摘要
目的:对比辨证针刺与止痛药治疗腹部手术后伤口疼痛的疗效差异。方法:将100例患者随机分为两组,每组50例。针刺组采用辨证定经、循经取穴的方法进行治疗,取穴以伤口附近的阿是穴为主,及与脏腑联系密切的阳陵泉、太冲、足三里等穴;药物组给予强痛定肌肉注射治疗。采用视觉模拟评分(VAS),分别在治疗前、治疗后30min、治疗后4h和术后24h评估疼痛强度。结果:针刺组显效率为60.0%(30/50),明显优于药物组的28.0%(14/50)(P<0.01);两组治疗后各观察时点VAS评分较治疗前明显降低(均P<0.01),均起到了良好的止痛效果;治疗后30min、治疗后4h,针刺组较药物组VAS评分降低更明显(P<0.01,P<0.05)。结论:针刺治疗腹部术后伤口疼痛具有起效快、维持时间长、疗效显著的优势,优于强痛定肌肉注射。
Objective To compare the therapeutic effects between acupuncture based on syndrome differentiation and analgesic on abdominal postoperative pain. Methods One hundred cases of abdominal postoperative pain were randomly divided into two groups, 50 cases in each one. In acupuncture group, the treatment was applied according to meridian differentiation and point selection on the affected meridian. Ashi points near to the incision as the main points and those closely connected with Zangfu functions were selected, such as Yanglingquan （GB 34）, Taichong （LR 3） and Zusanli （ST 36）, etc. In medication group, muscular injection of Bucinnazine was administered. The severity of pain was evaluated with Visual Analogue Scale （VAS） before and after treatment. Results The remarkably effective rate in acupuncture group was 60.0% （30/50）, which was markedly better than that 28.0% （14/50） in medication group （P〈0.01）. VAS scores in 30 min and 4 h after treatment as well as 24 h after operation in two groups were all reduced remarkably as compared with those before treatment （all P〈0.01）, indicating the satisfac- tory analgesia in treatment. VAS scores in acupuncture group were lower apparently than those in medication group in 30 min and 4 h after treatment （P〈0.01,P〈0.05）. Conclusion Acupuncture has quick analgesia in treatment of abdominal postoperative pain, which is superior to muscular injection of Bucinnazine because of its advantages of long-term and significant efficacy.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第11期904-906,共3页
Chinese Acupuncture & Moxibustion
基金
河北省中医药管理局科研计划指导项目:2007174
关键词
疼痛
手术后
针刺镇痛
针刺疗法
选穴
循经
Pain, Postoperative
Acupuncture Analgesia
Acupuncture Therapy
Point Selection, Meridian
