浮针疗法对混合痔PPH术后肛门坠胀的临床观察

摘要/Abstract

摘要： 目的分析浮针疗法对混合痔吻合器痔上黏膜环形切除术（PPH）术后肛门坠胀的临床疗效。方法选择2021年1月—2022年12月在泰安市中医医院行混合痔PPH术后发生肛门坠胀的患者90例,将其采用随机数表法分为对照组与研究组,各45例。对照组术后仅接受常规基础治疗,研究组术后则在接受常规基础治疗的同时开展浮针治疗,对两组的临床疗效、肛门坠胀程度、坠胀时间评分、排便情况、水肿程度进行分析比较。结果研究组的总有效率显著高于对照组（P<0.05）。相比于治疗前,两组治疗后12 d的肛门坠胀程度、坠胀时间评分均显著降低（P<0.05）;而且研究组治疗后12 d的肛门坠胀程度、坠胀时间评分降低幅度更加显著（P<0.05）。相比于治疗前,两组治疗后12 d的排便情况、水肿程度评分均显著降低（P<0.05）;而且研究组治疗后12 d的排便情况、水肿程度评分降低幅度更加显著（P<0.05）。结论在治疗混合痔PPH术后肛门坠胀时,采用浮针疗法治疗能取得显著疗效,不但能有效缓解肛门坠胀感,坠胀时间明显缩短,而且还能改善排便和水肿,值得应用。

关键词: 浮针疗法, 混合痔, 吻合器痔上黏膜环形切除术, 肛门坠胀

Abstract: Objective To analyze the clinical efficacy of floating needle therapy in treating anal prolapse after mixed hemorrhoid stapler hemorrhoid mucosal circular resection (PPH). Methods A total of 90 patients with anal collapsion after mixed hemorrhoids PPH in the proctology department of Tai 'an Hospital of Traditional Chinese Medicine from January 2021 to December 2022 were selected and divided into two groups by random number table method, 45 cases in control group and 45 cases in study group. The control group only received conventional basic treatment after surgery, while the study group received conventional basic treatment after surgery at the same time, floating needle treatment was carried out, and the clinical efficacy, anal distension degree, distension time score, defecation situation, edema degree of the two groups were analyzed and compared. Results The total effective rate of the study group was significantly higher than that of the control group (P<0.05). Compared with before treatment, the degree and duration of anal distension in both groups were significantly reduced 12 days after treatment (P<0.05); moreover, the study group showed a more significant decrease in the degree and duration of anal distension 12 days after treatment (P<0.05). Compared to before treatment, the defecation and edema scores of both groups were significantly reduced 12 days after treatment (P<0.05); moreover, the study group showed a more significant decrease in bowel movements and edema scores 12 days after treatment (P<0.05). Conclusion When treating anal prolapse and swelling after mixed hemorrhoids PPH surgery, floating needle therapy can achieve significant therapeutic effects. It not only effectively alleviates the sensation of anal prolapse and swelling, significantly shortens the time of prolapse and swelling, but also improves defecation and edema, which is worth application.

Key words: floating needle therapy, mixed hemorrhoids, circumferential resection of hemorrhoid mucosa with stapler, anal distension

中图分类号:

R743.3

孙彬彬. 浮针疗法对混合痔PPH术后肛门坠胀的临床观察[J]. 中华养生保健, 2023, 41(22): 15-17.

SUN Bin-bin. Clinical Observation on Floating Needle Therapy for Anal Prolapse and Distension after Mixed Hemorrhoid Pph Surgery[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(22): 15-17.

参考文献

[1] 彭阁. 补中益气汤联合PPH术治疗直肠黏膜内脱导致肛门坠胀的临床观察[J].中国中医药现代远程教育,2022,20(21):126-128.
[2] 刘好. 综合护理干预在直肠黏膜内脱垂PPH术后肛门坠胀中的实施效果[J].黑龙江中医药,2021,50(1):262-263.
[3] 王宜慧. 止痛如神汤加减配合穴位注射治疗混合痔术后肛门坠胀的临床效果[J].临床合理用药杂志,2022,15(20):138-141.
[4] 陈浩,周星鑫,陈丙学,等.浮针疗法运用于痔术后镇痛的多中心临床观察[J].亚太传统医药,2021,17(1):70-72.
[5] 混合痔的诊断依据、证候分类、疗效评定——中华人民共和国中医药行业标准《中医内科病证诊断疗效标准》(ZY/T001.1-94)[J].辽宁中医药大学学报,2017,19(5):216.
[6] 国家中医药管理局.中医病症诊断疗效标准[M].南京:南京大学出版社,1994:39-40.
[7] 刘剑刚. 益气升提汤治疗重度混合痔术后肛门坠胀临床观察[J].中国中医药现代远程教育,2019,17(24):49-51.
[8] 陈煌辉,王星.腕踝针对吻合器痔上黏膜环切术后尿潴留、肛门部疼痛和坠胀感的影响[J].中医外治杂志,2022,31(4):100-102.
[9] 宋美华,童笑笑.艾灸治疗吻合器痔上黏膜环切术后肛门坠胀患者30例[J].浙江中医杂志,2020,55(11):832.
[10] 胡志武. 甲硝唑联合地塞米松保留灌肠治疗痔上黏膜环切术后肛门坠胀效果[J].上海医药,2020,41(12):28-29,44.
[11] 窦锡彬,许靖,邱石源,等.浮针疗法治疗慢性功能性便秘的机理与临床研究进展[J].广西中医药,2019,42(1):51-54.
[12] 王小亮,杨夏勇,董四海,等.浮针联合中药熏洗对痔疮术后患者疼痛、创面愈合、生活质量及血清β-EP、VEGF水平的影响[J].上海针灸杂志,2023,42(7):737-742.
[13] 孙一涵,庄礼兴,贺君,等.浮针疗法治疗混合痔术后疼痛临床研究[J].辽宁中医药大学学报,2018,20(1):103-105.
[14] 李敏,李忠信,杨会举.复方黄柏液联合利多卡因注射液保留灌肠缓解内痔套扎术后肛门坠胀不适临床观察[J].实用中医药杂志,2021,37(6):984-985.
[15] 邱亿明,王泽宇,帅艳常.浮针疗法结合隔药灸脐治疗腹泻型肠易激综合征及对患者胃肠激素水平和菌群结构的影响[J].陕西中医,2023,44(2):250-254.