揿针二白穴联合祛毒汤坐浴用于湿热下注型混合痔术后患者  

Application of press needle Erbai point combined with Qudu decoction hip bath in postoperative patients with mixed hemorrhoids of damp heat type

作　　者：李子锋 席祖洋[2] 易文[1] 常彩云[1] 范玉玲 覃鹏飞[1] 曾晓倩 Li Zifeng;Xi Zuyang;Yi Wen;Chang Caiyun;Fan Yuling;Qing Pengfei;Zeng Xiaoqian(Department of Traditional Chinese Medicine,The First College of Clinical Medical Science,Three Gorges University/Yichang Central Peo-ple's Hospital,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院(宜昌市中心人民医院)中医科,湖北宜昌443003 [2]三峡大学第一临床医学院(宜昌市中心人民医院)护理部,湖北宜昌443003

出　　处：《护理学杂志》2023年第5期58-61,共4页Journal of Nursing Science

基　　金：宜昌市医疗卫生研究项目(A20-2-016)。

摘　　要：目的观察揿针二白穴联合祛毒汤坐浴治疗湿热下注型混合痔患者术后疼痛及水肿的临床疗效,为混合痔患者术后个性化护理提供依据。方法将58例湿热下注型混合痔患者按照是否接受揿针治疗分为对照组(29例)与观察组(29例),对照组给予祛毒汤坐浴,观察组给予揿针二白穴联合祛毒汤坐浴,比较两组VAS评分(术后1 d、3 d、7 d)与水肿评分(术后3 d及7 d)。结果两组术后不同时间VAS评分比较,干预效应、时间效应和交互效应均P<0.05,观察组术后3 d、7 d VAS评分及水肿评分显著低于对照组(均P<0.05)。结论揿针二白穴联合祛毒汤坐浴可有效降低湿热下注型混合痔患者的术后疼痛,缓解水肿,无不良反应发生。Objective To observe the clinical effect of press needle Erbai point combined with Qudu decoction hip bath on alleviating postoperative pain and edema in patients with mixed hemorrhoids of damp heat type,so as to provide a reference for developing personalized nursing for patients with mixed hemorrhoids after operation.Methods A total of 58 patients with mixed hemorrhoids of damp heat type were divided into a control group and an experimental group according to whether received press-needle treatment,with 29 cases in each group.The control group was treated with Qudu Decoction hip bath,while the experimental group was treated with press needle Erbai point combined with Qudu decoction hip bath.The VAS scores(1 day,3 days and 7 days after surgery)and edema scores(3 days and 7 days after surgery)were observed and compared between the two groups.Results According to VAS scores in the two groups at different time points,the intervention effect,time effect and intervention×time effect were significant(all P<0.05),the VAS scores on 3 days and 7 days after the surgery in the experimental group were significantly lower than those in the control group(both P<0.05).The edema scores on 3 days and 7 days after the surgery in the experimental group were significantly lower than those in the control group(both P<0.05).Conclusion Press needle Erbai point combined with Qudu decoction hip bath can effectively alleviate postoperative pain and edema in patients with mixed hemorrhoids of damp heat type,and there is no adverse reaction.

关 键 词：痔 手术 揿针 祛毒汤 坐浴 疼痛 水肿 中医护理 

分 类 号：R473.6[医药卫生—护理学] R248[医药卫生—临床医学]