温和灸对于混合痔术后镇痛的临床研究

发布时间：2018-05-15 02:01

本文选题：温和灸 + 混合痔术后镇痛　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:本次研究旨在探讨温和灸在混合痔术后镇痛的临床疗效,客观评价其止痛的效果及安全性。将这项具有中医特色简,验,便,廉的临床治疗技术进行广泛推广使用。方法:选取长春中医药大学附属医院肛肠科2015年1月至2016年3月期间进行肛肠手术治疗的患者,采用随机数字表方法进行随机分组,将患者分为A、B两组,A组为治疗组,B组为对照组,两组各30例,A组给予温和灸治疗,B组给予微波治疗。温和灸患者采用侧卧位,将艾绒与乳香、没药按3:1:1的比例制成艾柱(艾柱直径3cm,长度为8cm),点燃后温和悬灸长强穴(肛门与尾骨端连线中点处既是),艾柱到肛门的距离大约为5~8cm(以皮肤能够耐受为度,避免烫伤),每日1次,每次15分钟。微波照射:使用江苏瑞奇生命科学仪器有限公司生产的微波治疗仪。每次换药后用微波外用辐射理疗肛门处,输出功率60 W,时间15min,每日1次,每次15分钟。两组患者应用相应治疗方法,连续治疗,治疗期间停用其它药物,治疗期间保持生活规律。进行止痛治疗前,应保持肛门干燥。分别观察并记录用治疗期间内两组患者的VAS积分,以及治疗后的积分,并通过评分标准进行计算。通过计算的得分来衡量以上两组药物的临床疗效,再进行统计学分析,以此来得出结论。结果:通过对比,治疗组和对照组的比较无明显统计学意义(P0.05),效果都较理想,无明显差异。结论:温和灸是中医传统特色疗法,易操作,较温和,安全无副作用,价格理想,患者易于接受,可在临床广泛推广。
[Abstract]:Objective: to evaluate the efficacy and safety of mild moxibustion in postoperative analgesia of mixed hemorrhoids. This simple, effective and inexpensive clinical treatment technique with Chinese medicine features has been widely used. Methods: the patients who underwent anorectal surgery from January 2015 to March 2016 in the affiliated Hospital of Changchun University of traditional Chinese Medicine were randomly divided into two groups. The patients were divided into two groups: group A and group A as control group, and group A were treated with mild moxibustion and group B were given microwave therapy. Mild moxibustion patients with lateral supine position, Moxa velvet and frankincense, Myrrh is made at 3:1:1 (3 cm in diameter and 8 cm in length) with a mild moxibustion of long and strong points (the midpoint of the connection between the anus and the end of the tailbone is the middle point), and the distance between the pillar and the anus is about 5 ~ 8 cm (to the degree that the skin can tolerate it). Avoid scalding once a day for 15 minutes. Microwave irradiation: using the microwave therapy instrument produced by Jiangsu Ruiqi Life Science instrument Co., Ltd. After every dressing change, the anus was treated with microwave external radiation. The output power was 60 W, 15 min, once a day, 15 minutes each time. Two groups of patients were treated with corresponding treatment, continuous treatment, stop other drugs during treatment, and maintain a regular life during treatment. Anus should be kept dry before treatment for pain relief. The VAS scores of the two groups were observed and recorded during the treatment period, and the scores after the treatment were calculated. The clinical efficacy of the two groups was evaluated by calculating scores, and then statistical analysis was carried out to draw a conclusion. Results: there was no significant difference between the treatment group and the control group (P 0.05), the effect was satisfactory and there was no significant difference between the treatment group and the control group. Conclusion: mild moxibustion is a traditional characteristic therapy of traditional Chinese medicine, which is easy to operate, mild, safe and without side effects, ideal in price, easily accepted by patients, and can be widely popularized in clinical practice.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.2

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