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腕踝针联合耳穴贴压对混合痔术后镇痛的疗效观察
高倩,周春姣,郑婵美,蔡玩珠,蔡炳勤
广东省中医院胰胆肛肠外科广州 510120;广东省中医院大外科广州 510120
摘要:
目的:探讨腕踝针联合耳穴贴压对混合痔术后疼痛的疗效。方法:回顾性收集2020 年4 月—2021 年1 月在广东省中医院肛肠科行混合痔切除术的151 例患者的资料,根据治疗方式不同分为腕踝针联合耳穴贴压组(A 组,n =55)、耳穴贴压组(B 组,n =37)及常规护理组(C 组,n =59),比较3 组患者在术后不同时间静息及活动时视觉模拟评分法(VAS)评分、术后不良反应发生率及住院时间的差异。结果:A 组患者术后6 h、12 h、24 h、48 h、72 h 静息时的疼痛VAS 评分分别为(4.22±1.78)分、(3.49±1.07)分、(3.11±0.85)分、(2.19±1.03)分、(1.88±0.60)分,术后6 h、12 h、24 h、48 h、72 h 活动时的疼痛VAS 评分分别为(4.82±1.62)分、(4.25±0.99)分、(3.64±0.78)分、(2.87±0.84)分、(2.24±0.70)分,均明显低于B 组和C 组,差异有统计学意义(P < 0.05);A 组患者术后头晕、呕吐、恶心的发生例数分别为5、7、4 例,明显低于B 组和C 组,差异有统计学意义(P < 0.05);A 组患者的平均住院时间为(5.58±1.18)d,也短于B 组和C 组,差异有统计学意义(P < 0.001)。结论:腕踝针联合耳穴贴压能有效缓解混合痔术后疼痛,降低不良反应发生率,缩短住院时间。
关键词:  腕踝针  耳穴贴压  混合痔  术后镇痛
DOI:10.3969/j.issn.1007-6948.2022.06.010
投稿时间:2021-12-29
基金项目:广东省中医院中医药科学技术研究专项资助(NoYN2020HL18)
Retrospective Analysis of Wrist Ankle Acupuncture Combined with Auricular Plaster Therapy for Postoperative Analgesia of Mixed Hemorrhoids
GAO Qian,ZHOU Chun-jiao,ZHENG Chan-mei
Abstract:
Objective To investigate the effect of wrist ankle acupuncture combined with auricular point sticking on postoperative pain of mixed hemorrhoids. Methods The clinical data of patients who underwent mixed hemorrhoidectomy in the anorectal department of Guangdong Provincial Hospital of Traditional Chinese Medicine from April 2020 to January 2021 were retrospectively collected. A total of 151 clinical cases were included. According to different treatment methods, they were divided into wrist ankle acupuncture combined with auricular point sticking group (group A, n =55), auricular point sticking group (group B, n =37) and routine nursing group (Group C, n =59). The VAS scores at rest and activity of the three groups as well as the difference between the incidence of postoperative adverse reactions and the length of hospital stay were compared. Results The VAS scores of patients in group A at rest at 6 h, 12 h, 24 h, 48 h and 72 h after operation were (4.22±1.78), (3.49±1.07), (3.11±0.85), (2.19±1.03), (1.88±0.60) respectively. The VAS scores of patients in group A at activity at 6 h, 12 h, 24 h, 48 h and 72 h after operation were (4.82±1.62),(4.25±0.99), (3.64±0.78), (2.87±0.84), (2.24±0.70) respectively, which were significantly lower than those in group B and group C. The difference was statistically significant (P <0.05). The number of postoperative dizziness, vomiting and nausea in group A were 5,7 and 4 respectively, which were significantly lower than those in group B and group C. The average hospital stay of group A was ( 5 . 58 ± 1 . 18 ) d, which was also shorter than that of group B and group C (P <0.001). Conclusion Wrist ankle acupuncture combined with auricular point sticking can effectively alleviate the postoperative pain of mixed hemorrhoids, reduce the incidence of adverse reactions and shorten the length of hospital stay. It can provide evidence-based reference for postoperative analgesia of mixed hemorrhoids.
Key words:  Wrist ankle needle  auricular sticking  mixed hemorrhoids  postoperative analgesia

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