隔姜灸神阙穴对预防治疗混合痔术后常见并发症的临床观察

发布时间：2018-03-04 01:30

本文选题：隔姜灸　切入点：神阙穴　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察隔姜灸神阙穴对预防、治疗混合痔术后常见并发症的临床效果,并进一步进行讨论分析。方法:根据纳入标准,选取混合痔手术后的病人60例,随机分为治疗组和对照组,每组各30例。两组混合痔术后患者均在其他因素基本相同的条件下,治疗组给予常规换药加隔姜灸神阙穴,对照组给予常规换药。观察治疗前后两组患者在排尿困难、创缘水肿、肛门坠胀感等混合痔术后常见并发症方面的不同变化。结果:本次研究共60例混合痔术后患者,其中治疗组患者30例,对照组患者30例。在改善患者混合痔术后排尿困难症状方面,治疗组治疗后自行排尿成功率为96.7%,尿潴留率为3.3%;对照组自行排尿成功率为73.3%,尿潴留率为26.7%,两组自行排尿成功率比较,差异具有统计学意义(P0.05)。在改善混合痔术后创缘水肿方面,术后第1天、第2天、第3天,两组组间积分比较,P0.05,差异无统计学意义,说明治疗前三天,治疗组疗效并未明显优于对照组。第5天、第7天、第9天两组比较,P0.01,说明治疗组疗效明显优于对照组。在改善混合痔术后肛门坠胀感方面,治疗组总有效率为100.0%,对照组总有效率为83.3%,两组总有效率比较,差异具有统计学意义(P0.05),说明治疗组明显优于对照组。而且,在改善肛门坠胀感有效率方面,治疗组第一疗程(83.3%)、第二疗程(96.7%)、第三疗程(100.0%)之间比较,差异具有统计学意义(P0.05),说明治疗组不同疗程之间有效率方面改善明显。同样,在改善肛门坠胀感有效率方面,对照组第一疗程(60.0%)、第二疗程(63.3%)、第三疗程(83.3%)之间比较,差异不具有统计学意义(P0.05),说明对照组不同疗程之间有效率方面改善不明显。在本次研究过程中,两组均未出现明显的不良反应。结论:隔姜灸神阙穴能减轻混合痔术后患者排尿困难、创缘水肿、肛门坠胀等并发症,临床效果显著,可提高患者生活质量。
[Abstract]:Objective: to observe the clinical effect of ginger-separated moxibustion at Shenque point on the prevention and treatment of common complications after mixed hemorrhoids. Methods: according to the inclusive criteria, 60 patients with mixed hemorrhoids were selected. They were randomly divided into treatment group (n = 30) and control group (n = 30). Patients with mixed hemorrhoids in both groups were treated with routine change of medicine plus ginger separated moxibustion at Shenque point under the same conditions of other factors. The patients in the control group were given routine dressing change. The changes of common complications of mixed hemorrhoids such as dysuria, wound edema, anus drop and distention were observed before and after treatment. Results: there were 60 cases of mixed hemorrhoids after operation in this study. There were 30 patients in the treatment group and 30 in the control group. In improving the dysuria symptoms of patients with mixed hemorrhoids, The success rate of spontaneous urination and urinary retention were 96.7g and 3.3 in the treatment group, and 73.3 and 26.7 in the control group, respectively. The difference between the two groups was statistically significant in improving the wound edema after mixed hemorrhoids operation. On the 1st, 2nd and 3rd day after operation, there was no significant difference in the scores between the two groups (P 0.05), which indicated that the curative effect of the treatment group was not significantly better than that of the control group three days before treatment. On the 9th day, the comparison between the two groups showed that the curative effect of the treatment group was obviously better than that of the control group. The total effective rate of the treatment group was 100.0g, the total effective rate of the control group was 83.3%, and the total effective rate of the two groups was higher than that of the control group. The difference was statistically significant (P 0.05), indicating that the treatment group was significantly better than the control group. Moreover, in the first course of treatment, there were 83.3% of the patients in the treatment group, 96.7% in the second course of treatment, and 100.0% in the third course of treatment. The difference was statistically significant (P 0.05), indicating that the effective rate of the treatment group was significantly improved between different courses of treatment. Similarly, in the first course of treatment, the control group was 60.0%, the second course was 63.33%, the third course was 83.3%). The difference was not statistically significant (P 0.05), indicating that there was no significant improvement in the effective rate between different courses of treatment in the control group. Conclusion: Ginger-separated moxibustion at Shenque point can alleviate the complications of dysuria, wound edema and anal drop swelling after mixed hemorrhoids. The clinical effect is remarkable and the quality of life of patients can be improved.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.2

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