穴位埋线结合热敏灸治疗痔术后疼痛的护理观察  

Acupoint Catgut Embedding Combined with Thermal Moxibustion in the Treatment of Postoperative Pain of Hemorrhoids

作　　者：邹飞萍 钟明梅 ZOU Feiping;ZHONG Mingmei(Department of Proctology,Pingxiang Hospital of Traditional Chinese Medicine,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]萍乡市中医院肛肠科,江西萍乡337000

出　　处：《中国中医药现代远程教育》2024年第1期99-102,共4页Chinese Medicine Modern Distance Education of China

基　　金：江西省中医药管理局科技计划项目【No.2020A0066】。

摘　　要：目的探讨穴位埋线结合热敏灸应用于痔术后疼痛的临床护理效果。方法纳入2020年6月—2021年12月萍乡市中医院肛肠科住院的60例混合痔患者作为本次的研究对象,按照随机数字表法分为2组,每组30例。对照组接受常规术后护理,观察组在此基础上接受穴位埋线结合热敏灸干预。比较2组患者术后不同时间肛门疼痛情况、干预前后肛门水肿程度、术后不良反应发生情况以及止痛效果满意程度。结果术后第2天、第3天、第4天、第5天、第6天、第7天,观察组疼痛程度数字评估量表(NRS)评分均低于对照组(P<0.05)。干预后,观察组肛门水肿程度评分低于对照组(P<0.05)。观察组止痛效果总满意度为90.00%(27/30),高于对照组的60.00%(18/30)(P<0.05)。2组术后不良反应总发生率差异无统计学意义(P>0.05)。结论穴位埋线结合热敏灸护理能够有效缓解患者痔术后疼痛、改善肛门水肿症状,且安全性良好、患者认可度较高,值得临床推荐。Objective to explore the clinical nursing effect of acupoint catgut embedding combined with thermal moxibustion on postoperative pain of hemorrhoids.Methods Sixty patients with mixed hemorrhoids hospitalized in Pingxiang Hospital of Traditional Chinese Medicine from June 2020 to December 2021 were included as the research objects.According to the random number table method,they were divided into two groups,with 30 cases in each group.The control group received routine postoperative nursing,and the observation group received acupoint catgut embedding combined with thermal moxibustion on this basis.The anal pain at different time after operation,the degree of anal edema before and after intervention,the occurrence of postoperative adverse reactions and the satisfaction of analgesic effect were compared between the two groups.Results On day 2,day 3,day 4,day 5,day 6,day 7,the NRS score of the observation group was lower than that of the control group(P<0.05).After intervention,the degree of anal edema in the observation group was lower than that in the control group(P<0.05).The total satisfaction of the analgesic effect in the observation group was 90.00%(27/30),which was higher than that in the control group(60.00%,18/30)(P<0.05).There was no significant difference in the total incidence of postoperative adverse reactions between the two groups(P>0.05).Conclusion Acupoint catgut embedding combined with thermal moxibustion nursing can effectively alleviate the postoperative pain of hemorrhoids and improve the symptoms of anal edema,has good safety and high recognition of patients,and is worthy of clinical recommendation.

关 键 词：混合痔 穴位埋线 热敏灸 

分 类 号：R248.2[医药卫生—中医临床基础]