电针足三里联合耳穴贴压治疗混合痔术后腹痛的疗效分析  

Effect of Electroacupuncture at Zusanli(ST36)Combined with Auricular Plaster Therapy on Abdominal Pain after Operation of Mixed Hemorrhoids

作　　者：汉晓云 卢跃 梅宁宁 王娇 HAN Xiao-yun;LU Yue;MEI Ning-ning;WANG Jiao(Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang Hebei 050000,China)

机构地区：[1]石家庄市中医院,河北石家庄050000

出　　处：《中医药导报》2021年第12期78-82,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2021年度河北省中医药管理局科研计划项目(2021253)。

摘　　要：目的:探讨电针足三里联合耳穴贴压治疗混合痔术后腹痛的疗效。方法:将168例混合痔术后腹痛患者随机分为甲组、乙组、丙组与丁组。甲组患者采取常规治疗,乙组患者采取常规治疗+电针足三里治疗,丙组患者采取常规治疗+耳穴贴压治疗,丁组患者采取常规治疗+电针足三里治疗+耳穴贴压治疗。比较4组患者治疗前、治疗1 d后、治疗3 d后腹痛程度(疼痛数字评分法,NRS)及腹痛持续时间,并比较4组患者治疗前后血清胃动素(MTL)、胃泌素(GAS)水平,以及术后胃肠道相关并发症(腹胀、便秘、肠梗阻、恶心呕吐)发生情况。结果:4组患者治疗1d、3 d后的NRS评分均低于治疗前(P<0.05),治疗3 d后均低于治疗1 d后(P<0.05);治疗1 d、3 d后比较,乙组、丙组、丁组患者NRS评分均低于甲组(P<0.05),丁组患者NRS评分低于乙组、丙组(P<0.05),丙组患者NRS评分与乙组比较,差异无统计学意义(P>0.05);乙组、丙组、丁组患者腹痛持续时间均短于甲组(P<0.05),丁组患者腹痛持续时间短于乙组、丙组(P<0.05),乙组患者腹痛持续时间与丙组比较,差异无统计学意义(P>0.05);治疗3 d后,4组患者血清MTL、GAS水平均高于治疗前(P<0.05),乙组、丙组、丁组患者血清MTL、GAS水平均高于甲组(P<0.05),丁组患者血清MTL、GAS水平高于乙组、丙组(P<0.05),乙组患者血清MTL、GAS水平与丙组比较,差异无统计学意义(P>0.05);丁组患者术后近期胃肠道相关并发症总发生率低于甲组(P<0.05)。结论:电针足三里联合耳穴贴压可明显减轻混合痔术后腹痛,缩短腹痛持续时间,调节胃肠激素水平,并可减少术后腹胀等胃肠道相关并发症的发生。Objective:To investigate the effect of electroacupuncture at Zusanli(ST36)combined with auricular plaster therapy on abdominal pain after mixed hemorrhoids operation.Methods:Totally 168 patients with abdominal pain after mixed hemorrhoids operation,were randomly divided into group A,B,C and D.Patients received routine treatment in group A,routine treatment+electroacupuncture at Zusanli(ST36)in group B,routine treatment+auricular plaster therapy in group C,and routine treatment+electroacupuncture at Zusanli(ST36)+auricular plaster therapy in group D.The abdominal pain degree(numerical rating scale,NRS)before treatment,one day and three days after treatment as well as duration of abdominal pain,were compared among the four groups.The levels of serum motilin(MTL)and gastrin(GAS)before and after treatment as well as the incidence of postoperative gastrointestinal complications(abdominal distension,constipation,intestinal obstruction,nausea and vomiting,etc.)were compared among the four groups.Results:The NRS scores after one day and three days of treatment were lower than those before treatment in four groups(P<0.05),and NRS scores after three days of treatment were lower than those after one day of treatment in four groups(P<0.05).Group B,C and D showed lower NRS scores than group A in one and three days(P<0.05).The group D showed lower NRS scores than group B and C in one and three days(P<0.05),and there was no significant difference between group C and B(P>0.05).Group B,C and D showed shorter disappearance time of abdominal pain than group A(P<0.05).Group D showed shorter disappearance time of abdominal pain than group B and C(P<0.05),and there was no significant difference between group B and C(P>0.05).The four groups showed higher levels of serum MTL and GAS than those before treatment in three day(P<0.05),and group B,C and D showed higher levels of serum MTL and GAS than group A(P<0.05).Group D showed higher levels of serum MTL and GAS than than groupB and C in three days(P<0.05),and there was no significant di

关 键 词：混合痔 术后腹痛 电针 足三里 耳穴贴压 止痛效果 

分 类 号：R246.2[医药卫生—针灸推拿学]