摘要
目的:观察董氏奇穴针法对肛瘘术后并发症的影响。方法:将241例行肛瘘手术患者随机分为观察组(121例,脱落3例)和对照组(120例,脱落2例)。对照组予复方双氯芬酸钠注射液肌内注射、盐酸坦索罗辛缓释胶囊口服治疗;在对照组治疗基础上,观察组予双侧“三其穴”(其门穴、其角穴、其正穴)倒马针法联合双侧“三皇穴”(天皇副穴、地皇穴、人皇穴)动气针法治疗,每次30 min。均术后第1天开始,每日1次,连续14 d。比较两组患者术后第1、7、14天疼痛视觉模拟量表(VAS)评分;术后第1天治疗后膀胱残余尿量、自主排尿量、导尿次数;术前、术后第4天肛肠动力学指标(肛管静息压、直肠静息压、肛管最大收缩压、直肠最低敏感量)。于术后1个月评定两组临床疗效。结果:术后第7、14天,两组患者VAS评分均低于术后第1天(P<0.05),且观察组低于对照组(P<0.05)。观察组膀胱残余尿量、导尿次数少于对照组(P<0.05),自主排尿量多于对照组(P<0.05)。术后第4天,两组患者肛管静息压、肛管最大收缩压及直肠最低敏感量较术前降低(P<0.05),直肠静息压较术前升高(P<0.05);观察组患者肛管静息压、肛管最大收缩压、直肠最低敏感量低于对照组(P<0.05),直肠静息压高于对照组(P<0.05)。观察组有效率为93.2%(110/118),高于对照组的84.7%(100/118,P<0.05)。结论:董氏奇穴针法可减轻肛瘘术后疼痛程度,减少尿潴留发生,改善排便。
Objective To observe the effect of Dong's extraordinary point needling technique on postoperative complications of anal fistula.MethodsA total of 241 patients undergoing anal fistula surgery were randomly divided into an observation group(121 cases,3 cases dropped off)and a control group(120 cases,2 cases dropped off).The patients in the control group were treated with intramuscular injection of compound diclofenac sodium injection and oral administration of tamsulosin hydrochloride sustained release capsules.In addition to the treatment in the control group,the patients in the observation group were treated with Daoma needling technique at the"Sanqi points"(Qimen point,Qijiao point,and Qizheng point)combined with Dongqi needling technique at"Sanhuang points"(sub-Tianhuang point,Dihuang point,Renhuang point),with each session lasting 30 min.The treatment in the two groups both started on the first day after surgery,and was given once daily for 14 consecutive days.Visual analog scale(VAS)score was compared between the two groups on postoperative day 1,7,and 14;bladder residual urine volume,spontaneous voiding volume,and urinary catheterization frequency were assessed after treatment on postoperative day l;and anorectal dynamic indexes(anal canal resting pressure,rectal resting pressure,maximum squeeze pressure of the anal canal,and minimum rectal sensory threshold)were evaluated before surgery and on postoperative day 4.Clinical efficacy was assessed in both groups one month after surgery.Results On postoperative day 7 and 14,the VAS scores of both groups were lower than those on postoperative day 1(P<0.05),and the VAS scores in the observation group were lower than those in the control group(P<0.05).The bladder residual urine volume and urinary catheterization frequency in the observation group were lower than those in the control group(P<0.05),while the spontaneous voiding volume was higher than that in the control group (P<0.05). On postoperative day 4, the anal canal resting pressure, maximum squeeze pressure
作者
傅燕
徐月
吴海霞
王姗姗
FU Yan;XU Yue;WU Hai-xia;WANG Shan-shan(Department of Proctology,Chongqing Hospital of TCM,Chongqing 400021,China;Department of Oncology,First Affiliated Hospital of Chongqing Medical University)
出处
《中国针灸》
CAS
CSCD
北大核心
2023年第8期916-920,共5页
Chinese Acupuncture & Moxibustion
基金
2021年重庆市科研机构绩效激励引导专项项目:jxyn2021-1-9。
关键词
肛瘘
术后并发症
针刺
董氏奇穴
三其穴
三皇穴
倒马针法
动气针法
anal fistula
postoperative complications
acupuncture
Dong's extraordinary point
Sanqi points
Sanhuang points
Daoma needling technique
Dongqi needling technique
