摘要
目的:比较长强穴药线植入与吲哚美辛栓治疗痔术后疼痛的疗效差异。方法:将80例患者随机分为药线埋植组和吲哚美辛组,每组40例。药线埋植组采用术后长强穴药线植入治疗,吲哚美辛组用吲哚美辛栓纳肛治疗。采用疼痛视觉模拟评分(VAS)评估术后6、12、24、72h的疼痛程度,术后第1～3天24h内最大VAS评分(T24maxVAS),观察对其他止痛药物的需求量及不良反应发生情况。结果:药线埋植组治疗后6、12、24、72hVAS评分均明显低于吲哚美辛组(均P<0.05);药线埋植组术后第1～3天,T24maxVAS评分明显低于吲哚美辛组(均P<0.05);药线埋植组6例患者合并使用非甾体类抗炎药,吲哚美辛组14例合并使用非甾体类抗炎药;药线埋植组总有效率为87.5%(35/40),明显优于吲哚美辛组的62.5%(25/40),组间差异有统计学意义(P<0.05)。药线埋植组无明显不良反应发生,吲哚美辛组有11例出现头痛、头晕、恶心、呕吐、胸闷、心慌等不良反应。结论:长强穴药线植入法治疗痔术后疼痛疗效确切,能减少止痛药物的使用,不良反应少,止痛效果优于吲哚美辛栓。
Objective To compare the therapeutic effect of postoperative pain of hemorrhoid treated with thread embedding at Changqiang（GV 1） and Indometacin suppository.Methods Eighty cases were randomly divided into an acupoint catgut-embedding group（group A） and an Indometacin group（group B）,forty case in each group.In group A,thread embedding at Changqiang（GV 1） was applied,and Indometacin suppository was put into rectum in group B.The pain intensity after 6,12,24,72 hours of treatment and the the maximum scores of VAS in 24 hours（T24max VAS） of 1-3 days of post-opration were evaluated with pain Visual Analogue Scale（VAS）;the quantity demanded of analgesic and the adverse reaction were observed.Results The scores of VAS after 6,12,24,72 hours of treatment in group A were obviously lower than those in group B（all P0.05）;the T24maxVAS scores in group A were obviously lower than those in group B（all P0.05）.Six cases in group A and 14 cases in group B were treated with non-steroidal anti-inflammatory drug as well.The total effective rate of 87.5%（35/40） in group A was superior to that of 62.5%（25/40） in group B,indicating the statistically significant differences between two groups（P0.05）.There was no obvious adverse reaction in group A;in group B,headache,dizziness,nausea,vomiting,distention of chest and palpitation appeared,accounting for 11 cases.Conclusion The therapeutic effect of postoperative pain of hemorrhoid treated with thread embedding at Changqiang（GV 1） is favorable,it can reduce the quantity of analgesic,the adverse reaction,its effect is better than that of Indometacin suppository.
出处
《中国针灸》
CAS
CSCD
北大核心
2012年第4期313-315,共3页
Chinese Acupuncture & Moxibustion
关键词
痔疮
术后疼痛
穴位埋线
穴
长强
吲哚美辛
Hemorrhoid
Postoperative Pain
Acupoint Ligat Thread Embed
Point GV 1（Changqiang）
Indometacin
