耳穴贴压法干预治疗肛周脓肿术后换药切口疼痛临床疗效观察  

Clinical Curative Observation of Applying Auricular Point Sticking Therapy in the Treatment of Postoperative Pain of Perianal Abscess after Dressing Change

作　　者：饶鹏[1] 王兰 詹萍 张宁[1] 袁小杰 RAO Peng;WANG Lan;ZHAN Ping(Sichuan Integrated Chinese and Western Medicine Hospital,Chengdu Sichuan 610041,China)

机构地区：[1]四川省中西医结合医院,四川成都610041

出　　处：《四川中医》2020年第5期200-202,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察耳穴贴压法干预对肛周脓肿术后换药切口疼痛的疗效。方法:将符合纳入标准的60例患者随机分为对照组、试验组及空白组,每组各20例;试验组换药前15分钟采用耳穴贴压,对照组换药前20min予布洛芬缓释片0.3 g口服,空白组不予镇痛干预。分别观察三组患者换药前、中及换药后的疼痛程度。结果:三组换药前、换药中及换药后疼痛评分对比均有统计学差异(P<0.05),对照组>试验组>空白组;结论:本方法在肛周脓肿术后换药的临床止痛效果虽不如布洛芬,但可明显减轻患者换药前、中、后切口疼痛的痛苦,且简便廉效,值得推广。Objective: In this study,through clinical comparison and observation,to explore the effect of auricular point sticking therapy on wound pain after dressing change for perianal abscess.Methods: 60 patients who met the inclusion criteria were randomly divided into controlled group,experimental group and blank group,with 20 patients in each group.In the test group,auricular acupoint pressing was applied 15 minutes before dressing change(seed of cowherb seed was applied).Acupoints: rectum,anus,shenmen,sympathetic).The controlled group was given Ibuprofen Sustained Release Tablets 0.3 g orally 20 minutes before dressing change.The blank group had no analgesic intervention.The pain degree before,during and after dressing was observed in the three groups.Results: There were statistically significant differences in pain scores before,during and after dressing change among the three groups(P<0.05).Conclusion: Although this method is not as effective as Ibuprofen in the clinical analgesic effect of dressing change after perianal abscess surgery,it can significantly reduce the pain of patients’ incision pain before,during and after dressing change,and it is simple,inexpensive and worth popularizing.

关 键 词：耳穴贴压 干预 切口疼痛 疗效观察 

分 类 号：R245.9[医药卫生—针灸推拿学]