| 万崇鑫,母艳.醋延胡索、独一味颗粒联合穴位敷贴在肛肠疾病术后镇痛中的效果观察.[J].中南医学科学杂志.,2023,(4):582-584, 588. |
| 醋延胡索、独一味颗粒联合穴位敷贴在肛肠疾病术后镇痛中的效果观察 |
| Observation of the effects of vinegar yanhuosuo and duyiwei granule combined with acupoint application in postoperative analgesia of hepatointestinal diseases |
| 投稿时间：2022-11-29 修订日期：2023-04-28 |
| DOI：10.15972/j.cnki.43-1509/r.2023.04.027 |
| 中文关键词: 醋延胡索颗粒 独一味颗粒 穴位敷贴 术后镇痛 炎症因子 [ |
| 英文关键词:vinegar yanhusuo granule duyiwei granule acupoint application postoperative analgesia inflammatory factor |
| 基金项目:眉山市人民医院学术发展项目(kjzd202126) |
|
| 摘要点击次数: 192 |
| 全文下载次数: 129 |
| 中文摘要: |
| 目的观察醋延胡索、独一味颗粒联合穴位敷贴在肛肠疾病术后镇痛中的应用效果。 方法将本院收治的180例肛肠手术患者随机均分为对照组、西药组、穴位敷贴组。对照组术后未予以镇痛药物,西药组术后予以盐酸曲马多片口服,穴位敷贴组术后予以醋延胡索与独一味颗粒穴位敷贴治疗。比较各组患者术后疼痛消失时间、水肿消失时间、创面愈合时间及不同时间点的疼痛数字量化评分(NRS)、炎症因子水平。比较西药组和穴位敷贴组不良反应发生情况。 结果穴位敷贴组、西药组术后疼痛消失时间、水肿消失时间、创面愈合时间均短于对照组(P＜0.05)。西药组、穴位敷贴组术后第1、2、3、5天的NRS评分均低于手术当日(术后6 h),且均低于对照组(P＜0.05)。术后第5天各组患者血清缓激肽、前列腺素E2水平均低于术后6 h,且西药组、穴位敷贴组低于对照组(P＜0.05)。穴位敷贴组不良反应总发生率为1.67%,明显低于西药组11.67%(P＜0.05)。 结论醋延胡索颗粒、独一味颗粒联合穴位敷贴与西药具有相似的术后镇痛效果,且不良反应更少,值得临床推广应用。 |
| 英文摘要: |
| AimTo observe the effects of vinegar yanhusuo granule and duyiwei granule combined with acupoint application in postoperative analgesia of hepatointestinal diseases. MethodsA total of 180 patients with anorectal surgery admitted to our hospital were randomly divided into control group, western medicine group and acupoint application group. The control group was given no analgesic drugs after surgery, the western medicine group was given tramadol tablets orally after surgery, and the acupoint application group was given vinegar yanhusuo granule and duyiwei granule after surgery. Postoperative pain disappearance time, edema disappearance time, wound healing time, pain numerical rating score (NRS) at different time points and inflammatory factor levels were compared in each group. The occurrence of adverse reactions was compared between the western medicine group and the acupoint application group. ResultsThe pain disappearance time, edema disappearance time and wound healing time of acupoint application group and western medicine group were shorter than those of control group (P＜0.05). NRS scores of the western medicine group and the acupoint application group on the 1st, 2nd, 3rd, and 5th day after surgery were lower than those of the surgery day (6 h after surgery), and the scores were lower than those of the control group (P＜0.05). Serum bradykinin and prostaglandin E2 levels in three groups at day 5 after surgery were lower than those on the operation day 6 h after surgery, and western medicine group and application group were lower than those of the control group (P＜0.05). The total incidence of adverse reactions in the acupoint application group was 1.67%, which was significantly lower than that in western medicine group (11.67%) (P＜0.05). ConclusionVinegar yanhusuo granule and duyiwei granule combined with acupoint application have similar postoperative analgesic effects as western medicine but with less adverse reactions, which is worthy of clinical application. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|