Song Yang-Yang, Ni Guang-Xia
the Second Clinical Medical College, Nanjing University of CM, Nanjing 210029, Jiangsu Province, China.
Zhongguo Zhen Jiu. 2019 Mar 12;39(3):253-6. doi: 10.13703/j.0255-2930.2019.03.008.
To explore effective treatments that can alleviate postoperative complications in patients with procedure for prolapsed and hemorrhoids (PPH).
Sixty patients with pre-mixed hemorrhoids PPH were randomly divided into a simple operation group and a preoperative electroacupuncture intervention group, 30 cases in each group. PPH routine treatment was given in the simple operation group. Electroacupuncture (EA) was applied at point 30 min before PPH in the preoperative electroacupuncture intervention group, and EA was applied at Ciliao (BL 32) and Xialiao (BL 34) for 30 min. The scores of anus pendant, pain degree and persistent time and first urination time were compared within 24 h after operation between the two groups.
The scores of anal pendant and pain degree in the 6 h, 12 h, 18 h, the persistent time of anal pendant and pain degree within 24 h and first urination time were better in the preoperative electroacupuncture intervention group than those in the simple operation group, and there were statistically significant differences (all <0.05).
Electroacupuncture at point 30 min before PPH can not only decrease the degrees of anal pendant and pain in the 6 h, 12 h, 18 h, but also shorten the persistent time of anal pendant and pain within 24 h after surgery and promote the first urination.
探讨能减轻吻合器痔上黏膜环切术（PPH）患者术后并发症的有效治疗方法。
将60例混合痔行PPH的患者随机分为单纯手术组和术前电针干预组，每组30例。单纯手术组给予PPH常规治疗。术前电针干预组在PPH术前30分钟针刺穴位，针刺次髎（BL 32）和下髎（BL 34）30分钟。比较两组术后24小时内的肛门坠胀评分、疼痛程度及持续时间和首次排尿时间。
术前电针干预组术后6小时、12小时、18小时的肛门坠胀和疼痛程度评分，24小时内肛门坠胀和疼痛的持续时间及首次排尿时间均优于单纯手术组，差异有统计学意义（均P<0.05）。
PPH术前30分钟针刺穴位不仅能减轻术后6小时、12小时、18小时的肛门坠胀和疼痛程度，还能缩短术后24小时内肛门坠胀和疼痛的持续时间，并促进首次排尿。
