生物反馈电刺激治疗肛门疾病术后疼痛的临床观察  

Clinical observation of biofeedback electrical stimulation in the treatment of postoperative pain of anal diseases

作　　者：李龙 LI Long(Department of Anorectal Medicine,the Second People's Hospital of Hefei in Anhui Province,Anhui,Hefei 231000,China)

机构地区：[1]安徽省合肥市第二人民医院肛肠科,安徽合肥231000

出　　处：《中国现代医生》2022年第23期26-28,33,共4页China Modern Doctor

摘　　要：目的 观察生物反馈电刺激治疗肛门疾病术后疼痛的临床疗效。方法 将安徽省合肥市第二人民医院2019年10月至2020年6月收治的100例肛门疾病术后疼痛患者采用随机数字表法分为治疗组和对照组,每组各50例。在对照组治疗的基础上,治疗组接受生物反馈电刺激。观察两组患者治疗前后疼痛评分(numeric rating scales,NRS)和24h疼痛持续时间,比较两组患者术后3d血浆促肾上腺皮质激素(adrenocorticotropic hormone,ACTH)和可的松(cortisol,COR)水平。结果 治疗组患者治疗后NRS评分、疼痛评估结果及24h疼痛时间均显著低于对照组(P<0.01);观察组ACTH、COR水平均明显低于对照组(P<0.05)。结论 生物反馈电刺激治疗肛门疾病术后疼痛具有较好的临床疗效,且能显著降低术后应激反应。Objective To observe and compare the clinical efficacy of biofeedback electrical stimulation in the treatment of postoperative pain of anal diseases. Methods A total of 100 patients with anal diseases treated in our department from October 2019 to June 2020 were divided into treatment group and control group, with 50 cases in each group. On the basis of the same treatment as the control group, the treatment group received biofeedback electrical stimulation. The pain score(NRS) and 24h pain duration were observed before and after treatment, and the levels of plasma adrenocorticotropic hormone(ACTH) and cortisol(COR) were compared 3 days after operation. Results The NRS score, pain evaluation results and 24-hour pain time in the treatment group were significantly lower than those in the control group(P<0.01);The levels of ACTH and COR in the observation group were significantly lower than those in the control group(P<0.05). Conclusion Biofeedback electrical stimulation has a good clinical effect on postoperative pain of anal diseases, and can significantly reduce postoperative stress response.

关 键 词：生物反馈电刺激 肛门疾病 术后疼痛 血浆促肾上腺皮质激素 可的松 

分 类 号：R567[医药卫生—呼吸系统]