[1] ZHANG Li ZHANG Chaoyang LIU Fei SUN Dan YANG Rui CAO Danfeng,.Clinical Study on Treatment of Postoperative Pain in Anorectal Diseases with Electroacupuncture Combined with Red Light Therapy [J]. Modern Traditional Chinese Medicine, 2023, (04): 55-59. [doi: 10.13424/j.cnki.mtcm.2023.04.011]
Clinical Study on Treatment of Postoperative Pain in Anorectal Diseases with Electroacupuncture Combined with Red Light Therapy
- Article number:
- 1672-0571(2023)04-0055-05
- ZTFLH:
- R245.31+9
- Code:
- A
- Abstract:
- Abstract：Objective To observe the application effect of electroacupuncture combined with red light therapy on postoperative pain in patients with anorectal diseases.Methods 80 postoperative pain patients with anal and intestinal diseases admitted to our hospital from June 2020 to October 2021 were randomly divided into a control group and a treatment group,with 40 patients in each group.The control group received routine treatment and nursing care,while the treatment group received additional electroacupuncture and red light therapy on the basis of the control group.The pain visual analogue scale (VAS),pittsburgh sleep quality index (PSQI),self rating anxiety scale (SAS),and self rating depression scale (SDS) were used to score.The postoperative pain degree,sleep quality,and emotional state of the two groups were compared,and the clinical efficacy was evaluated.Results The VAS scores of the two groups of patients gradually decreased at 6 h,12 h,and 36 h after surgery,and the treatment group was better than the control group (P<0.05);After treatment,the PSQI,SAS,and SDS scores of both groups of patients improved significantly,and the improvement in the treatment group was better than that in the control group (P<0.05);After treatment,the total effective rate of the treatment group was 87.50%,significantly better than the control group of 66.67% (P<0.05).Conclusion The combination of electroacupuncture and red light therapy can significantly alleviate postoperative pain in patients with anorectal diseases,improve their sleep quality and emotional state,and is worthy of clinical promotion and application.
References:
[1]肖娜，赵晓文，江雪霞.系统化护理在肛肠疾病手术患者中的应用效果[J].中国肛肠病杂志，2019，39(5)：70-72.
[2]梁彪，高家治，施展.肛肠疾病术后并发症的预后因素研究进展[J].亚太传统医药，2022，18(9)：191-196.
[3]侯建花.综合护理干预对老年肛肠疾病术后便秘的防治作用[J].河北北方学院学报(自然科学版)，2018，34(8)：32-33.
[4]李会利，任小妮.综合护理干预对肛肠疾病患者术后疼痛及睡眠质量的改善效果[J].临床医学研究与实践，2020，5(24)：184-186.
[5]方剑乔.针刺镇痛-全景式的多维度疼痛调控方案[J].针刺研究，2018，43(8)：459-466.
[6]杨建华，王晓鹏，文科，等.中药熏洗联合窄谱红光照射促进肛周脓肿术后创面愈合的临床观察[J].吉林中医药，2021，41(2)：213-216.
[7]曾惠林.浮针疗法在治疗肛肠疾病术后疼痛的临床疗效研究[D].南充：川北医学院，2019.
[8]赵学尧，刘孟宇，韩学杰，等.《中医肛肠科常见病诊疗指南》临床应用评价研究[J].中国中药杂志，2017，42(17)：3252-3256.
[9]朱英杰，金珠，黄丽，等.电针治疗混合痔外剥内扎术后疼痛的临床研究[J].现代中西医结合杂志，2021，30(27)：2987-2990，2995.
[10]冯吉杰，王珂，张雪慧，等.不同强度经皮穴位电刺激对胸腔镜术后镇痛疗效的影响[J].上海中医药大学学报，2019，33(2)：50-54.
[11]崔一之.电针治疗混合痔术后疼痛疗效观察[D].哈尔滨：黑龙江中医药大学，2020.
[12]汉晓云，卢跃，焦浩，等.电针足三里对混合痔术后疼痛和炎症应激反应的影响[J].上海针灸杂志，2021，40(12)：1418-1423.
[13]端木程琳.激活穴区不同层次神经传入的镇痛机制[D].北京：中国中医科学院，2021.
[14]李正宗，祝颂.经皮穴位电刺激治疗肛肠疾病的临床研究进展[J].中国中医急症，2020，29(3)：562-564.
[15]宋金玲.电针介导下MAPK信号通路参与镇痛作用机制研究进展[J].右江民族医学院学报，2021，43(3)：412-414.
[16]龙庆，李艳，李俊，等.不同频率电针预处理对混合痔外剥内扎术后肛门疼痛的影响[J].中国针灸，2019，39(5)：477-481.
[17]高爱红.不同频率电针预处理对混合痔外剥内扎术后肛门疼痛的影响[J].基层医学论坛，2021，25(9)：1271-1273.
[18]付宏伟，阎丽娟，刘阳阳，等.不同电针刺激参数对镇痛效应影响的研究概述[J].上海针灸杂志，2018，37(11)：1331-1335.
[19]权哲，殷芳，张蓓蓓，等.红光联合药物治疗创伤后湿疹28例临床观察[J].中国皮肤性病学杂志，2017，31(6)：627-629.
[20]中国老年医学学会烧创伤分会.急慢性创面的光照治疗全国专家共识（2020版）[J.中华烧伤杂志，2020，36(10)：887-894.
[21]崔龙.参柏洗剂联合红光治疗对肛瘘术后创面愈合的临床观察[D].兰州：甘肃中医药大学，2019.
[22]李向各，廖加利，于秀春.中药熏洗联合红光照射治疗肛肠术后疼痛的疗效观察[J].齐鲁护理杂志，2020，26(20)：116-118.
[23]黄淦圣，方静，司徒光伟，等.痔疾洗液联合红光治疗对大鼠肛周创面模型术后恢复的影响[J].湖北中医药大学学报，2021，23(2)：14-17.
[24]杨雅丽，郑宝森，李清敏，等.红光治疗对大鼠局部损伤组织中细胞因子IL-1β和PGE2的影响[J].中国疼痛医学杂志，2012，18(2)：108-112.
[25]Fiório FB，Albertini R，Leal-Junior EC，et al.Effect of low-level laser therapy on types I and III collagen and inflammatory cells in rats with induced third-degree burns[J].Lasers in Medical Science，2014，29(1)：313-319.
[26]HAMBLIN MR.Mechanisms and applications of the anti-inflammatory effects of photobiomodulation[J].AIMS Biophysics，2017，4(3)：337-361.
Memo
基金项目：陕西省科技厅项目（20202046）；西安市卫建委项目（2020yb27）