Side-by-side Chinese-English

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

龙庆1 李艳2 李俊1 闻永1 何彬1 李远志1 岳朝驰1 杜位良1 万川1

(1.西南医科大学附属医院中医科, 四川泸州 646000)
(2.西南医科大学附属中医院皮肤科)

【摘要】目的:比较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。方法:将120例行外剥内扎术的混合痔患者随机分为电针A组 (2 Hz/100 Hz疏密波) 、电针B组 (2 Hz连续波) 和电针C组 (100 Hz连续波) , 每组40例。3组均在术前30 min电针下髎、承山穴, 刺激强度以患者可耐受为度。比较3组患者术中追加麻醉药物例数;术后第4、12、24小时各时间点肛门疼痛视觉模拟评分 (VAS) 和肢体活动评分情况;术后24 h内最大VAS评分和口服氨酚双氢可待因的剂量。结果:电针A组、电针B组、电针C组术中追加麻醉药物例数分别为4、5、4例, 差异无统计学意义 (P>0.05) ;3组术后第4小时肛门疼痛VAS评分和肢体活动评分比较, 差异无统计学意义 (均P>0.05) , 在术后第12小时, 电针A、B两组VAS评分和肢体活动评分低于电针C组 (均P<0.05) , 在术后第24小时, 电针A组VAS评分和肢体活动评分低于电针B、C两组 (均P<0.05) ;术后24 h内最大VAS评分和口服氨酚双氢可待因的剂量比较, 电针A组低于电针B、C两组 (均P<0.05) 。结论:不同频率电针预处理均具有缓解混合痔外剥内扎术后肛门疼痛的作用, 但不同频率电针镇痛效果有所不同, 2 Hz/100 Hz疏密波的电针镇痛作用更佳, 优于2 Hz、100 Hz连续波。

【关键词】 混合痔;疼痛;外剥内扎术;电针;频率;

【DOI】

【基金资助】 西南医科大学校级课题项目:090300030796; 西南医科大学 (原泸州医学院) 附属医院课题项目:15097;

Effect of electroacupuncture preconditioning with different frequencies on anal pain after milligan-morgan hemorrhoidectomy

LONG Qing1 LI Yan2 LI Jun WEN Yong HE Bin LI Yuan-zhi YUE Chao-chi DU Wei-liang WAN Chuan

(1.Department of TCM, Hospital Affiliated to Southwest Medical University, Luzhou, Sichuan Province, China 646000)
(2.Department of Dermatological, TCM Hospital Affiliated to Southwest Medical University)

【Abstract】 Objective To compare the effect of electroacupuncture preconditioning with different frequencies on anal pain after milligan-morgan hemorrhoidectomy. Methods A total of 120 patients with mixed hemorrhoids were randomly divided into an electroacupuncture group A (dilatational wave, 2 Hz/100 Hz in frequency) , an electroacupuncture group B (continuous wave, 2 Hz in frequency) and an electroacupuncture group C (continuous wave, 100 Hz in frequency) , 40 cases in each group. Electroacupuncture at Xialiao (BL 34) and Chengshan (BL 57) was applied with tolerant intensity for 30 min before operation in all groups. The number of additional anesthetic drugs in the 3 groups, the visual analogue scale (VAS) of anal pain and limb activity score at 4, 12, and 24 h after operation, the maximum VAS score within 24 h after surgery and oral dose of aminophenol dihydrocodeine were compared. Results The number of additional anesthetic drugs in the electroacupuncture group A, the electroacupuncture group B and the electroacupuncture group C were 4, 5, 4 respectively, and there was not statistically significant (P > 0.05). There was no significant difference in the anal pain VAS score and limb activity score at 4 h after operation among the 3 groups (P > 0.05). At the 12 h after operation, the VAS scores and limb activity scores in the electroacupuncture groups A and B were lower than those in the electroacupuncture group C (P < 0.05). At 24 h after operation, the VAS score and limb activity score in the electroacupuncture group A were lower than those in the electroacupuncture group B and C (P < 0.05). The maximum VAS score within 24 h and oral dose of aminophenol dihydrocodeine within 24 h after operation in the electroacupuncture group A were lower than those in the electroacupuncture group B and C (P < 0.05). Conclusion Different frequency electroacupuncture preconditioning has the effect of alleviating anal pain after milligan-morgan hemorrhoidectomy. The analgesic effect of electroacupuncture with different frequencies is different. The electroacupuncture analgesic effect of2 Hz/100 Hz dilatational wave is better than 2 Hz and 100 Hz continuous waves.

【Keywords】 mixed hemorrhoids; pain; milligan-morgan hemorrhoidectomy; electroacupuncture; frequency;

【DOI】

【Funds】 Research Project of Southwest Medical University: 090300030796; Research Project of Affiliated Hospital of Southwest Medical University (original Luzhou Medical College): 15097;

Download this article
    References

    [1] Li Shao-yuan, Zhai Xu, Rong Pei-jing, et al. Effect of electroacupuncture in concha area on pain disorder and depression of type 2 diabetes mellitus [J]. Journal of Traditional Chinese Medicine, 2014, 55 (2): 148–152 (in Chinese).

    [2] Zhou Min-tao, Li Yu, Han Xue-chang, et al. Clinical research of electroacupuncture on the analgesic effect of thoracic perioperative stage [J]. Chinese Acupuncture & Moxibustion, 2017, 37 (7): 705–709 (in Chinese).

    [3] Song Yang, Xu Tian-shu, Qian Hai-hua. Effect on postoperative complications of mixed hemorrhoids treated with electroacupuncture at Chengshan(BL 57), Dachangshu(BL 25)and Erbai(EX-UE 2) [J]. Acupuncture Research, 2017, 42 (6): 533–536 (in Chinese).

    [4] Zhu Dan, Bai Jie-jing, Zhang Xiao-qing, et al. Research progress on quantification of electroacupuncture parameters [J]. Chinese Acupuncture & Moxibustion, 2015, 35 (5): 525–527 (in Chinese).

    [5] China Association of Chinese Medicine. Guidelines for Diagnosis and Treatment of Common Diseases of Coloproctology in Traditional Chinese Medicine [M]. Beijing: China Press of Traditional Chinese Medicine, 2012: 1–4 (in Chinese).

    [6] Li Zhong-lian. 临床疼痛治疗学 (修订版) [M]. Tianjin: Tianjin Science and Technology Press, 1999: 263 (in Chinese).

    [7] Zhang Hao-chen, Wang Li. 最新中国肛肠疾病流行病学调查结果在京发布 [J]. China Medical Herald, 2015, 12 (27): 169 (in Chinese).

    [8] Bao Yun-sheng, Jin Yu-gui, He Qi. 中西医结合治疗混合痔术后疼痛疗效观察 [J]. New Journal of Traditional Chinese Medicine, 2016, 48 (10): 80–82 (in Chinese).

    [9] Huo Ju, Liu Li-hui. Clinical research on herbal fumigation promoting damp bath-type mixed hemorrhoid surgery wound healing efficacy [J]. Liaoning Journal of Traditional Chinese Medicine, 2015, 42 (5): 1010–1012 (in Chinese).

    [10] Shi Xue-min. 针灸学 [M]. Beijing: China Press of Traditional Chinese Medicine, 2002: 171 (in Chinese).

    [11] Yang Shi-wei, Xin Xue-zhi, Liu Jun-ning, et al. Efficacy of spastic pelvic floor syndrome treated with electroacupuncture at Baliao (BL 31, BL 32, BL 33 and BL 34) [J]. Chinese Acupuncture & Moxibustion, 2014, 34 (9): 869–872 (in Chinese).

    [12] Sun Ping-liang, Yang Wei, Zhang Lei-chang. Effect of electroacupuncture at Chengshan(BL 57) on postoperative pain of mixed hemorrhoids [J]. Chinese Acupuncture & Moxibustion, 2011, 31 (5): 413–415 (in Chinese).

    [13] Long Qin, Li Yan, Li Jun, et al. Clinical observation on anal pendant expansion after PPH of mixed hemorrhoid treated with acupuncture at Xialiao (BL 34) and Changqiang (GV 1) [J]. Chinese Acupuncture & Moxibustion, 2016, 36 (6): 603–606 (in Chinese).

    [14] Gu Chen-yi, Hu Jun, Cai Yun-biao. Advances of studies on stimulating parameters of electroacupuncture [J]. Chinese Acupuncture & Moxibustion, 2003, 23 (8): 489 (in Chinese).

    [15] Zhuang Sheng-jian, Gong Jie, Zhou Jie, et al. Progress analgesic effect of experimental parameters on the different electrical stimulation [J]. Journal of Zhejiang Chinese Medical University, 2015, 39 (12): 913–917 (in Chinese).

    [16] Zhou Jie, Chen Zhen-yu, Gong jie, et al. Electroacupuncture with different parameter dombinations has analgesic effect on model rats with inflammatory pain [J]. New Journal of Traditional Chinese Medicine, 2018, 50 (2): 1–5 (in Chinese).

    [17] Zhao Tian-yi, Xi Qiang, Guo Yi. Current research status and analysis of electroacupuncture parameters for post-operative pain [J]. Shanghai Journal of Acupuncture and Moxibustion, 2015, 34 (5): 464–467 (in Chinese).

    [18] Sun Rui-qing, Wang He-chun, Wang Yun, et al. Effect of electroacupuncture with different frequencies on neuropathic pain in a rat model [J]. Chinese Journal of Applied Physiology, 2002, 18 (12): 128–131 (in Chinese).

    [19] Han Ji-sheng. New evidence to substantiate the frequency specificity of acupuncture-induced analgesia [J]. Acupuncture Research, 2001, 26 (3): 224 (in Chinese).

    [20] Ma Wen, Zhu Yu-ming, Zhou Hong, et al. Protecting action of acupuncture-drug compound anesthesia with different frequency electroacupuncture on stress reaction in pneumonectomy [J]. Chinese Acupuncture & Moxibustion, 2011, 31 (11): 1020–1024 (in Chinese).

This Article

ISSN:0255-2930

CN:11-2024/R

Vol 39, No. 05, Pages 477-481

May 2019

Downloads:3

Share
Article Outline

Abstract

  • 1 Clinical data
  • 2 Treatment method
  • 3 Observation of curative effect
  • 4 Discussion
  • References