摘要
目的:评估电针联合穴位埋线预处理对肛瘘切开术后患者肛门疼痛的影响。方法:将138例行肛瘘切开术的低位单纯性肛瘘患者随机分为电针组、穴位埋线组、针埋联合组,每组46例。3组患者在术前30 min分别接受电针治疗(2 Hz/100 Hz, 1 mA,留针30 min)、穴位埋线治疗以及电针联合穴位埋线治疗1次,取穴为长强、承山。记录3组患者术后各时间点(第6、12、24、48、72小时)的视觉模拟量尺(VAS)评分和肢体活动评分,术后1~3 d 24 h内最大(T24max)VAS评分以及术后72 h内使用止痛药的总剂量。结果:与穴位埋线组比较,电针组在术后第6、12、24小时的VAS评分和肢体活动评分及第1天的T24max VAS评分均降低(P<0.05),术后第48、72小时的VAS评分和肢体活动评分及第2、3天的T24max VAS评分和72 h内使用止痛药总剂量均升高(P<0.05);针埋联合组在术后各时间点的VAS评分和肢体活动评分、术后1~3 d T24max VAS评分以及72 h内使用止痛药总剂量均低于电针组和穴位埋线组(P<0.05)。3组均未出现明显不良反应。结论:电针联合穴位埋线超前镇痛对肛瘘切开术后遗患者肛门疼痛的镇痛作用显著,且安全可靠。
Objective To evaluate the effect of electroacupuncture(EA) combined with acupoint catgut embedding the-rapy for postoperative pain after fistulotomy. Methods A total of 138 patients were randomly assigned into EA, acupoint catgut embedding and combination groups, with 46 patients in each group. The interventions were performed 30 min before surgery in all the three groups. The acupoints were Changqiang(GV1) and Chengshan(BL57). The visual analogue scale(VAS) score and limb activity score of the three groups at 6, 12, 24, 48 and 72 h after surgery, as well as maximum VAS score within 24 h(T24 max VAS) of 1—3 d and total amounts of oral analgesic within 72 h after surgery were observed and recorded. Results The VAS score and limb activity score from the 6, 12 and 24 h after surgery, and T24 max VAS score on the 1st day of the EA group were lower than those of the acupoint embedding group(P<0.05). While the VAS pain score and limb activity score at the 48 h and 72 h after surgery, and T24 max VAS score at the 2nd to 3rd day, and total dose of oral analgesic within 72 h in the acupoint embedding group were lower than those of the EA group(P<0.05). The combination group was superior to the EA and acupoint embedding groups in terms of VAS score and limb activity score at different postoperative time, T24 max VAS score at 1-3 d after surgery, and the total amounts of analgesic used within 72 h(P<0.05). Conclusion EA combined with acupoint catgut embedding is more effective than simple EA or acupoint catgut embedding for postoperative pain after fistulotomy, with significant curative effect and no adverse reactions.
作者
黄橙紫
李亚玲
蓝小林
何彬
杨静
李俊
HUANG Cheng-zi;LI Ya-ling;LAN Xiao-lin;HE Bin;YANG Jing;LI Jun(Department of Traditional Chinese Medicine,The Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan Province,China;Pharmacy Department,The Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan Province;Integrated Chinese and Western Medical College of Southwest Medical University,Luzhou 646000,Sichuan Province)
出处
《针刺研究》
CAS
CSCD
北大核心
2021年第5期421-425,共5页
Acupuncture Research
基金
泸州市科学技术局-川医大联合项目[No.2015LZCYD-S07(4/5)]
西南医科大学校级课题项目(No.090300030796)
西南医科大学附属医院课题项目(No.15097)。
关键词
肛瘘切开术
疼痛
电针
穴位埋线
Fistulotomy
Pain
Electroacupuncture
Acupoint catgut embedding
