摘要
目的:比较电针联合穴位埋线与单纯电针或单纯穴位埋线治疗混合痔术后疼痛的疗效差异。方法:将120例患者随机分为针埋联合组、电针组、穴位埋线组,每组40例。3组均于术前30min进行干预,取穴均为长强、承山。分别采用电针联合穴位埋线、单纯电针和单纯穴位埋线镇痛。比较3组患者术后4h、12h、第3d、第7d疼痛强度评分,及术后24h内最大疼痛强度(24h Max)评分;术后24h内疼痛持续时间评分和术后7d服用止痛药尼美舒利的总量。结果:针埋联合组在术后各观察时点及术后24hMax评分、术后24h内疼痛持续时间评分、术后7d尼美舒利使用量方面,均明显优于其他两组(均P<0.05);术后4h、12h及24h Max疼痛评分,电针组均优于穴位埋线组(均P<0.05),而术后第3、7d的疼痛评分,穴位埋线组均优于电针组(均P<0.05)。术后24h内疼痛持续时间评分电针组优于穴位埋线组(P<0.05),术后7d尼美舒利使用量,穴位埋线组少于电针组(P<0.05)。结论:电针联合穴位埋线用于混合痔术后镇痛疗效优于单纯电针或单纯穴位埋线。电针镇痛效果强,起效快,但是维持时间较短,穴位埋线镇痛缓慢而持久,两者结合能够充分发挥镇痛效果。
Objective To compare the clinical effect differences among electroacupuncture（EA）combined with catgut implantation,simple EA and simple catgut implantation for postoperative pain of mixed hemorrhoids.Methods A total of 120 patients were randomly assigned into a combination group,an EA group,and a catgut implantation group,40 cases in each one.All the interventions were applied for 30 min before the operation.The acupoints were Changqiang（GV 1）and Chengshan（BL 57）.The pain scores were compared among the three groups 4h,12 h,3d,and 7dafter operation,as well as the score of maximum pain score within 24h（24hMax）after operation,the pain duration score within 24 hafter operation,and the total dose of aulin to relieve pain within 7dafter the operation.Results The scores in the combination group were better than those in the other two groups,including the pain scores at all the time points after operation,the 24 h Max score and the pain duration score within 24 hafter the operation,as well as the dose of aulin within 7dafter the operation（all P〈0.05）.The pain scores 4hand 12 hafter operation and the 24 hMax socre in the EA group were better than those in the catgut implantation group（all P〈0.05）.The pain scores 3dand 7dafter operation in the catgut implantation group were superior to those in the EA group（both P〈0.05）.The pain duration score within 24 hafter operation in the EA group was better than that in the catgut implantation group（P〈0.05）.As for the aulin dose within 7dafter operation,the dosage in the catgut implantation group was less than that in the EA group（P〈0.05）.Conclusion EA combined with catgut implantation is more effective than simple EA and simple catgut implantation for postoperative pain of mixed hemorrhoid.The analgesic effect of EA is stronger and works faster,but the duration of analgesia of catgut implantation is longer.The combination of the two methods can achieve better analgesia.
出处
《中国针灸》
CAS
CSCD
北大核心
2017年第3期243-246,共4页
Chinese Acupuncture & Moxibustion
关键词
混合痔
术后疼痛
电针
穴位埋线
随机对照试验
mixed hemorrhoid
postoperative pain
electroacupuncture（EA）
catgut implantation
randomized controlled trial（RCT）
作者简介
蚓永（1984-），男，主治医师。研究方向：中医肛肠病学。E-mail：wenyong0214@126．Com
