上海针灸杂志2024，Vol.43Issue(8)：875-880,6.DOI:10.13460/j.issn.1005-0957.2024.08.0875
针刺联合中药熏洗对混合痔外切内扎术后创面及疼痛的影响
Effect of acupuncture combined with traditional Chinese medicine fumigation on trauma and pain after mixed hemorrhoids external excision and internal ligation surgery
摘要
Abstract
Objective To observe the clinical efficacy of acupuncture at Chengshan(BL57)combined with San Huang Tang fumigation in the treatment of mixed hemorrhoids after external excision and internal ligation for recovery and its effect on wound exudation,wound healing and pain level of patients.Method A retrospective study was conducted on 92 patients with mixed hemorrhoids who underwent external excision and internal ligation,and they were divided into an observation group and a control group according to the different treatment methods,with 46 cases in each group.The control group was treated with Potassium permanganate sitz bath and routine treatment,while the observation group was treated with acupuncture at Chengshan and fumigation with San Huang Tang on the basis of the treatment of the control group.The two groups were compared in terms of the disappearance of edema and exudate,wound healing time,clinical efficacy and complication rate.The anal edema score,visual analog score(VAS),serum inflammatory factor level,serum basic fibroblast growth factor(bFGF)level and platelet-derived growth factor(PDGF)level were observed before and after treatment in both groups.Result The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P＜0.05).The anal edema points and VAS scores of the observation group were lower than those of the control group(P＜0.05),and the serum hypersensitive C-reactive protein(hs-CRP)and tumor necrosis factor-α(TNF-α)were lower than those of the control group(P＜0.05),and the serum levels of PDGF were lower than those of the control group(P＜0.05).The disappearance time of edema and exudate and the wound healing time of the observation group were shorter than those of the control group(P＜0.05).The complication rate of the observation group was lower than that of the control group(P＜0.05).Conclusion On the basis of conventional treatment and Potassium permanganate sitz bath treatment,acupuncture at Chengshan acupoint combined with San Huang Tang fumigation treatment for mixed hemorrhoids after external cutting and internal ligation can effectively alleviate traumatic exudate,edema and pain,reduce inflammatory reaction,accelerate traumatic healing,reduce the incidence of complications,and improve the clinical efficacy.关键词
针刺疗法/穴,承山/薰洗/三黄汤/痔疮/疼痛,术后/水肿Key words
Acupuncture therapy/Point,Chengshan(BL57)/Steaming washing therapy/San Huang Tang/Hemorrhoids/Pain,Postoperative/Edema分类
医药卫生引用本文复制引用
薛军,李廷夺,张超,彭涛,王桂宁..针刺联合中药熏洗对混合痔外切内扎术后创面及疼痛的影响[J].上海针灸杂志,2024,43(8):875-880,6.基金项目
河北省中医药管理局科研计划基金项目(2021377) （2021377）
