatment group and a control group,with thirty cases in each group. The treatment group received the application at tianshu combined with epidural analgesia pump,and the control group received epidural analgesia pump. Both groups received the postoperative routine treatment. Their VAS score and serum β-endorphin were observed and analyzed comparatively. Results： The VAS score of both groups were increased in2 h,6 h,24 h,48 h after haemorrhoidectomy compared with that 30 minutes before haemorrhoidectomy（ P 〈0. 05）. The treatment group was lower than the control group in 24 h,48 h after haemorrhoidectomy,and there was a statistical difference between two groups（ P 〈0. 05）,but there was no statistical difference between two groups in 2 h,6 h after haemorrhoidectomy（ P 〉0. 05）; the serum β- endorphin of both groups was descended in 24 h,48 h after haemorrhoidectomy. The treatment group was higher than the control group,and there was a statistical difference between two groups（ P 〈0. 05）. Conclusion： Application at Tianshu combined with epidural analgesia pump can effectively relieve post- operation pain of hemorrhoids,and its mechanism may be related to the increase of serum β- endorphin.

关 键 词：痔疮 术后疼痛 穴位敷贴 天枢穴 硬膜外镇痛泵 VAS评分 血清β-内啡肽 

分 类 号：R246.2[医药卫生—针灸推拿学]