腕踝针联合湿润烧伤膏治疗痔疮术后疼痛的临床效果

doi:10.3760/cma.j.cn441417-20240822-08030

摘要/Abstract

摘要：

目的　腕踝针联合湿润烧伤膏治疗痔疮术后疼痛的临床效果。方法　前瞻性研究，选取2023年7月至2024年7月在江西省中西医结合医院肛肠科治疗的混合痔术后患者60例作为研究对象，按照随机数字表法分为对照组和观察组，各30例。对照组男12例、女18例，年龄（44.39±3.58）岁，病程（3.14±0.53）年，予以湿润烧伤膏治疗；观察组男11例、女19例，年龄（44.45±3.63）岁，病程（3.17±0.59）年，在对照组基础上联合腕踝针治疗。对比两组临床疗效、疼痛情况［采用视觉模拟评分法（VAS）］、创面及排尿情况。统计学方法采用t检验、χ²检验。结果　观察组治疗总有效率为93.33%（28/30），高于对照组的73.33%（22/30），差异有统计学意义（χ²=4.320，P=0.038）。两组术后当日VAS评分比较，差异无统计学意义（P>0.05）；术后1、2、3、5、7 d，观察组VAS评分均低于对照组［（3.59±0.46）分比（4.43±0.58）分、（3.12±0.42）分比（3.99±0.55）分、（2.69±0.38）分比（3.26±0.42）分、（2.09±0.31）分比（2.86±0.39）分、（1.57±0.23）分比（2.42±0.36）分］，差异均有统计学意义（t=6.215、6.886、5.512、8.466、10.898，均P<0.05）。观察组创面愈合及恢复排尿时间均短于对照组［（15.45±1.24）d比（17.86±1.70）d、（6.56±0.72）h比（8.33±0.79）h］，创缘水肿评分、残余尿量均低于对照组［（1.12±0.20）分比（1.89±0.23）分、（125.42±5.10）ml比（141.73±8.77）ml］，排尿量高于对照组［（594.02±19.81）ml比（562.49±15.22）ml］，差异均有统计学意义（t=6.273、9.070、13.837、8.806、6.913，均P<0.05）。结论　腕踝针联合湿润烧伤膏治疗混合痔术后患者效果显著，可减轻疼痛，促进创面愈合，改善排尿功能。

关键词:

混合痔, 腕踝针, 湿润烧伤膏, 疼痛情况, 创面情况, 排尿情况

Abstract:

Objective　To evaluate the clinical effect of wrist ankle acupuncture combined with moist burn ointment in the treatment of patients with postoperative pain in hemorrhoids. Methods　A prospective study was conducted on 60 patients who underwent mixed hemorrhoid surgery in Department of Gastrointestinal, Vascular, and Colorectal Surgery, Jiangxi Integrated Traditional Chinese and Western Medicine Hospital from July 2023 to July 2024. They were divided into a control group and an observation group by the random number table method, with 30 cases in each group. There were 12 males and 18 females in the control group; they were (44.39±3.58) years old; their disease course was (3.14±0.53) years. There were 11 males and 19 females in the observation group; they were (44.45±3.63) years old; their disease course was (3.17±0.59) years. The control group were treated with moist burn ointment, and the observation group with moist burn ointment and wrist ankle acupuncture. The clinical efficacies, pain degrees [Visual Analogue Scale (VAS)], and wound and urination status were compared between the two groups by t and χ² tests. Results　The total effective rate of the observation group was higher than that of the control group [93.33% (28/30) vs. 73.33% (22/30)], with a statistical difference (χ²=4.320; P=0.038). There was no statistical difference in the score of VAS between the two groups on the day after the surgery (P>0.05); 1, 2, 3, 5, and 7 d after the surgery, the scores of VAS in the observation group were lower than those in the control group (3.59±0.46 vs. 4.43±0.58, 3.12±0.42 vs. 3.99±0.55, 2.69±0.38 vs. 3.26±0.42, 2.09±0.31 vs. 2.86±0.39, and 1.57±0.23 vs. 2.42±0.36), with statistical differences (t=6.215, 6.886, 5.512, 8.466, and 10.898; all P<0.05). The wound healing time and recovery time in the observation group were shorter than those in the control group [(15.45±1.24) d vs. (17.86±1.70) d and (6.56±0.72) h vs. (8.33±0.79) h]; the score of wound margin edema and residual urine output in the observation group were lower than those in the control group [1.12±0.20 vs. 1.89±0.23 and (125.42±5.10) ml vs. (141.73±8.77) ml]; the urine output in the observation group was higher than that in the control group [(594.02±19.81) ml vs. (562.49±15.22) ml]; there were statistical differences (t=6.273, 9.070, 13.837, 8.806, and 6.913; all P<0.05). Conclusion　The combination of wrist ankle acupuncture and moist burn ointment is effective in treating patients with mixed hemorrhoids after surgery, and can reduce their pain, promote their wound healing, and improve their urinary function.

Key words:

Mixed hemorrhoids, Wrist ankle acupuncture, Moisturizing burn ointment, Pain conditions, Wound conditions, Urination conditions

熊春燕.

腕踝针联合湿润烧伤膏治疗痔疮术后疼痛的临床效果 [J]. 国际医药卫生导报, 2025, 31(8): 1377-1372.

Xiong Chunyan.

Wrist ankle acupuncture combined with moist burn ointment for patients with postoperative pain in hemorrhoids [J]. International Medicine and Health Guidance News, 2025, 31(8): 1377-1372.

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