针刺对混合痔外剥内扎术后创面疼痛及炎症因子的影响  

Effect of acupuncture on wound pain and inflammatory factors after external dissection and internal ligation of mixed hemorrhoid

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作  者:翟柏枝 伊西磊[1] 陈磊 夏晓伟[1] 赵毅 范宇翔 陆佳 张志宏 王懿 马恒 何宗琦 ZHAI Baizhi;YI Xilei;CHEN Lei;XIA Xiaowei;ZHAO Yi;FAN Yuxiang;LU Jia;ZHANG Zhihong;WANG Yi;MA Heng;HE Zongqi(Department of Surgery,the Sixth People’s Hospital,Kunshan,Jiangsu 215300,China;Department of Anorectal Surgery,Traditional Chinese Medicine of Hospital,Kunshan,Jiangsu 215300,China)

机构地区:[1]昆山市第六人民医院普外科,江苏昆山215300 [2]昆山市中医医院肛肠外科,江苏昆山215300

出  处:《手术电子杂志》2024年第6期30-34,共5页Electronic Journal of Medical Operations

基  金:昆山市级科技专项(KS2458)

摘  要:目的 探讨针刺对混合痔外剥内扎术后创面疼痛及炎症因子的影响。方法 选取2023年8月—2024年8月期间昆山市第六人民医院收治的混合痔外剥内扎术的患者180例,将患者随机分为两组,针刺组与对照组,各90例,对照组采取常规治疗,针刺组采取针刺治疗。比较两组患者术后1、3、5 d创面疼痛的变化情况、术前术后以及治疗后的炎症指标情况、围术期指标、疗效以及不良反应。结果 不同干预措施随着时间变化对患者创面疼痛、C-反应蛋白、IL-6的影响,组别×时间的交互作用,时间因素以及是否针刺(组别)因素均有统计学意义(F=8.459、21.192、68.634,P均<0.05),针刺组患者的住院时间、术后创面愈合时间以及术后首次排便时间低于对照组(P<0.05),针刺组患者的疗效优良率高于对照组(P<0.05),两组患者的不良反应发生率的比较,差异无统计学意义(P>0.05)。结论 针刺有效缓解混合痔外剥内扎术后创面疼痛情况,降低患者炎症因子水平。Objective To investigate the effect of acupuncture on wound pain and inflammatory factors after external dissection and internal ligation of mixed hemorrhoids.Methods 180 patients undergoing external dissection and internal ligation of mixed hemorrhoids admitted in kunshan sixth people's hospital from August 2023 to August 2024 were selected and randomly divided into two groups,an acupuncture group and a control group,with 90 cases in each.The control group received routine treatment,and the acupuncture group received acupuncture treatment.The changes in wound pain on the 1 st,3 rd and 5 th days after operation,the inflammation indicators before and after treatment,perioperative indicators,efficacy and adverse reactions were compared between the two groups.Results The effects of different intervention measures on patients'wound pain,C-reactive protein and IL-6 over time,as well as the interaction of group with time,and the time factors and acupuncture(group)factors were all statistically significant(F=8.459,21.192,68.634,all P<0.05).The hospitalization time,postoperative wound healing time and first postoperative defecation time of patients in the acupuncture group were lower than those in the control group(P<0.05).The excellent and good rate of curative effect in the acupuncture group was higher than that in the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions Acupuncture effectively relieves wound pain after external dissection and internal ligation of mixed hemorrhoids and reduces the level of inflammatory factors in patients.

关 键 词:针刺 混合痔外剥内扎术 创面疼痛 炎症因子 

分 类 号:R246.2[医药卫生—针灸推拿学]

 

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