| Objectives The trial is performed to explore the feasibility of “dragon-tiger fighting”needling method for postoperative analgesia of mixed hemorrhoids with damp-heat injection,and to provide an optional treatment plan for postoperative analgesia of mixed hemorrhoids.Methods A total of 60 cases of mixed hemorrhoid patients with damp-heat injection type who met the inclusion criteria from January to October 2021 in the Anorectal Department of Tangshan Hospital of Traditional Chinese Medicine were selected.The patients were divided into 2 groups randomly,30 cases in each group.On the basis of routine postoperative treatment,the patients in the treatment group were given “dragontiger fighting” needling method,and the control group was given ordinary acupuncture.Six hours after the operation,the patients in both groups were treated for the first time,and then treated every morning before the routine dressing change after anorectal surgery,for a total of 14 days(one course of treatment).The onset time of analgesia after the first treatment,the VAS score before and after treatment,the pain duration score(T24)within24 hours after treatment,the score of limb activity,the score of incision healing after 14 days,and the analgesia at various time points were observed in the two groups of patients.The per capita use of drugs and the scores of various safety indicators before and after hospitalization were compared to discuss the analgesic effect of different acupuncture manipulations on postoperative mixed hemorrhoids and the feasibility of clinical application of the “dragon-tiger fighting” needling method.Results A total of 60 cases were included in this trial.One patient in each of the treatment group and the control group was dropped out due to unbearable pain and took other treatment options other than this trial.In the end,a total of 58 subjects completed the trial,with 29 cases in each group.1 There was no significant difference in gender,age,disease course,internal hemorrhoid stage,external hemorrhoid concomitant,and postoperative incision number between the two groups(P>0.05).2 There was a statistically significant difference in the analgesia onset time score after the first treatment between the two groups(P<0.05).3 There were significant differences in VAS scores between the two groups at 30 min,60min,and 120 min after the first treatment(P<0.05),and there was no statistical significance at pretherapy,240 min and 360min(P>0.05).The analgesic effect reached the maximum at 120 min in both groups,and the treatment group was better than the control group.4 There was a statistically significant difference in the VAS scores at rest on the 1st,2nd,3rd,5th,and 7th days between the two groups(P<0.05),but there was no statistical significance on the 10 th and 14 th days(P>0.05).5There were significant differences in the VAS scores after defecation between the two groups on the 3rd,5th,and 7th days after operation(P<0.05).6 The pain duration scores within 24 h were significantly different on the 2nd,3rd,5th,and 7th days after operation,(P<0.05).7 There were significant differences in limb activity between the two groups on the 2nd,3rd,5th,and 7th days after surgery(P<0.05).8 The per capita usage of analgesics in the two groups was statistically significant on the 1st,2nd,3rd,5th days after the operation(P<0.05).The patients in the treatment group did not use analgesics on the 10 th and 14 th days after the operation,on the 14 th day,patients in the control group did not use analgesics,there were no patients using intramuscular painkillers in either group.9 There was no significant difference in incision healing and safety indicators between the two groups(P>0.05).10 The total effective rate of the treatment group was96.55%,and the total effective rate of the control group was 89.66%.Conclusions 1 Both acupuncture manipulations have a certain analgesic effect on postoperative pain of mixed hemorrhoids with damp-heat injection.2 The “dragon-tiger fighting” needling method can significantly advance the onset time of analgesia after mixed hemorrhoids,shorten the duration of postoperative pain,and reduce the patients’ dependence on painkillers after surgery.3 The “dragon-tiger fighting” needling method can largely relieve postoperative pain at rest and after defecation in patients with mixed hemorrhoids.4 The “dragon-tiger fighting” needling method has a certain effect on promoting the limb movement caused by postoperative pain in patients with mixed hemorrhoids.5 The “dragon-tiger fighting” needling method has no obvious adverse acupuncture reactions,few side effects and obvious effect,which is suitable for clinical promotion and use.Figure 5;Table 19;Reference 125... |
PDF Full Text Request