中药熏洗坐浴联合针刺改善老年肛肠术后疼痛的疗效分析.docVIP

中药熏洗坐浴联合针刺改善老年肛肠术后疼痛的疗效分析 【摘要】目的：观察重要熏洗坐浴联合针刺对老年患者肛肠术后疼痛的改善效果。方法：将140例行肛肠手术的老年患者随机分为两组（n=70），对照组患者术后常规使用高锰酸钾溶液坐浴，观察组术后进行中药熏洗坐浴，并针刺痔疮穴位，对比两组患者术后的疼痛程度、持续时间、创面愈合时间等。结果：观察组术后1d、3d、7d、14d的VAS评分均显著低于对照组，术后7d、14d的水肿程度评分均显著低于对照组，P0.05。观察组的治疗总有效率为98.57%，对照组为80.00%，组间比较有明显差异（P0.05）。观察组患者的渗出物消失时间、水肿消失时间、疼痛消失时间、创面愈合时间均明显比对照组更短，P0.05。结论：对老年肛肠术后患者采用中药熏洗坐浴联合针刺治疗，能有效减轻术后疼痛程度，促进创面水肿吸收，加快创面愈合。 【关键词】肛肠手术；术后疼痛；中药熏洗；针刺 Analysis the efficacy of herbal fumigation bath combined with acupuncture to improve elderly anorectal postoperative pain [Abstract] Objective: To observe the efficacy of herbal fumigation bath combined with acupuncture to improve elderly anorectal postoperative pain. Methods: 140 cases of elderly anorectal surgery patients were randomly divided into two groups (n=70), the control group used potassium permanganate solution bath postoperative; the observation group used herbal fumigation bath and acupuncture. Compared the degree of pain, duration and healing time after surgery between two groups. Results: After surgery 1day, 3days, 7days and 14days, the VAS scores of observation group were significantly lower than the control group, after surgery 7days and 14days, the edema scores of observation group were significantly lower, P 0.05. Treatment total effective rate of observation group was 98.57%, the control group was 80.00%, there was a significant difference (P 0.05). The disappearing time exudate, edema disappeared time, the pain disappeared time and wound healing time of observation group was significantly shorter, P 0.05. Conclusion: Herbal fumigation bath combined with acupuncture treat with anorectal surgery patients can reduce the pain level after surgery, promote wound edema absorption, and accelerate wound healing. [Key words] anorectal surgery; postoperative pain; Fumigation; Acupuncture 老年人群是肛肠疾病的易发人群，目前临床治疗肛肠疾病仍以外科手术职位为主。由于老年人的身体机能随着年龄的增长而逐渐减退，机体的修复能力较差，所以术后更容易发生创面疼痛、水肿等并发症，不利于创面愈合，严重影响患者术后的康复进程及生存质量[1]。中药熏洗和针灸是中医外治的常用方法，肛肠术后进行中药熏洗能够温通创面气血经络，改善局部血液循环，促进创面