电针围刺对混合痔术后镇痛的疗效观察  

Therapeutic Observation of Surround Electroacupuncture in Relieving Pain After Operation for Mixed Hemorrhoids

作　　者：吴君怡[1] 陈蓓[1] 张鑫麟[1] 尹平[1] 徐世芬[1] 

机构地区：[1]上海市中医医院,上海200071

出　　处：《上海针灸杂志》2016年第6期680-683,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市卫生和计划生育委员会中医药科研基金(2014LQ071A)

摘　　要：目的观察电针围刺对混合痔术后镇痛的临床疗效。方法将72例混合痔术后患者随机分为治疗组和对照组,每组36例,两组均于术后15 min内进行相应治疗1次,治疗组采用电针治疗,对照组仅模拟电针治疗环境不进行任何针刺。治疗完成后分别采用语言评价量表(VRS)、疼痛强度评分Wong-Baker脸、视觉模拟评分法(VAS)对两组患者分时段进行共11次的疼痛程度评分,治疗后8 h内每隔1 h评分1次,首次排便时评分1次,治疗后24 h和48 h时各评分1次,所有评分结束后对数据进行统计分析。结果治疗组在治疗后3 h、4 h以及首次排便时VRS评分低于对照组(P<0.05);治疗组在治疗后4 h、5 h、6 h、7 h、8 h和首次排便时W-b疼痛评分明显低于对照组(均P<0.05);治疗组在治疗后2 h、3 h、4 h、5 h、6 h、7 h、8 h、首次排便时、治疗24 h后VAS疼痛评分低于对照组(均P<0.05);说明在上述时间点治疗组疼痛程度均小于对照组,且治疗组镇痛效果维持较长,发生失效的风险小于对照组(P<0.05)。结论术后即刻进行针刺治疗,对于缓解痔疮患者术后疼痛是非常有效的。Objective To observe the clinical efficacy of surround electroacupuncture in relieving pain after operation for mixed hemorrhoids. Method Seventy-two patients with mixed hemorrhoids were randomized into a treatment group and a control group, 36 cases in each group. The two groups both received the corresponding interventions once in 15 min after the operation： the treatment group received electroacupuncture treatment, and the control group was only placed in a simulated environment of electroacupuncture but without receivimg any needling treatment. The pain intensity was evaluated by using Verbal Rating Scale（VRS）, Wong-Baker Faces Pain Rating Scale, and Visual Analogue Scale（VAS） at 11 different time points after the treatment： once every 1 h in 8 h after the treatment, once at the first defecation, once respectively 24 h and 48 h after the treatment. The data were statistically analyzed afterwards. Result At 3 h and 4 h after the treatment and at the first defecation after the treatment, the VRS scores of the treatment group were significantly lower than that of the control group（P〈0.05）; respectively at 4 h, 5 h, 6 h, 7 h, and 8 h after the treatment and at the first defecation, the Wong-Baker scores of the treatment group were significantly lower than that of the control group（P〈0.05）; respectively at 2 h, 3 h, 4 h, 5 h, 6 h, 7 h, and 8 h after the treatment, at the first defecation, as well as at 24 h after the treatment, the VAS scores of the treatment group were significantly lower than that of the control group（P〈0.05）; it indicates that the pain intensity of the treatment group should be lower than that of the control group at the above time points, and the analgesic effect in the treatment group lasts a longer time, running a lower risk of losing effectiveness compared to the control group（P〈0.05）. Conclusion Real-time acupuncture treatment after the operation is significantly effective in relieving pain after operation for hemorrhoids.

关 键 词：针刺镇痛 痔 电针 围刺 手术后并发症 

分 类 号：R246.2[医药卫生—针灸推拿学]