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揿针联合神阙穴敷贴在混合痔术后腹胀便秘防治中的应用
The Application of Pressing Acupuncture Combined with Sticking & Dressing on Shenque Point in the Prevention and Treatment of Abdominal Distension and Constipation after Mixed Hemorrhoids

DOI: 10.12677/NS.2024.131015, PP. 93-98

Keywords: 揿针,神阙穴敷贴,混合痔,腹胀,便秘
Pressing Acupuncture
, Sticking & Dressing on Shenque Point, Mixed Hemorrhoids, Abdominal Distension, Constipation

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Abstract:

目的:探讨揿针联合神阙穴敷贴在混合痔术后腹胀便秘中的防治效果。方法:回顾性分析2022年6月~2023年7月诊断为混合痔并行手术治疗患者的临床资料。按治疗方式不同分为对照组和治疗组。对照组行常规治疗,治疗组在对照组基础上予以揿针联合神阙穴敷贴治疗。对比术后两组患者腹胀和便秘情况、治疗7d临床疗效。结果:治疗组术后首次排气时间(21.57 ± 10.67) h、首次排便时间(31.10 ± 18.01) h,均较对照组的(30.60 ± 19.46) h、(46.77 ± 20.06) h短,且治疗组腹胀和便秘显效率均更高(P < 0.05);治疗7 d后,治疗组总有效率更高(P < 0.05)。结论:揿针联合神阙穴敷贴有助于改善混合痔患者术后腹胀和便秘情况,提高临床疗效。
Objective: To investigate the effect of pressing acupuncture combined with Sticking & Dressing on Shenque Point in preventing and treating postoperative abdominal distension and constipation of mixed hemorrhoids. Methods: A retrospective analysis was performed for the clinical data of patients diagnosed with mixed hemorrhoids and undergoing surgery from June 2022 to July 2023. According to different treatment methods, they were divided into control group and treatment group. The control group was treated with conventional treatment, and the treatment group was treated with pressing acupuncture combined with Sticking& Dressing on Shenque Point on the basis of the control group. The abdominal distension and constipation of the two groups were compared after surgery, and the clinical efficacy of 7 days of treatment was compared. Results: The time of first exhaust (21.57 ± 10.67) h and the time of first defecation (31.10 ± 18.01) h in the treatment group were shorter than those in the control group (30.60 ± 19.46) h and (46.77 ± 20.06) h, and the abdominal distension and constipation efficiency in the treatment group were higher (P < 0.05); After 7 days of treatment, the total effective rate in the treatment group was higher (P < 0.05). Conclusion: Pressing acupuncture combined with Sticking & Dressing on Shenque Point is helpful for improve postoperative abdominal distension and constipation in patients with mixed hemorrhoids, and enhance the clinical efficacy.

References

[1]  Sheikh, P., Regnier, C., Goron, F. and Salmat, G. (2020) The Prevalence, Characteristics and Treatment of Hemorrhoidal Disease: Results of an International Web-Based Survey. Journal of Comparative Effectiveness Research, 9, 1219-1232.
https://doi.org/10.2217/cer-2020-0159
[2]  Sha, Q., Cheng, M., Zhou, F., Wang, Y., Zhao, D., Huang, Y. and Fang, W. (2022) Effects of Huhuang Burn Liniment on Wound Healing and Changes in IL-10 and MMP-9 Levels in Pa-tients with Mixed Hemorrhoids. American Journal of Translational Research, 14, 7434-7442.
[3]  陈玉燕, 蔡丽群. 穴位贴敷联合耳穴贴压对混合痔术后疼痛的影响[J]. 上海针灸杂志, 2023, 42(8): 848-853.
[4]  朱丽娟, 姜东萍. 理气通便汤治疗混合痔术后气滞型便秘患者的临床疗效分析[J]. 现代诊断与治疗, 2021, 32(17): 2701-2702.
[5]  向世力, 路永超, 詹林浩. 龙槐止血汤联合咖啡酸片治疗湿热下注型混合痔术后并发症临床研究[J]. 山东中医杂志, 2023, 42(11): 1171-1175, 1202.
[6]  Ye, S., Zhou, J., Guo, X. and Jiang, X. (2022) Three Acupuncture Methods for Postoperative Pain in Mixed Hemorrhoids: A Systematic Review and Network Meta-Analysis. Computational and Mathematical Methods in Medicine, 2022, Article ID: 5627550.
https://doi.org/10.1155/2022/5627550
[7]  季成春, 田振国. 止痛润肠浓煎饮防治混合痔术后便秘实验研究[J]. 中华中医药杂志, 2018, 33(2): 766-769.
[8]  黄丽娟, 任伟涛, 蓝宗毅, 等. 理气通便汤治疗混合痔术后气滞型便秘的临床效果探讨[J]. 中外医疗, 2023, 42(11): 43-46.
[9]  石杰, 张博. 四磨汤口服液联合莫沙必利治疗混合痔术后便秘临床观察[J]. 实用中医药杂志, 2023, 39(3): 528-530.
[10]  徐燕琴. 新加黄龙汤加减方联合穴位贴敷治疗混合痔术后排便困难(气阴两虚型)的临床疗效观察[D]: [硕士学位论文]. 南昌: 江西中医药大学, 2023.
[11]  冯秀永, 桂平, 林佳, 等. 腹针结合中药穴位贴敷治疗混合痔术后便秘临床观察[J]. 内蒙古中医药, 2023, 42(1): 108-110.
[12]  杨洁, 薛宇彤, 苏小清. 穴位贴敷神阙穴联合盒灸防治痔术后腹胀临床疗效观察[J]. 医药前沿, 2018, 8(3): 354.
[13]  荆淑红, 程苏圣, 王艳芳. 中药穴位贴敷联合穴位按摩防治混合痔术后腹胀便秘的效果观察[J]. 中国肛肠病杂志, 2022, 42(7): 27-29.
[14]  彭雅洁. 中药封包联合艾灸对改善肝肾亏虚型腰椎压缩性骨折患者腹胀便秘的效果研究[J]. 临床医药实践, 2022, 31(8): 615-618.
[15]  世界中医药学会联合会肛肠病专业委员会. 痔的围手术期管理专家共识[J]. 中国微创外科杂志, 2023, 23(6): 401-408.
[16]  瞿胤, 郑徳, 杨巍, 等. 黄杏润肠片防治环状混合痔术后便秘的临床观察[J]. 中成药, 2016, 38(6): 1429-1432.
[17]  张惠珍, 吴冬梅, 刘珠, 等. 中药穴位贴敷预防及缓解痔病术后便秘疗效观察[J]. 护理研究, 2018, 32(18): 2895-2897.
[18]  羊琪琪, 张静, 胡瑛君, 等. 实秘方治疗伴有便秘的混合痔围手术期患者的疗效及对血清MTL、VIP、SP的影响[J]. 上海中医药大学学报, 2023, 37(3): 35-41.
[19]  郭祥祥, 王建民. 新加黄龙汤加减联合掀针治疗混合痔术后便秘阴虚肠燥证30例临床观察[J]. 甘肃中医药大学学报, 2023, 40(4): 64-68.
[20]  杨勤, 徐芳. 揿针联合热敏灸在肛肠手术患者中的应用效果[J]. 护理实践与研究, 2021, 18(15): 2348-2350.
[21]  刘婷婷, 陈少宗, 赵香顺, 等. 电针天枢、上巨虚对肠易激综合征大鼠模型结肠功能的影响[J]. 针灸临床杂志, 2023, 39(11): 61-65.
[22]  秦昭群, 邹国军. 清肠汤治疗混合痔术后便秘(肠道实热证)的效果观察[J]. 医学理论与实践, 2023, 36(5): 779-781.
[23]  张志刚, 王雨来, 孔赛. 四磨润肠方联合穴位贴敷治疗混合痔术后气滞型便秘临床观察[J]. 中国药业, 2023, 32(4): 91-94.
[24]  艾世鹏, 王胜文. 大承气汤联合乳果糖治疗混合痔术后便秘临床观察[J]. 实用中医药杂志, 2022, 38(6): 961-963.
[25]  汪树兴. 大黄粉神阙穴贴敷防治混合痔术后便秘的疗效观察[D]: [硕士学位论文]. 乌鲁木齐: 新疆医科大学, 2022.
[26]  周茜. 卯时神阙穴敷贴防治混合痔术后便秘的效果观察[D]: [硕士学位论文]. 哈尔滨: 黑龙江中医药大学, 2019.
[27]  冷羽, 陈秀琴, 曹波, 等. 加味黄龙膏贴联合首荟通便胶囊在老年功能性便秘中的临床应用[J]. 全科护理, 2023, 21(35): 4984-4987.

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