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1. 广西中医学院第一附属医院肛肠科
2. 广西中医学院
纸质出版日期:2011
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杨伟, 张磊昌, 王亮锋. 穴位埋线超前镇痛干预混合痔患者术后疼痛的疗效观察[J]. 针刺研究, 2011,36(4):292-295.
YANG Wei, ZHANG Lei-chang1, WANG Liang-feng1. Observation on Therapeutic Effect of Preoperational Catgut Implantation at Acupoint for Hemorrhoid Operation-induced Pain in Patients[J]. Acupuncture research, 2011, 36(4): 292-295.
杨伟, 张磊昌, 王亮锋. 穴位埋线超前镇痛干预混合痔患者术后疼痛的疗效观察[J]. 针刺研究, 2011,36(4):292-295. DOI: 10.13702/j.1000-0607.2011.04.010.
YANG Wei, ZHANG Lei-chang1, WANG Liang-feng1. Observation on Therapeutic Effect of Preoperational Catgut Implantation at Acupoint for Hemorrhoid Operation-induced Pain in Patients[J]. Acupuncture research, 2011, 36(4): 292-295. DOI: 10.13702/j.1000-0607.2011.04.010.
目的:对承山穴术前埋线实施预镇痛改善混合痔术后疼痛的临床疗效和安全性进行客观评价
探索新的痔术后镇痛方法。方法:将120例实施混合痔手术的患者随机分为埋线组与药物组
各60例。埋线组取双侧承山穴
术前0.5 h实施穴位埋线
药物组术后口服盐酸曲马多胶囊100 mg。用视觉模拟评分法评价两组患者术后5、24、48、729、6 h疼痛情况
同时记录不良反应、镇痛药物使用情况以及并发症发生情况。结果:术后5、24、48、729、6 h测得的疼痛积分
埋线组均小于药物组(P<0.05)
且埋线组不良反应、使用其它镇痛药物以及并发症发生率方面均优于药物组(P<0.05)。结论:穴位埋线超前镇痛能有效改善混合痔术后疼痛
该方法副作用少且能降低术后并发症发生率。
Objective To assess the preemptive analgesia effect of catgut implantation in Chengshan(BL 57) area on hemorrhoid operation-induced pain and the security
so as to find a new method for easing post-operative pain of hemorrhoid.Methods A total of 120 cases of mixed hemorrhoids patients were randomly divided into the catgut implantation group and me-dication group(n=60).In implantation group
a piece of catgut was embedded into bilateral BL 57 acupoint area half an hour before surgery.Patients of the medication group were asked to orally take Tramadol Hydrochloride Capsules(100 mg) after the surgery.The pain score of mixed hemorrhoids patients was evaluated 5
24
48
72 and 96 h after operation by using visual analogue scales(VAS).The complications
analgesics use and adverse reactions were recorded simultaneously.Results Comparison between two groups showed that the VAS scores of the catgut implantation group at 5
24
48
72 and 96 h after operation were significantly lower than those of the medication group(P<0.05).The incidence of complications of uroschesis and hydroncus
adverse reactions of nausea
vomiting and vertigo
and the number of patients using Sauteralgyl were significantly lower in the catgut implantation group than in the medication group(P<0.05).Conclusion Catgut implantation at BL 57 can effectively relieve the postoperative pain
reduce postoperative adverse reactions and complications in mixed hemorrhoids patients.
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