Lü Jian-Qin, Wu Jing, Yang Chun-Mei, Liu Hong, Li Ning
Zhongguo Zhen Jiu. 2014 Jan;34(1):15-9.
To evaluate the therapeutic effect on pain in the dressing change after perianal abscess surgery treated with warm suspending moxibustion at Changqiang (GV 1).
One hundred and sixty patients were randomized into a moxibustion group and a far-infrared therapy group, 80 cases in each one. In the moxibustion group, the warm suspending moxibustion at Changqiang (GV 1) was applied. In the far-infrared therapy group, the infrared ray was radiated at Changqiang (GV 1). The treatment started in 10 min after dressing change in the two groups. Totally, 8 treatments were required. The time requirement being equal to or less than 2 score in the assessment face scale (AFS), the case number of pain relief in 10 min after treatment and the intention of the two therapies after everyday dressing change were observed in the patients of the two groups.
In the moxibustion group, the time of pain relief was shorter than that of the far-infrared therapy group [(11.5 +/- 3.9) min vs (17.8 +/- 3.8) min on the 1st day; (9.4 +/- 3.6) min vs (15.2 +/- 4.3) min on the 2nd day; (7.8 +/- 2.7) min vs (14.3 +/- 3.2) min on the 3rd day; (6.4 +/- 3.3) min vs (10.5 +/- 2.9) min on the 4th day; (5.9 +/- 2.9) min vs (11.2 +/- 1.9) min on the 5th day; (5.3 +/- 2.2) min vs (8.8 +/- 2.3) min on the 6th day; (5.4 +/- 1.8) min vs (9.2 +/- 2.1) min on the 7th day; (5.1 +/- 1.4) min vs (9.5 +/- 2.6) min on the 8th day, all P < 0.05]. The case numbers of pain relief in 10 min after treatment were 74 cases, 75 cases, 77 cases and 78 cases from the 1st to the 4th day separately in the moxibustion group, which were much more than 63 cases, 65 cases, 68 cases and 69 cases in the far-infrared therapy group (all P < 0.05). The treatment intention scores in the moxibustion group were better than those in the far-infrared therapy group (all P < 0.05).
The warm suspending moxibustion at Changqiang (GV 1) relieves pain rapidly in the dressing change of much more patients after perianal abscess surgery in much shorter time as compared with the far-infrared therapy. Moreover, the patients have more expectation to be treated with moxibustion therapy.
评价长强穴（GV 1）温和悬灸治疗肛周脓肿术后换药疼痛的疗效。
将160例患者随机分为艾灸组和远红外治疗组，每组80例。艾灸组采用长强穴（GV 1）温和悬灸；远红外治疗组采用长强穴（GV 1）远红外线照射。两组均在换药后10分钟开始治疗，共治疗8次。观察两组患者治疗后10分钟内疼痛缓解时间要求等于或小于2分的病例数、每天换药后两种疗法的治疗意愿。
艾灸组疼痛缓解时间短于远红外治疗组[第1天：（11.5±3.9）分钟对（17.8±3.8）分钟；第2天：（9.4±3.6）分钟对（15.2±4.3）分钟；第3天：（7.8±2.7）分钟对（14.3±3.2）分钟；第4天：（6.4±3.3）分钟对（10.5±2.9）分钟；第5天：（5.9±2.9）分钟对（11.2±1.9）分钟；第6天：（5.3±2.2）分钟对（8.8±2.3）分钟；第7天：（5.4±1.8）分钟对（9.2±2.1）分钟；第8天：（5.1±1.4）分钟对（9.5±2.6）分钟，均P<0.05]。艾灸组治疗后10分钟内疼痛缓解病例数第1天至第4天分别为74例、75例、77例、78例，远红外治疗组分别为63例、65例、68例、69例，远红外治疗组均明显多于艾灸组（均P<0.05）。艾灸组治疗意愿评分优于远红外治疗组（均P<0.05）。
与远红外治疗相比，长强穴（GV 1）温和悬灸能在更短时间内使更多肛周脓肿术后换药患者快速缓解疼痛，且患者对艾灸疗法的治疗期望更高。
