中医特色疗法预防腰俞穴麻醉肛肠术后并发症临床研究
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R248.2

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Clinical Study on Characteristic Therapy of Chinese Medicine in the Prevention for Postoperative Complications of Anorectal Surgery with Lumbar Point Anesthesia
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    摘要:

    目的:观察中医特色疗法预防腰俞穴麻醉肛肠术后并发症的临床效果。方法:选取132 例拟行腰俞穴麻醉肛肠术患者进行前瞻性队列研究,随机分为对照组与观察组各66 例。对照组给予围手术期常规治疗,观察组在对照组基础上加用中医特色疗法(耳穴埋豆+艾灸+中药熏洗) 治疗。比较2 组临床疗效及治疗前后的术后并发症评分,记录2 组临床症状消失时间、住院时间,评价2 组患者的满意度。结果:观察组临床总有效率96.97%,显著高于对照组86.36% (P<0.05)。与同组治疗前比较,治疗后2 组伤口疼痛、伤口水肿、伤口出血、肛门坠胀感、肛门潮湿感评分及总评分均降低(P<0.05);与对照组治疗后比较,观察组以上各评分均较低(P<0.05)。与对照组治疗后比较,观察组治疗后水肿消退时间、疼痛消失时间、创口愈合时间、渗出物消失时间及住院时间均缩短(P<0.05)。观察组治疗满意度评分显著高于对照组(P<0.05)。结论:中医特色疗法能有效预防腰俞穴麻醉肛肠术后并发症,促进患者相关症状快速恢复,提早出院,提高患者的满意度,临床疗效确切。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the characteristic therapy of Chinese medicine on the prevention of postoperative complications of anorectal surgery with lumbar point anesthesia. Methods: A total of 132 patients who had undergone anorectal surgery with lumbar point anesthesia were selected to conduct a prospective cohort study,and were randomly divided into the control group and the observation group,with 66 cases in each group. The control group was given routine treatment of perioperative period, and the observation group was additionally treated with characteristic therapy of Chinese medicine including auricular point pressing with beans, moxibustion and Chinese herbal fumigation and washing based on the treatment of the control group. The scores of postoperative complications before and after treatment and clinical effects in the two groups were compared. The disappearance time of clinical symptoms and hospitalization time in the two groups were recorded,and the satisfaction was evaluated. Results:The total effective rate was 96.97% in the observation group,significantly higher than that of 86.36% in the control group(P<0.05). The scores of pain in wound,wound edema, wound bleeding,anal bulge and anal wetness and total scores in the two groups were decreased when compared with those after treatment(P<0.05); the above scores in the observation group were lower than those in the control group(P<0.05). After treatment, the disappearance time of edema and pain and time of wound healing, exudation disappearance and hospital stay in the observation group were shorter than that in the control group(P<0.05). The score of treatment satisfaction in the observation group was significantly higher than that in the control group(P<0.05). Conclusion: The characteristic therapy of Chinese medicine can effectively prevent the postoperative complications of anorectal surgery with lumbar point anesthesia, promote the recovery of related symptoms in patients, facilitate the discharge and improve the satisfaction, with a definite clinical effect.

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毛伟伟,魏天恩.中医特色疗法预防腰俞穴麻醉肛肠术后并发症临床研究[J].新中医,2021,53(23):175-178

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  • 在线发布日期: 2021-12-10
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