循经足浴透药法治疗混合痔术后不适101例临床观察  

Clinical effect of transdermal drug delivery through foot bath along the meridians in treatment of discomfort after mixed hemorrhoid surgery:An analysis of 101 cases

作　　者：邵禹嘉 李鹏[1] 金文琪 刘悦 申颖 晋祺媛 郭修田[1] SHAO Yujia;LI Peng;JIN Wenqi;LIU Yue;SHEN Ying;JIN Qiyuan;GUO Xiutian(Shanghai Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属市中医医院,上海200071

出　　处：《湖南中医杂志》2025年第2期11-14,共4页Hunan Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81873308,82305230);上海市进一步加快中医药传承创新发展三年行动计划[ZY(2021-2023)-0204,ZY(2021-2023)-0302];上海市卫生健康委员会科研项目(202140158,2022QN011);上海中医药大学产业发展中心医养结合科创项目(YYKZ-2021-01-140);上海市中医医院未来计划传承人才项目(WLJH2021ZY-GZS003,WLJH2021ZY-MZY024)。

摘　　要：目的:观察循经足浴透药法对混合痔手术患者术后不适的临床疗效。方法:将208例混合痔外剥内扎术后出现睡眠障碍、情绪焦虑的患者随机分为治疗组和对照组,每组各104例。对照组采用传统足浴透药法治疗,治疗组在对照组的基础上加用循经足浴透药法治疗,治疗14 d后比较2组视觉模拟量表(VAS)、焦虑自评量表(SAS)、匹兹堡睡眠质量指数(PSQI)、36项健康调查简表(SF-36)评分。结果:治疗过程中治疗组脱落3例,对照组脱落2例。2组治疗第3、5、7、14天的VAS评分,治疗后的SAS、PQSI评分均减少,SF-36评分均增加,且治疗组优于对照组(P<0.05)。结论:循经足浴透药法可有效缓解患者混合痔术后焦虑和疼痛,术后早期使用循经足浴透药法更有利于提升患者的生活质量。Objective:To investigate the clinical effect of transdermal drug delivery through foot bath along the meridians in the treatment of discomfort after mixed hemorrhoid surgery.Methods:A total of 208 patients with sleep disorders and anxiety after Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids were randomly divided into treat-ment group and control group,with 104 patients in each group.The patients in the control group were given traditional transdermal drug delivery through foot bath,and those in the treatment group were given transdermal drug delivery through foot bath along the meridians in addition to the treatment in the control group.The two groups were compared in terms of Visual Analogue Scale(VAS)score,Self-Rating Anxiety Scale(SAS)score,Pittsburgh Sleep Quality In-dex(PSQI)score,and 36-Item Short-Form Health Survey(SF-36)score after 14 days of treatment.Results:Three patients in the treatment group and two in the control group were lost to follow-up during treatment.Both groups had a significant reduction in VAS score on days 3,5,7,and 14 of treatment,as well as significant reductions in SAS and PQSI scores and a significant increase in SF-36 score after treatment,and the treatment group had significantly better results than the control group(P<0.05).Conclusion:Transdermal drug delivery through foot bath along the meridians can effectively alleviate anxiety and pain after mixed hemorrhoid surgery,and the application of this method in the ear-ly stage after surgery can help to improve the quality of life of patients.

关 键 词：混合痔术后 焦虑 睡眠障碍 循经足浴透药法 

分 类 号：R269.571.8[医药卫生—中西医结合]