艾烟熏灸在肛周脓肿术后创口愈合及疼痛缓解中的疗效观察  

Therapeutic Observation of Moxa Smoke Fumigation in Healing Wounds and Releasing Pain After Perianal Abscess Surgery

作　　者：刘涛 许尊贤 LIU Tao XU Zun-xian(Zhongshan Guangji Hospital of Guangdong Province,Zhongshan 523000,China Guangzhou Kangyuan Hospital of Guangdong Province,Guangzhou 510405,China)

机构地区：[1]广东省中山市广济医院,中山523000 [2]广东省广州市康源医院,广州510405

出　　处：《上海针灸杂志》2017年第4期423-426,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察艾烟熏灸疗法在促进肛周脓肿术后创口愈合及改善换药疼痛方面的疗效。方法将100例符合本临床研究条件的肛周脓肿患者按照随机数字表法分为治疗组和对照组,每组50例。两组患者在术后均接受肛肠科专科护士的换药操作。在此基础上,患者在换药后,治疗组采用艾烟熏灸创口30 min,对照组接受微波治疗仪照射创口30 min,共治疗14次。观察两组患者创口愈合时间,术后第1、2、3、7、14天患者视觉模拟评分法(VAS)及口述描绘评分法(VRS)评分。结果治疗组患者创口愈合时间短于对照组,具有统计学意义(P<0.05);治疗组术后第1天患者VAS评分与对照组相比,差异无统计学意义(P>0.05),第2、3、7、14天患者VAS评分均低于对照组(P<0.05);治疗组第1、2、3、7、14天患者VRS评分均低于对照组(P<0.05),具有统计学意义。结论艾烟熏灸治疗可促进肛周脓肿患者术后创口的愈合,降低患者术后换药疼痛感,且对此种疼痛改善作用具有持续性。Objective To observe the therapeutic efficacy of moxa smoke fumigation in promoting the wounds healing and improving the pain at dressing changes after perianal abscess surgery.Method A hundred eligible patients with perianal abscess were divided into a treatment group and a control group by the random number table, 50 cases in each group. The subjects all received dressing change from nurses of the Anorectal Department. In addition, the treatment group received moxa smoke fumigation at wounds for 30 min and the control group received microwave radiation at wounds for 30 min, both after dressing change, for a total of 14 times. The wounds-healed time, Visual Analogue Scale （VAS） scores on the day 1, 2, 3, 7, and 14 after the surgery, and Verbal Rating Scale （VRS） scores of the two groups were observed.ResultPatients in the treatment group took significantly shorter time to heal the wounds compared to those in the control group （P〈0.05）; the VAS score on the first day after the surgery in the treatment group was insignificantly different from that in the control group （P〉0.05）, while the scores in the treatment group on day 2, 3, 7 and 14 were significantly lower than those in the control group （P〈0.05）; the VRS scores on day 1, 2, 3, 7, and 14 in the treatmentgroup were significantly lower than those in the control group （P〈0.05）.Conclusion Moxa smoke fumigation can promote the healing of the wounds after perianal abscess surgery, reduce the pain brought by dressing change, and this analgesic effect is consistent.

关 键 词：肛周脓肿术后 创口愈合 疼痛 手术后 艾条灸 温灸器灸 

分 类 号：R246.2[医药卫生—针灸推拿学]