中医熏洗坐浴与针刺痔疮穴治疗老年患者肛肠术后疼痛疗效观察

发布时间：2018-01-14 09:25

本文关键词：中医熏洗坐浴与针刺痔疮穴治疗老年患者肛肠术后疼痛疗效观察　出处：《现代中西医结合杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨中医熏洗坐浴与针刺痔疮穴治疗老年患者肛肠术后疼痛的疗效。方法将160例行肛肠手术的老年患者随机分为对照组和研究组各80例,研究组在术后给予中医熏洗坐浴与针刺痔疮穴治疗,对照组给予高锰酸钾溶液坐浴治疗,观察2组临床疗效、症状改善时间、术后疼痛及水肿程度。结果研究组临床疗效总有效率明显高于对照组(P0.05),水肿、疼痛、渗出物消失时间以及创面愈合时间均明显短于对照组(P均0.05)。术后2组VAS评分、水肿程度评分均随时间延长而下降,与术后1 d比较差异均有统计学意义(P0.05)。术后1 d时2组VAS评分和水肿程度评分组间比较差异均无统计学意义(P均0.05),但研究组术后7 d及14 d时VAS评分和水肿程度评分均明显低于对照组(P均0.05)。结论针刺痔疮穴与中医熏洗坐浴可有效改善老年患者肛肠术后疼痛,迅速改善症状,临床疗效较好。
[Abstract]:Objective to investigate the efficacy of traditional Chinese medicine (TCM) fumigation and sitting bath and acupuncture on hemorrhoids in the treatment of postoperative pain in elderly patients. Methods 160 elderly patients undergoing anorectal surgery were randomly divided into control group (n = 80) and study group (n = 80). The study group was treated with traditional Chinese medicine fumigation sitting bath and acupuncture hemorrhoids after operation, while the control group was treated with potassium permanganate solution. The clinical efficacy and symptom improvement time were observed in the two groups. Results the total effective rate in the study group was significantly higher than that in the control group (P 0.05), edema and pain. The time of exudate disappearance and wound healing were significantly shorter than that of control group (P < 0.05). The scores of VAS and edema decreased with time after operation. There was significant difference between the two groups on the 1st day after operation (P 0.05). There was no significant difference in VAS score and edema score between the two groups on the 1st day after operation (P 0.05). However, the scores of VAS and edema in the study group were significantly lower than those in the control group at 7 and 14 days postoperatively (P < 0.05). Conclusion Acupuncture of hemorrhoids and traditional Chinese medicine fumigation and sitting bath can effectively improve the pain after anorectal operation in elderly patients. Rapid improvement of symptoms, clinical efficacy is better.
【作者单位】：新疆医科大学第一附属医院;
【分类号】：R266
【正文快照】： 肛肠疾病好发于老年人群,外科手术目前仍是肛肠疾病的主要治疗手段[1]。老年人身体功能与机体修复能力下降,术后恢复速度较慢[2]。有研究指出,老年患者肛肠术后尿潴留、水肿、创面疼痛等并发症发生率较高,对创面愈合及整体康复进程均可造成较大影响[3]。张秀华等[4]研究指出,

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