耳部放血疗法干预混合痔鞍麻术后切口疼痛的应用

尹小燕 戈弋 朱晓烨

【摘要】目的：探讨与分析耳部放血疗法（耳尖、神门、肛门）干预混合痔鞍麻术后切口疼痛的应用价值。方法：选择2022年1月—2022年12月在医院完成鞍麻手术治疗的混合痔患者60例作为研究对象，采用1：1随机信封抽签的方法将患者分为实验组与对照组。对照组给予常规药物镇痛治疗，实验组在对照组治疗的基础上给予耳部放血疗法治疗，记录切口疼痛变化情况。结果：治疗5d后实验组的总有效率为96.7%，显著高于对照组的80.0%（P<0.05）。治疗5d后实验组的切口部位VAS评分与对照组相比明显降低（P<0.05）。实验组治疗5d后的并发症发生率为3.3%，明显低于对照组20.0%（P<0.05）。实验组治疗5d后的肛门功能明显好于对照组（P<0.05）。结论：耳部放血疗法干预在混合痔鞍麻术后的应用能促进缓解切口疼痛，提高患者的总体治疗效果，还可降低患者的并发症发生率，有助于促进患者术后肛门排便功能恢复正常。

【关键词】耳部放血疗法；混合痔；鞍麻；切口疼痛

Application of ear bleeding therapy in intervention of postoperative incision pain of mixed hemorrhoids and saddle anesthesia

YIN Xiaoyan， GE Yi， ZHU Xiaoye

Anorectal department， Nanjing Hospital of T C M， Nanjing， Jiangsu 210000， China

【Abstract】Objective： To explore and analysis the application values of ear bleeding therapy （ear tip， anal sphincter， anal sphincter） in intervening incision pain after mixed hemorrhoids and saddle anesthesia surgery. Methods： 60 patients with mixed hemorrhoids who completed saddle anesthesia surgery in the hospital from January 2022 to December 2022 were selected as the study subjects， and patients were divided into 30 patients in experimental group and 30 patients in 1：1 control group. The control group was given conventional drug analgesia treatment， and the experimental group gave the ear release therapy on the basis of the control group treatment. the changes in incision pain were recorded. Results： after 5 days of treatment， the total effective rate in the experimental group were 96.7%， significantly higher than the 80.0% in the control group （P<0.05）. After 5 days of treatment， the VAS score of incision site pain in the experimental group were significantly lower than that in the control group（P<0.05）. The complication rate in the experimental group was 3.3% after 5 d of treatment， which was significantly lower than that in the control group of 20.0%（P<0.05）. After 5 days of treatment， the anal function of the experimental group were significantly better than that of the control group（P<0.05）. Conclusion： The application of ear bleeding therapy intervention after mixed hemorrhoid and saddle anesthesia surgery can promote the relief of incision pain， improve the overall treatment effect of patients， reduce the incidence of complications， and help promote the recovery of anal defecation function after surgery.

【Key Words】Ear bleeding therapy； Mixed hemorrhoids； Saddle hemp； Incision pain

混合痔屬于一种特殊类型的痔，占痔的20.0%左右。混合痔可使得肛管齿状线下移或消失，也伴随有肛管失去正常的生理解剖结构[1]。混合痔患者的临床上可表现为肌肉痉挛、压痛等症状，严重影响患者的身心健康。随着医学技术的提高，当前混合痔的手术成功率越来越高，在手术过程中多采用鞍麻，但是术后多伴随有切口疼痛状况，为此多需要进行术后镇痛[2]。传统的口服镇痛药物治疗虽然有一定的止痛效果，但是长期应用具有一定的不良反应，且停药后患者容易复发[3]。祖国医学认为阴阳相互制约才能维持机体的动态平衡，中医止痛有很多复发，比如耳部放血疗法具有副作用低、操作便利、经济安全、易于推广应用等特点[4]。其通过刺破人体耳部相应穴位的血络，放出局部瘀血，可改善局部血液循环，加快炎症渗出，从而发挥止痛效应[5]。本文具体探讨与分析了耳部放血疗法（耳尖，神门，肛门）干预混合痔鞍麻术后切口疼痛的应用，以促进耳部放血疗法的应用。……