长强穴水针疗法配合埋线治疗肛门病术后疼痛的临床观察
|
摘要
目的探讨和观察长强穴水针疗法配合埋线对肛门病术后疼痛的临床疗效。方法将60例肛门病(混合痔、肛裂、肛周脓肿、肛瘘)术后疼痛的患者随机分为2组,每组各30例。治疗组在手术前采用长强穴水针疗法配合埋线治疗,对照组予以亚甲蓝长效止痛剂创面局部注射,采用疼痛视觉(VAS)评估表评估术后1~5 d患者的疼痛程度,观察两组患者每天疼痛程度、24 h疼痛持续时间及尿潴留等情况。结果治疗组每天疼痛程度、24 h疼痛持续时间及尿潴留评分与对照组比较,差异均有统计学意义(P<0.05)。结论长强穴水针疗法配合埋线能减轻肛门病术后疼痛和减少并发症,且该法临床操作简单,适合临床推广。
Objective To investigate and observe the clinical effect of injection of fluids at Changqiang point combined with catgut embedding in the treatment of postoperative pain of anal disease. Methods The 60 patients with anal disease(mixed hemorrhoids, anal fissure, anal abscess, anal fistula) were randomly divided into 2 groups, 30 cases in each group. The treatment group was treated with injection of fluids at Changqiang point combined with catgut embedding before operation, and the control group was given a local injection of methylene blue long-acting analgesics. The degree of pain of 1~5 d patients after surgery was evaluated by using pain vision(VAS). The pain level of the two groups was observed, the duration of the pain was 24 hours and the retention of urine was observed, etc. Results The pain level, 24 h pain duration and urine retention score in the treatment group were statistically significant(P<0.05), compared with the control group. Conclusion Injection of fluids at Changqiang point combined with catgut embedding can reduce postoperative pain and complications of anal disease, and its clinical operation is simple and suitable for clinical promotion.
Objective To investigate and observe the clinical effect of injection of fluids at Changqiang point combined with catgut embedding in the treatment of postoperative pain of anal disease. Methods The 60 patients with anal disease(mixed hemorrhoids, anal fissure, anal abscess, anal fistula) were randomly divided into 2 groups, 30 cases in each group. The treatment group was treated with injection of fluids at Changqiang point combined with catgut embedding before operation, and the control group was given a local injection of methylene blue long-acting analgesics. The degree of pain of 1~5 d patients after surgery was evaluated by using pain vision(VAS). The pain level of the two groups was observed, the duration of the pain was 24 hours and the retention of urine was observed, etc. Results The pain level, 24 h pain duration and urine retention score in the treatment group were statistically significant(P<0.05), compared with the control group. Conclusion Injection of fluids at Changqiang point combined with catgut embedding can reduce postoperative pain and complications of anal disease, and its clinical operation is simple and suitable for clinical promotion.
引文
[1]李仲廉.临床疼痛治疗学(修订版)[M].天津:天津科学技术出版社,1997:265.
[2]刘俊清,邹魁英,李贵信.痔瘘围手术期镇痛治疗[J].中国肛肠病杂志,2002,22(3):2223.
[3]舒涛,李国栋,李春花.穴位注药埋线法对痔术后疼痛的疗效及安全性评价[J].中医杂志,2010,51(4):335-338.
[4]CIFFORD J,WOOLF M B.Preemptive analgesia-treating postoperative pain by preventing the establishment of centeral sensitization[J].Anesth Analg,1993,77:362-379.
[5]杨建芳,王彦君,常淑娴.肛肠病患者术后疼痛的原因分析及处理[J].中国交通医学杂志,2006,20(1):95-97.
[6]陆健,杨东方.埋线针疗学[M].长春:吉林科学技术出版社,2004:1-154.
[7]任晓艳.穴位埋线的源流及其机理探讨[J].中国医药学报,2004,19(12):757-759.
[8]李影捷,惠萍,宋天云,等.穴位注射治疗支气管哮喘的临床观察[J].湖南中医药大学学报,2013,33(6):72-74.
[9]赵永娇,马红英,蔡德光.穴位埋线及穴位注射的临床和机制研究进展[J].现代中西医结合杂志,2013,22(7):784-787.
[10]王昱晟.长强穴在肛肠病术后的镇痛作用[J].中国中西医结合外科杂志,2009,15(4):457.
[2]刘俊清,邹魁英,李贵信.痔瘘围手术期镇痛治疗[J].中国肛肠病杂志,2002,22(3):2223.
[3]舒涛,李国栋,李春花.穴位注药埋线法对痔术后疼痛的疗效及安全性评价[J].中医杂志,2010,51(4):335-338.
[4]CIFFORD J,WOOLF M B.Preemptive analgesia-treating postoperative pain by preventing the establishment of centeral sensitization[J].Anesth Analg,1993,77:362-379.
[5]杨建芳,王彦君,常淑娴.肛肠病患者术后疼痛的原因分析及处理[J].中国交通医学杂志,2006,20(1):95-97.
[6]陆健,杨东方.埋线针疗学[M].长春:吉林科学技术出版社,2004:1-154.
[7]任晓艳.穴位埋线的源流及其机理探讨[J].中国医药学报,2004,19(12):757-759.
[8]李影捷,惠萍,宋天云,等.穴位注射治疗支气管哮喘的临床观察[J].湖南中医药大学学报,2013,33(6):72-74.
[9]赵永娇,马红英,蔡德光.穴位埋线及穴位注射的临床和机制研究进展[J].现代中西医结合杂志,2013,22(7):784-787.
[10]王昱晟.长强穴在肛肠病术后的镇痛作用[J].中国中西医结合外科杂志,2009,15(4):457.