耳穴贴压治疗肛门病术后疼痛118例疗效分析.PDFVIP

国际中医中药杂志2014年6月第36卷第6期 Int J Trad Chin Med, June 2014, Vol. 36, No.6 ·505 · ·论著· 耳穴贴压治疗肛门病术后疼痛118 例 疗效分析 袁亮 寇玉明 李国栋 李琦 洪子夫 王菲 【摘要】 目的 观察耳穴贴压治疗肛门病术后疼痛的疗效及安全性。方法 收集2009 年1 月至2012 年12 月本院肛肠科肛门病术后疼痛患者118 例，按随机数字表法分主穴组26 例、配穴一组20 例、配穴 二组22 例、配穴三组27 例、镇痛剂组23 例。耳穴贴压主穴组予以耳穴贴压镇痛，主穴：神门、病变部 位对应敏感点（痔核点）；配穴一组在主穴基础上配合皮质下、内分泌、交感；配穴二组在主穴基础上配 合大肠、直肠下段、肛门；配穴三组在主穴基础上，加交感、皮质下、肛门；镇痛剂组口服意施叮片。5 组均治疗30 min 后，分析其临床镇痛疗效及安全性。结果 耳穴贴压主穴组、配穴一组、配穴二组、配 穴三组、镇痛剂组在镇痛后10 min，积分减少率分别为（6.49±1.98）%、（5.90 ±1.52）%、（6.10 ±2.22 ）%、 （6.64 ±2.25 ）%、（7.61 ±1.10）%；与镇痛剂组比较，耳穴贴压主穴组、配穴一组、配穴二组的镇痛效果 明显（P ＜0.05 ）；镇痛后30 min 积分减少率分别为（0.45 ±0.23 ）%、（0.43 ±0.18 ）%、（0.42 ±0.19 ）%、 （0.38 ±0.25 ）%、（0.38 ±0.23 ）%，与镇痛剂组比较，差异均无统计学意义（P ＞0.05 ）。结论 耳穴贴压 治疗肛门病术后疼痛在治疗 10 min 后效果显著优于镇痛剂组；治疗30 min 后与镇痛剂组疗效相当。 【关键词】 肛门病术后；镇痛；耳穴贴压 Treatment on postoperative pain of anal disease by ear-point taping and pressuring: 118 cases clinical observation Yuan Liang, Kou Yuming, Li Guodong, Li Qi, Hong Zifu, Wang Fei. Proctology, Guang’an Men Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China Corresponding author：Wang Fei, Email：damao1988@126.com 【Abstract 】 Objective To observe the efficacy and safety of the treatment on postoperative pain of anal disease by ear-point taping and pressuring. Methods Using random number table method，118 patients with postoperative pain of anal diseases were divided into 5 groups, namely 26 cases of analgesia group treated by main ear-point, 20 cases of group one treated by analgesia compatibility ear-point, 22 cases of group two treated by analgesia compatibility ear-point, 27 patients of group three treated by analgesia compatibility ear-point, and 23 patients of control group. The main ear-point for analgesia included TF (4) and the sensitive point matching with diseased area; Based