本文選題：隔姜灸　切入點(diǎn)：神闕穴　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:觀察隔姜灸神闕穴對(duì)預(yù)防、治療混合痔術(shù)后常見并發(fā)癥的臨床效果,并進(jìn)一步進(jìn)行討論分析。方法:根據(jù)納入標(biāo)準(zhǔn),選取混合痔手術(shù)后的病人60例,隨機(jī)分為治療組和對(duì)照組,每組各30例。兩組混合痔術(shù)后患者均在其他因素基本相同的條件下,治療組給予常規(guī)換藥加隔姜灸神闕穴,對(duì)照組給予常規(guī)換藥。觀察治療前后兩組患者在排尿困難、創(chuàng)緣水腫、肛門墜脹感等混合痔術(shù)后常見并發(fā)癥方面的不同變化。結(jié)果:本次研究共60例混合痔術(shù)后患者,其中治療組患者30例,對(duì)照組患者30例。在改善患者混合痔術(shù)后排尿困難癥狀方面,治療組治療后自行排尿成功率為96.7%,尿潴留率為3.3%;對(duì)照組自行排尿成功率為73.3%,尿潴留率為26.7%,兩組自行排尿成功率比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。在改善混合痔術(shù)后創(chuàng)緣水腫方面,術(shù)后第1天、第2天、第3天,兩組組間積分比較,P0.05,差異無統(tǒng)計(jì)學(xué)意義,說明治療前三天,治療組療效并未明顯優(yōu)于對(duì)照組。第5天、第7天、第9天兩組比較,P0.01,說明治療組療效明顯優(yōu)于對(duì)照組。在改善混合痔術(shù)后肛門墜脹感方面,治療組總有效率為100.0%,對(duì)照組總有效率為83.3%,兩組總有效率比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說明治療組明顯優(yōu)于對(duì)照組。而且,在改善肛門墜脹感有效率方面,治療組第一療程(83.3%)、第二療程(96.7%)、第三療程(100.0%)之間比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說明治療組不同療程之間有效率方面改善明顯。同樣,在改善肛門墜脹感有效率方面,對(duì)照組第一療程(60.0%)、第二療程(63.3%)、第三療程(83.3%)之間比較,差異不具有統(tǒng)計(jì)學(xué)意義(P0.05),說明對(duì)照組不同療程之間有效率方面改善不明顯。在本次研究過程中,兩組均未出現(xiàn)明顯的不良反應(yīng)。結(jié)論:隔姜灸神闕穴能減輕混合痔術(shù)后患者排尿困難、創(chuàng)緣水腫、肛門墜脹等并發(fā)癥,臨床效果顯著,可提高患者生活質(zhì)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.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.2

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