中西医结合多模式镇痛在混合痔术后的应用进展
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摘要
混合痔是痔发展的严重阶段,保守治疗的效果欠佳,常需进行手术治疗。术后的反复疼痛及各种并发症的产生给患者的康复造成了很大困扰。因此寻求一种安全、无痛、有效缩短术后恢复过程的且能降低术后并发症发生率的术后管理的模式已经成为手术医师重要的任务之一。本文主要针对近年来在中西医领域针对混合痔术后疼痛的管理进行综述,分析目前中西医结合治疗在预防混合痔术后疼痛的研究现状。
Mixed hemorrhoid is a serious stage of hemorrhoid development. Conservative treatment is not effective enough and surgical treatment is often required. Postoperative recurrent pain and various complications have caused great trouble to the recovery of patients.Therefore, it has become one of the important tasks for surgeons to seek a safe, "painless" and effective postoperative management mode that can shorten the postoperative recovery process and reduce the incidence of postoperative complications.In this paper, the management of postoperative pain of mixed hemorrhoids in the field of traditional Chinese and western medicine in recent years was reviewed, and the current research status of combined traditional Chinese and western medicine in the prevention of postoperative pain of mixed hemorrhoids was analyzed.
Mixed hemorrhoid is a serious stage of hemorrhoid development. Conservative treatment is not effective enough and surgical treatment is often required. Postoperative recurrent pain and various complications have caused great trouble to the recovery of patients.Therefore, it has become one of the important tasks for surgeons to seek a safe, "painless" and effective postoperative management mode that can shorten the postoperative recovery process and reduce the incidence of postoperative complications.In this paper, the management of postoperative pain of mixed hemorrhoids in the field of traditional Chinese and western medicine in recent years was reviewed, and the current research status of combined traditional Chinese and western medicine in the prevention of postoperative pain of mixed hemorrhoids was analyzed.
引文
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[16]刘静,陈静,阎桂芸.疼痛管理小组在混合痔术后疼痛管理中的作用[J].中国疼痛医学杂志,2017,23(12):958-960.
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[18]黄德明,梁鼎天.基于快速康复外科理念的中医多模式镇痛在混合痔手术中的应用研究[J].中西医结合研究,2018,10(3):141-142.
[2]杜勇军,黄德铨,杨洁,等.混合痔危险因素的病例对照研究[J].重庆医学,2017,46(32):4553-4555.
[3]肖深,秦建平.中医外治疗法预防痔病术后尿潴留的研究进展[J].中国中医药现代远程教育,2018,16(4):144-146.
[4]乔志威.电针加艾灸治疗混合痔剥扎术后疼痛的临床研究[D].河南中医学院,2014.
[5]伍静,赵雨,杨春梅,等.电针超前干预对混合痔术后疼痛的影响[J].中国针灸,2014,34(3):279-283.
[6]孙兴伟.针刺缓解混合痔外剥内扎术后疼痛的临床观察[D].陕西中医药大学,2016.
[7]龙庆,李艳,李俊,等.电针联合耳穴贴压治疗混合痔外剥内扎术后肛门疼痛临床研究[J].中国针灸,2018,38(6):580-584.
[8]于润,王洪敏,高雪丽.中医护理技术对混合痔患者疼痛的影响[J].中国继续医学教育,2016,8(20):227-229.
[9]肖深,秦建平.肛舒洗液用于混合痔剥扎术后康复的临床效果[J].中国医药导报,2017,14(35):106-109.
[10]杨豪杰,刁海彦,刘华.痔术后中药外治疗效的Meta分析[J].辽宁中医杂志,2017,44(12):2465-2473.
[11]厉金雷,徐昶,唐红丽,等.帕瑞昔布超前镇痛替代阿片类在混合痔术后早期疼痛管理中应用的可行性研究[J].浙江创伤外科,2018,23(5):857-859.
[12]汪晓.混合痔患者术后采用自控静脉镇痛泵镇痛的临床效果[J].医疗装备,2018,31(3):17-18.
[13]陆双伟,樊志敏,朱勇,等.多模式镇痛应用于混合痔术后镇痛的临床观察[J].中国医药导报,2015,12(34):94-97.
[14]周仲伍,张书信.不同配伍亚甲蓝混合液治疗混合痔术后疼痛的效果观察[J].结直肠肛门外科,2018,24(2):199-201.
[15]路强,丁路,郭玲玲,等.混合痔术后多模式镇痛的效果分析[J].安徽医学,2018,39(5):556-559.
[16]刘静,陈静,阎桂芸.疼痛管理小组在混合痔术后疼痛管理中的作用[J].中国疼痛医学杂志,2017,23(12):958-960.
[17]王元钊,杨旭,叶妮,等.中西医结合多模式镇痛对混合痔术后创面疼痛的影响[J].陕西中医,2015,36(6):705-706.
[18]黄德明,梁鼎天.基于快速康复外科理念的中医多模式镇痛在混合痔手术中的应用研究[J].中西医结合研究,2018,10(3):141-142.