穴位按摩联合艾灸在混合痔术后疼痛护理中应用研究

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1、穴位按摩联合艾灸在混合痔术后疼痛护理中应用研究刘静（商丘市第一人民医院中医外科河南商丘476100）【摘要】目的：研究穴位按摩联合艾灸对治疗混合痔术后疼痛的临床效果。方法：选取我院40例混合痔患者，随机分为治疗组和对照组，各20例。对照组患者在术前给予健康知识指导，术后按常规给药和护理；治疗组患者在此基础上釆用穴位按摩联合艾灸的综合护理方法。观察两组患者术后24h和72h的疼痛情况及不良反应。结果：两组患者术后24h、72h的疼痛程度相比，无明显差异（P〉0.05）;治疗组患者术后24h和72h的疼痛指数均低于对照组，差异有统计学意义（P<0.0

2、5）；对照组有2例患者出现恶心呕吐，治疗组无明显不良反应。结论：穴位按摩联合艾灸对缓解患者混合痔术后疼痛效果明显，且无明显不良反应，可显著促进患者的创面愈合及康复，提高生活质量。【关键词】穴位按摩；艾灸；混合痔；疼痛【中图分类号】R2【文献标号】A【文章编号】2095-9753（2016）4-0031-02StudyontheapplicationofacupuncturepointmassagecombinedwithMoxibustioninthetreatmentofpostoperativepainofmixedhemorrhoidsLi

3、uJing（DepartmentoftraditionalChinesemedicine,ShangqiuFirstPeople’sHospital,Shangqiu,Henan476100）[Abstract]Objective:TostudytheclinicaleffectofacupuncturepointmassagecombinedwithMoxibustiononthetreatmentofpostoperativepainofmixedhemorrhoids.Methods:40casesofmixedhemorrhoidsino

4、urhospitalwererandomlydividedintotreatmentgroupandcontrolgroup,20casesineachgroup.Patientsinthecontrolgroupweregivenhealthknowledgeinstructionbeforeoperation,accordingtotheroutinemedicationandnursing.Thetreatmentgroupweretreatedwithacupuncturepointmassagecombinedwithmoxibusti

5、on.Thepainandadversereactionsof24hand72hwereobservedintwogroupsafteroperation.Results:comparedtwogroupsofpatientswithpostoperative24h,72hafterthedegreeofpain,nosignificantdifference(P>0.05);treatmentgrouppatientsafter24hand72hpainindexwerelowerthanthecontrolgroup,thediffer

6、enceisstatisticallysignificant(P<0.05).Inthecontrolgroup,2casesofpatientswithnauseaandvomitingandnoobviousadversereactionintreatmentgroup.Conclusion:acupuncturepointmassagecombinedwithMoxibustiononpostoperativepaininpatientswithmixedhemorrhoidsisobvious,andnosignificantadv

7、ersereactions,cansignificantlypromotethewoundhealingandrehabilitationofpatients,improvethequalityoflife.Keywordspointmassage;moxibustion;mixedhemorrhoids;pain在临床中混合痔是一种常见病和多发病，且发病不分性别，随着年龄越大,患病率越高。临床上治疗混合痔多以手术为主，但手术创伤大及患者术后出血和水肿较多，不仅会加重患者的疼痛，还会延长伤口的愈合时间［1】，从而患者易出现焦虑、紧张等不安情绪。0

8、前针对患者的疼痛多用止疼药(氨酚羟考酮片)或镇痛泵等方法止疼，奋一定的副作用，如肝肾功能损伤、成瘾等不良反应［2-3］。我院现对使用穴位