摘要
为观察承山、曲池、合谷三穴联合针刺对肛肠病术后疼痛的临床疗效，将2015年7月至2016年12月，河南中医药大学第三附属医院肛肠科收治的112例肛肠病术后疼痛患者，随机分为治疗组和对照组，每组各56例。对照组采用高锰酸钾坐浴，治疗组采用承山、曲池、合谷三穴联合针刺，比较2组患者治疗7d后临床疗效、疼痛消失时间及治疗前、后的疼痛指数评分（VAS评分）。结果显示，治疗组总有效率为87．5％（49／56），对照组总有效率为75．0％（42／56）；治疗组疼痛消失时间为（5．44±2．14）d，而对照组疼痛消失时间为（8．86±3．88）d；治疗组治疗后VAs评分为（2．79±0．94）分，对照组VAs评分为（3．88±1．03）分。差异均有统计学意义（P〈0．05）。治疗组患者治疗前VAS评分为（5．09±1．63）分，治疗后VAS评分为（2．79±0．94）分。对照组患者治疗前VAS评分为（5．10±1．65）分，治疗后VAS评分为（3．88±1．03）分。2组患者治疗后的VAS评分与治疗前比较均有明显下降（P〈0．05）。结果表明，承山、曲池、合谷三穴联合针刺对于缓解肛肠病术后疼痛效果明显，且安全性高、操作方便，值得临床推广。
This study was to observe the clinical efficacy of combined-point acupuncture of Chengshan （BL57）, Quchi （LI 11 ） and H egu （LI4） for treating postoperative pain of anorectal diseases, randomly divid- ed 112 cases of postoperative pain of anorectal diseases subject to treatment in author＇s department from July 2015 to Dec. 2016 into treatment group and control one,56 cases for each,which the former adopted a- bove combined-point acupuncture,the latter adopted PP solution for sitz bath;then compared clinical effect at 7 day after treatment,the time for pain disappearance,and pain indexes rating（by VAS method） before and after treatment.As results, the differences in total effective rate,in the time for pain disappearance, and in post-treatment VAS rating were all statistical significance[-87.5% （49/56） vs 75.0% （42/56）% （5.44±2.14） d vs （8.86-＋-3.88） d;（2.79±0.94） points vs （3.88il.03） points;all, P 〈0.05] between the former and the latter,the VAS ratings after treatment of both groups were significantly declined compared with those before treatment[-in the former, （5.09 ± 1.63） points vs （2.79 ± 0.94） points, in the latter, （5.10 ± 1.65） points vs （3.88±1.03） points, P 〈0.05].Results show that the combined-point acupuncture can sig- nificantly alleviate postoperative pain of anorectal disease patients, and its safety is high,manipulation is al- so thus it is worthy of popularization and clinical use casy.
作者
周晓丽
高宗跃
ZHOU Xiao-li;GAO Zong-yue(Coloproctological Dept., the 3rd Affiliated Hospital to Henan University of TCM , Zhengzhou , Henan 450008;Coloproetologieal Dept.,Henan Provincial Hospital of TCM,Zhengzhou ,Henan 450002)
出处
《中国肛肠病杂志》
2017年第9期51-53,共3页
Chinese Journal of Coloproctology
关键词
肛肠病
术后
疼痛
针刺疗法
疗效
Anorectal disease
Postoperation
Pain
Acupuncture
Efficacy
