中药坐浴结合八髎穴针刺对混合痔术后患者的影响  

The Effect of Traditional Chinese Medicine Sitz Bath Combined with Acupuncture at Baliao Acupoint on Patients Undergoing Mixed Hemorrhoid Surgery

作　　者：赖道鹏 吴燕燕 LAI Daopeng;WU Yanyan(The Second Hospital of Sanming City,Yong’an 366000,China;不详)

机构地区：[1]三明市第二医院,福建永安366000 [2]福建中医药大学附属人民医院

出　　处：《中外医学研究》2025年第10期50-53,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析中药坐浴结合八髎穴针刺对混合痔术后患者的影响。方法:选取2022年12月—2024年4月三明市第二医院和福建中医药大学附属人民医院收治的60例混合痔手术患者,依据治疗方式分组,予以对照组(n=30)中药坐浴,观察组(n=30)联合八髎穴针刺方案,对比两组炎症因子水平、疼痛应激指标水平、疼痛程度评分、肛门水肿程度、肛门功能。结果:两组治疗前炎症因子、疼痛应激指标、疼痛程度评分、水肿程度评分、肛门功能比较,差异无统计学意义(P>0.05);治疗后两组炎症因子水平、疼痛应激指标水平、疼痛程度评分、水肿程度评分、肛管高压带长度和Wexner评分较治疗前均下降,肛管舒张压、肛管静息压、肛管最大收缩压均上升,且观察组各项指标改善更为显著,差异有统计学意义(P<0.05)。结论:中药坐浴辅助八髎穴针刺,可缓解混合痔手术患者炎症状态,对疼痛介质释放有抑制作用,既可减轻疼痛与水肿程度,也能改善肛门功能。Objective:To analyze the effect of traditional Chinese medicine sitz bath combined with acupuncture at Baliao acupoint on patients undergoing mixed hemorrhoid surgery.Method:A total of 60 patients with mixed hemorrhoidal surgery admitted to the Second Hospital of Sanming City and the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from December 2022 to April 2024 were selected and divided into groups according to treatment methods.The control group(n=30)was given traditional Chinese medicine sitting bath,and the observation group(n=30)combined with Baliao acupoint acupuncture scheme.The levels of inflammatory factors,pain stress index,pain degree score,anal edema degree and anal function were compared between the two groups.Result:There were no significant differences in inflammatory factors,pain stress index,pain degree score,edema degree score and anal function between the two groups before treatment(P>0.05).After treatment,the levels of inflammatory factors,pain stress indexes,pain degree score,edema degree score,anal canal high pressure band length and Wexner score were all decreased in the two groups compared with those before treatment,while the diastolic pressure,anal canal resting pressure and maximum anal canal systolic pressure were all increased,and the improvement of all indexes in the observation group was more significant,the differences were statistically significant(P<0.05).Conclusion:Traditional Chinese medicine sitz bath combined with acupuncture at the Baliao acupoint can alleviate the inflammatory state of patients undergoing mixed hemorrhoid surgery,inhibit the release of pain mediators,reduce pain and edema,and improve anal function.

关 键 词：中药坐浴 八髎穴针刺 疼痛应激 混合痔术后 水肿 肛门功能 

分 类 号：R246.2[医药卫生—针灸推拿学]