本文選題：耳穴埋籽　切入點：超前鎮(zhèn)痛　出處：《成都中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的：通過觀察評價術(shù)前耳穴埋籽超前鎮(zhèn)痛干預(yù)混合痔術(shù)后疼痛的臨床療效及安全性。為臨床上尋找一種安全、有效、便捷、價廉,易被患者接納的無創(chuàng)、無痛、無毒副作用的防治痔術(shù)后疼痛的方法。 方法：選擇2012年8月-2013年10月在成都中醫(yī)藥大學(xué)附屬醫(yī)院肛腸科住院符合納入標(biāo)準(zhǔn)的60例混合痔患者,隨機分為治療組A(30例)和對照組B(30例)兩組。兩組均采取在腰俞穴麻醉下行外剝內(nèi)扎術(shù),治療組A在術(shù)前采用耳穴埋籽的方法,對照組B則采用術(shù)后口服雙氯芬酸鈉雙釋放腸溶膠囊的方法。在術(shù)后2、10、24、48、72小時分別收集兩組患者術(shù)后疼痛變化的積分及鎮(zhèn)痛藥物的使用情況,疼痛積分采用視覺模擬評分法(VAS)進(jìn)行評分。最后,分析比較兩組患者術(shù)后疼痛的情況和藥物使用情況。 結(jié)果：入選的60例混合痔患者,在年齡、性別方面無明顯差異,具有可比性。1、分別對兩組患者術(shù)后第2、10、24、48、72小時的疼痛分?jǐn)?shù)進(jìn)行組間比較,經(jīng)成組t檢驗進(jìn)行統(tǒng)計學(xué)分析均具有統(tǒng)計學(xué)意義(P0.05),治療組A患者的VAS均值明顯低于對照組B。2、治療組A使用鎮(zhèn)痛藥物明顯低于對照組B。3、兩組均未發(fā)生嚴(yán)重不良反應(yīng)。 結(jié)論：術(shù)前給予耳穴埋籽干預(yù)術(shù)后疼痛和術(shù)后口服雙氯芬酸鈉雙釋放腸溶膠囊治療混合痔術(shù)后疼痛均有療效,但術(shù)前給予耳穴埋籽與術(shù)后按創(chuàng)口疼痛情況口服雙氯芬酸鈉雙釋放腸溶膠囊相比較有明顯減少使用鎮(zhèn)痛藥物的優(yōu)勢。此法操作簡便、安全、無明顯毒副作用,在臨床上值得選擇應(yīng)用和推廣。
[Abstract]:Objective: to observe and evaluate the clinical efficacy and safety of preemptive analgesia at auricular acupoint burying seeds in treating postoperative pain of mixed hemorrhoids in order to find a safe, effective, convenient, cheap and easy to be accepted by patients. Methods of preventing and treating postoperative pain of hemorrhoids without toxic side effects. Methods: from August 2012 to October 2013, 60 patients with mixed hemorrhoids who were hospitalized in the Department of anal and intestine, affiliated Hospital of Chengdu University of traditional Chinese Medicine, were selected. Two groups were randomly divided into two groups: treatment group (30 cases) and control group (30 cases). Both groups were treated with external exfoliation and internal ligation under Yaoshu anesthesia, and group A were treated with the method of embedding seeds at auricular point before operation. The control group B was treated with oral diclofenac sodium double release enteric-coated capsule after operation. The scores of postoperative pain changes and the use of analgesic drugs were collected in two groups at 2: 10 and 24 4872 hours after operation. The pain score was evaluated by visual analogue score (VAS). Finally, the postoperative pain and drug use were analyzed and compared between the two groups. Results: there was no significant difference in age and sex between 60 patients with mixed hemorrhoids. The VAS of patients in treatment group A was significantly lower than that of control group B.2.The analgesic drug used in treatment group A was significantly lower than that in control group B.3. there were no serious adverse reactions in both groups. Conclusion: it is effective to treat postoperative pain of mixed hemorrhoids with auricular acupoint embedding seeds before operation and oral diclofenac sodium double release enteric-coated capsules after operation. However, compared with oral administration of diclofenac sodium double release enteric-soluble capsule according to the condition of wound pain after operation, preoperation of auricular acupoint burying seeds has the advantage of reducing the use of analgesic drugs. This method is simple, safe and has no obvious side effects. It is worth choosing and popularizing in clinic.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R657.18

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