长强穴水针疗法配合埋线治疗肛门病术后疼痛的临床观察  

Clinical Effect of Injection of Fluids at Changqiang Point Combined with Catgut Embedding in Treatment of Postoperative Pain of Anal Disease

作　　者：赵永娇[1] 蔡德光[1] 邓志灏[1] 高建恩[1] 张金涛[1] 王晓锋[1] 赵希明[1] ZHAO Yongjiao;CAI Deguang;DENG Zhihao;GAO Jianen;ZHANG Jintao;WANG Xiaofeng;ZHAO Ximing(Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 101100,China)

机构地区：[1]北京中医药大学东直门医院东区,北京101100

出　　处：《湖南中医药大学学报》2018年第1期69-72,共4页Journal of Hunan University of Chinese Medicine

基　　金：北京中医药大学东直门医院医疗管理集团资助项目(20111019)

摘　　要：目的探讨和观察长强穴水针疗法配合埋线对肛门病术后疼痛的临床疗效。方法将60例肛门病(混合痔、肛裂、肛周脓肿、肛瘘)术后疼痛的患者随机分为2组,每组各30例。治疗组在手术前采用长强穴水针疗法配合埋线治疗,对照组予以亚甲蓝长效止痛剂创面局部注射,采用疼痛视觉(VAS)评估表评估术后1~5 d患者的疼痛程度,观察两组患者每天疼痛程度、24 h疼痛持续时间及尿潴留等情况。结果治疗组每天疼痛程度、24 h疼痛持续时间及尿潴留评分与对照组比较,差异均有统计学意义(P<0.05)。结论长强穴水针疗法配合埋线能减轻肛门病术后疼痛和减少并发症,且该法临床操作简单,适合临床推广。Objective To investigate and observe the clinical effect of injection of fluids at Changqiang point combined with catgut embedding in the treatment of postoperative pain of anal disease.Methods The 60 patients with anal disease(mixed hemorrhoids,anal fissure,anal abscess,anal fistula)were randomly divided into 2 groups,30 cases in each group.The treatment group was treated with injection of fluids at Changqiang point combined with catgut embedding before operation,and the control group was given a local injection of methylene blue long-acting analgesics.The degree of pain of 1~5 d patients after surgery was evaluated by using pain vision(VAS).The pain level of the two groups was observed,the duration of the pain was 24 hours and the retention of urine was observed,etc.Results The pain level,24 h pain duration and urine retention score in the treatment group were statistically significant(P<0.05),compared with the control group.Conclusion Injection of fluids at Changqiang point combined with catgut embedding can reduce postoperative pain and complications of anal disease,and its clinical operation is simple and suitable for clinical promotion.

关 键 词：肛门病术后疼痛 穴位埋线 长强穴 水针疗法 

分 类 号：R245[医药卫生—针灸推拿学] R266[医药卫生—中医临床基础]