揿针配合中药熏洗治疗对肛肠病术后康复的影响  

Effects of thumbtack needle plus steaming washing with Chinese herbal medicines on the postoperative recovery of anorectal diseases

作　　者：唐林 李朝阳 支娟娟 赵曌 魏妮 TANG Lin;LI Zhaoyang;ZHI Juanjuan;ZHAO Zhao;WEI Ni(Xi’an Hospital of Traditional Chinese Medicine,Xi’an 710021,China)

机构地区：[1]西安市中医医院,西安710021

出　　处：《上海针灸杂志》2024年第9期1005-1011,共7页Shanghai Journal of Acupuncture and Moxibustion

基　　金：中医药传承创新暨“秦药”开发重点科学研究项目(2021-02-22-016)。

摘　　要：目的观察揿针配合疼痛消方熏洗治疗对肛肠病术后患者各项康复指标的影响。方法将120例肛肠病术后患者随机分为对照A组、对照B组和联合组,每组30例。对照A组采用疼痛消方熏洗治疗,对照B组采用揿针治疗,联合组采用揿针配合疼痛消方熏洗治疗。观察3组各项康复进程指标(水肿消退时间、疼痛消失时间、创面渗出物消失时间、创面愈合时间)及不同时间点视觉模拟评分法(visual analog scale,VAS)评分、炎性水肿评分、各项血清炎症因子[白细胞介素-6(interleukin-6,IL-6)、白细胞介素-8(interleukin-8,IL-8)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)]水平、各项负性情绪评分[抑郁-焦虑-压力自评量表(depression anxiety and stress scale,DASS-21)中焦虑、抑郁、压力维度评分]的变化情况,比较3组临床疗效及术后感染发生率。结果3组治疗后总有效率与术后感染发生率比较,差异均无统计学意义(P>0.05)。联合组水肿消退时间、创面渗出物消失时间及创面愈合时间均明显短于对照A组和对照B组(P<0.05),联合组、对照B组疼痛消失时间均明显短于对照A组(P<0.05)。3组术后3 d各项血清炎症因子水平均较同组术前显著升高(P<0.05),术后7 d则均较同组术前显著降低(P<0.05),3组术后3 d、7 d各项负性情绪评分均较同组术前显著降低(P<0.05)。联合组术后3 d、7 d VAS评分、各项血清炎症因子水平及各项负性情绪评分均明显低于对照A组和对照B组(P<0.05)。对照B组术后3 d各项血清炎症因子均明显低于对照A组(P<0.05)。结论揿针配合疼痛消方熏洗治疗能减轻肛肠病术后患者疼痛症状,可促进水肿消退及创面愈合,进而改善患者负面情绪,这可能与抑制炎症反应有关。Objective To observe the effects of thumbtack needle plus steaming washing with Teng Tong Xiao formula on the recovery indicators in patients after the operation for anorectal diseases.Method A total of 120 patients having received the operation for anorectal diseases were randomized into control group A,control group B,and a combined group,with 30 cases in each group.Control group A was treated with steaming washing with Teng Tong Xiao formula,control group B was offered thumbtack needle treatment,and the combined group was given thumbtack needle treatment plus the same steaming washing.Changes in the recovery indicators(the relief time of swelling,pain,and wound exudates as well as wound healing time),visual analog scale(VAS)score at different time points,inflammatory edema score,serum inflammatory factors[interleukin(IL)-6,IL-8,and tumor necrosis factor-α(TNF-α)],and negative mood scores[the anxiety,depression,and stress dimension scores from the depression anxiety and stress scale(DASS)-21]were compared among the three groups.The clinical efficacy and postoperative infection rate were also compared.Result There were no significant differences in comparing the total effective rate and postoperative infection rate after the treatment among the three groups(P>0.05).The swelling relief time,exudates disappearance time,and wound healing time were significantly earlier in the combined group than in control groups A and B(P<0.05);the pain relief time was earlier in the combined group and control group B than in control group A(P<0.05).The serum inflammatory factor levels increased in all three groups on postoperation day 3 compared to those before the operation(P<0.05)and dropped markedly on postoperation day 7(P<0.05);the negative mood scores decreased significantly on postoperation day 3 and day 7 in all three groups compared with those before the operation(P<0.05).On postoperation day 3 and day 7,the VAS score,serum inflammatory factor levels,and negative mood scores were markedly lower in the combined group th

关 键 词：针刺疗法 揿针 皮肤针疗法 薰洗 疼痛 术后 水肿 炎性因子 肛肠病 

分 类 号：R246.2[医药卫生—针灸推拿学]