摘要
目的为痔疮术后疼痛的治疗筛选更有效的方法。方法将80例患者随机分为止痛如神汤组和肛泰贴剂组,每组40例。于术前30 min分别将肛泰贴剂与止痛如神汤药饼贴敷于神阙穴,记录两组痔疮术后患者术前30 min及术后30 min、1 h、2 h、4 h、6 h、24 h、48 hVAS评分与血浆5-HT含量的变化。结果两组患者术后30 min、1 h、2 h、4 h、6 h、24 h与术前30 min比较VAS评分均显著升高(P<0.05),术后48 h与术后24 h比较VAS评分显著减低(P<0.05),肛泰贴剂组术后48 h与术前30 min比较VAS评分无显著差异(P>0.05),但止痛如神汤组术后48 h与术前30 min比较VAS评分显著升高(P<0.05);两组患者术后24 h、48 h血浆5-HT含量较术前均有显著升高(P<0.05),术后48 h血浆5-HT含量较术后24 h有显著降低(P<0.05)。两组患者术前30 min及术后30 min、1 h、2 h、4 h、24 hVAS评分比较无显著差异(P>0.05),术后6 h、48 h肛泰贴剂组VAS评分显著低于止痛如神汤组(P<0.05);两组患者术前、术后24 h血浆5-HT含量均无显著差异(P>0.05),术后48 h肛泰贴剂组血浆5-HT含量明显低于止痛如神汤组(P<0.05)。结论与止痛如神汤相比,肛泰贴剂对痔疮术后的镇痛起效时间早,维持时间长,其疗效更好,且更利于患者使用。
Objective To sift out a more effective method for treating pain after hemorrhoid surgery. Method Eighty patients were randomly allocated to Zhitong Rushen decoction and Gangtai patch groups, 40 cases each. A Gangtai patch and a Zhitong Rushen formula herbal cake were separately applied to point Shenque（CV8） at 30 min before surgery. The VAS score was recorded and plasma 5-HT content was measured in the two groups of patients at 30 min before hemorrhoid surgery, and at 30 min and 1, 2, 4, 6, 24 and 48 hrs after hemorrhoid surgery. Result In both group of patients, the VAS score increased significantly at 30 min and 1, 2, 4, 6 and 24 hrs after surgery compared with at 30 min before surgery（P0.05） and decreased significantly at 48 hrs after surgery compared with at 24 hrs after surgery（P0.05）. In Gangtai patch group, there was no statistically significant difference in the VAS score between at 48 hrs after surgery and at 30 min before surgery（P0.05）, but in Zhitong Rushen decoction group, the VAS score increased significantly at 48 hrs after surgery compared with at 30 min before surgery（P0.05）. In both group of patients, plasma 5-HT content increased significantly at 24 and 48 hrs after surgery compared with before surgery（P0.05） and decreased significantly at 48 hrs after surgery compared with at 24 hrs after surgery（P0.05）. There was no statistically significant difference in the VAS score at 30 min before surgery, and at 30 min and 1, 2, 4 and 24 hrs after surgery between the two groups of patients（P0.05）, and at 6 and 48 hrs after surgery, the VAS score was significantly lower in Gangtai patch group than in Zhitong Rushen decoction group（P0.05）. There was no statistically significant difference in plasma 5-HT content before surgery and at 24 hrs after surgery between the two groups of patients（P0.05）, and at 48 hrs after surgery, plasma 5-HT content was significantly lower in Gangtai patch group than in Zhitong Rushen decoction group（P0.05）. Conclusion Compared with Z
出处
《上海针灸杂志》
2014年第2期148-150,共3页
Shanghai Journal of Acupuncture and Moxibustion
基金
贵州省中医药管理局中医药
民族医药科学技术研究课题资助项目(QZYY2010-07)
贵阳中医学院科研项目
关键词
穴位贴敷法
穴
神阙
肛泰贴剂
痔
疼痛
手术后
VAS评分
Acupoint application
Point
Shenque（CV8）
Gangtai patch
Pain
after surgery
VAS scale
