雷火灸对肛肠疾病患者术后的影响

doi:10.20047/j.issn1673-7210.2023.06.33

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摘要目的探讨雷火灸对肛肠疾病患者术后的影响。方法选择2021年7月至12月江苏省南通市中医院收治的肛肠疾病手术患者160例，按照随机数字表法将其分为干预组、对照组，各80例。对照组术后给予耳穴压豆及中药熏洗，干预组术后在对照组基础上给予雷火灸，两组均治疗14 d。采用视觉模拟评分法（VAS）评估两组术后6、24、48、72 h疼痛程度。比较两组术后1周内并发症发生率。比较两组术后2、7 d C反应蛋白（CRP）水平及术后康复情况。结果术后，两组组内不同时间点VAS评分比较，差异有统计学意义（P＜0.05）；干预组术后24、48、72 h VAS评分低于对照组，差异有统计学意义（P＜0.05）。干预组术后并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。两组组内不同时间点CRP水平比较，差异有统计学意义（P＜0.05）；干预组术后2、7 d CRP水平均低于对照组，差异有统计学意义（P＜0.05）。干预组创缘水肿消失、疼痛消失、创面愈合及住院时间均短于对照组，差异有统计学意义（P＜0.05）。结论雷火灸联合耳穴压豆、中药熏洗治疗有助于缓解肛肠疾病患者术后疼痛程度，减轻炎症反应，预防术后并发症，促进康复。

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	周夏钱佳雨曹建梅

关键词 ：肛肠疾病, 雷火灸, 耳穴压豆, 中药熏洗, 并发症

Abstract：Objective To investigate the postoperative effect of thunder-fire moxibustion on patients with anorectal diseases. Methods A total of 160 patients with anorectal diseases admitted to Nantong Hospital of Traditional Chinese Medicine in Jiangsu Province from July to December 2021 were selected, and they were divided into intervention group and control group by random number table method, with 80 cases in each group. The control group were performed postoperative auricular point pressing with bean and herbal fumigation, and the intervention group received postoperative thunder-fire moxibustion based on the control group. Both groups were treated for 14 days. Visual analog scale (VAS) was used to evaluate the pain of the two groups at 6, 24, 48 and 72 h after surgery. The incidence of complications within one week after operation was compared between the two groups. The levels of C-reactive protein (CRP) and postoperative recovery were compared between the two groups at two and seven days after surgery. Results After surgery, VAS scores of the two groups at different time points were statistically significant (P＜0.05). VAS scores at 24, 48 and 72 h in the intervention group were lower than those in the control group, the differences were statistically significant (P＜0.05). The total incidence of postoperative complications in the intervention group was lower than that in the control group, the difference was statistically significant (P＜0.05). There were statistically significant differences in CRP level between the two groups at different time points (P＜0.05). The CRP levels in the intervention group was lower than those in the control group at two and seven days after surgery, the differences were statistically significant (P＜0.05). The disappearance of traumatic edema, pain, wound healing and hospital stay in the intervention group were shorter than those in the control group, the differences were statistically significant (P＜0.05). Conclusion Thunder-fire moxibustion combined with auricular point pressing with bean and herbal fumigation can alleviate postoperative pain of patients with anorectal diseases, relieve inflammatory response, prevent postoperative complications, and promote recovery.

Key words： Anorectal diseases Thunder fire moxibustion Ear acupoint pressing beans Traditional Chinese medicine fumigation Complications

基金资助:江苏省基础研究计划项目（自然科学青年基金项目）（BK20180140）。

作者简介: 周夏（1978.2-），女，副主任护师；研究方向：肛肠科护理及护理管理。

引用本文:

周夏钱佳雨曹建梅. 雷火灸对肛肠疾病患者术后的影响[J]. 中国医药导报, 2023, 20(6): 145-148.
ZHOU Xia QIAN Jiayu CAO Jianmei. Postoperative effect of thunder-fire moxibustion on patients with anorectal diseases. 中国医药导报, 2023, 20(6): 145-148.

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https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.06.33 或 https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I6/145