Quantitative And Qualitative Study On Combined Acupuncture And Medicine In The Treatment Of Anorectal Pain Caused By Chronic Radiation Rectal Injur

Purpose of the researchObserving the clinical efficacy of the combination of acupuncture and Chinese medicine(deep needling of the Huiyin,Changqiang and Baliao combine with the Qing li chang dao Decoration)in the treatment of anorectal pain caused by radiation-induced late rectal injury,and exploring the advantages of the combination of acupuncture and Chinese medicine in the treatment of anorectal pain caused by RLRI.Providing a new clinical approach for the treatment of anorectal pain caused by RLRI.Understanding the acceptance of acupuncture treatment for anorectal pain caused by RLRI in patients,and explore the relevant factors that affect their acceptance.Research MethodA total of 39 patients with chronic radiation induced intestinal injury who met the inclusion criteria and had symptoms of anorectal pain were randomly divided into an experimental group of 19 cases and a control group of 20 cases.The experimental group was treated with combination of deep needling of the Huiyin,Changqiang and Baliao combine with the Qing li chang dao Decoration,while the control group was treated with Qing li chang dao Decoration.1 dose of traditional Chinese medicine decoction per day,taken separately in the morning and evening,continuously treated for 1 month;Acupuncture treatment is performed three times a week,with a total of two courses of treatment lasting for two weeks.Compare and analyze the pain visual analog scale(VAS)on first,third,fifth,14th,and 28th days,as well as the Simplified McGill Pain Scale(SF-MPQ),Postradiation Response Rating(RTOG/EORTC),Functional State Score(KPS),SDS Depression Self Rating Scale,SAS Anxiety Self Rating Scale,and adverse reactions during treatment on 14th and 28th days.Study 2 used a semi-structured qualitative interview method to interview patients in the experimental group of Study 1.Recruit respondents based on the principles of purposive sampling and information saturation.After obtaining the informed consent of the interviewees,the interview began at the outpatient and ward of the Third Affiliated Hospital of Beijing University of Chinese Traditional Medicine,and the entire process was recorded.The interview revolves around the interview outline,exploring the acceptance of RLRI patients for acupuncture treatment of anorectal pain caused by RLRI,as well as the relevant factors that affect their acceptance.The recorded transcripts were analyzed and studied using NVivol1.0 software immediately after the interview.The interview data was analyzed using the Colaizzi seven step analysis method and an interview report was written.Research results1.Research 1 Results(1)Comparison of VAS scores:Intragroup comparison showed that the VAS scores of the two groups decreased on the first,third,fifth,14th,and 28th days of treatment compared to before treatment,with a statistically significant difference(P<0.05).This suggests that the combination of acupuncture and medicine and simple traditional Chinese medicine have significant therapeutic effects on relieving anorectal pain caused by RLRI.Comparison between groups showed that there was a statistically significant difference in VAS scores between the two groups on the 1st,3rd,5th,14th,and 28th day of treatment(P<0.05),indicating that the combination of acupuncture and Chinese medicine has a significantly better clinical efficacy in alleviating anorectal pain caused by RLRI compared to traditional Chinese medicine alone.(2)Comparison of Short Form McGill Pain Scale(SF-MPQ)scores:Compared within the group,the SF-MPQ scores of the two groups decreased on the 14th and 28th days of treatment compared to before treatment,and the difference was statistically significant(P<0.05);On the 14th day,there was no statistically significant difference in the SF-MPQ scores between the two groups(P>0.05),while on the 28th day,there was a statistically significant difference in the SF-MPQ scores between the two groups(P<0.05).The SF-MPQ score results can be mutually confirmed with the VAS score,that is,the combination of acupuncture and Chinese medicine and simple Chinese medicine have significant therapeutic effects on relieving anal and rectal pain caused by RLRI.The clinical efficacy of acupuncture and medicine combination in relieving anorectal pain caused by RLRI is significantly better than that of simple Chinese medicine treatment.(3)Comparison of Radiation Response Grading(RTOG/EORTC):Within the group,there was no statistically significant difference in the radiation response grading between the two groups on the 14th day of treatment compared to before treatment(P>0.05).On the 28th day,both groups had statistical significance before and after treatment(P<0.05),indicating that both combination of acupuncture and Chinese medicine and simple traditional Chinese medicine treatment have clinical efficacy in improving the overall symptoms of RLRI;There was no statistically significant difference in the grading of radiation response between the two groups on the 14th and 28th days(P>0.05),so it cannot be concluded that the combination of acupuncture and Chinese medicine is superior to traditional Chinese medicine alone in the overall treatment of RLRI.(4)Comparison of Quality of Life Score(KPS):Compared within the group,the KPS scores of the two groups decreased on the 14th and 28th days compared to before treatment,and the difference was statistically significant(P<0.05);Compared between groups,there was no statistically significant difference in KPS scores between the two groups on the 14th and 28th days(P>0.05),so it cannot be concluded that the combination of acupuncture and Chinese medicine is superior to traditional Chinese medicine alone in improving the overall quality of life of RLRI patients.(5)Comparison of SDS and SAS scores:Within the group,there was no statistically significant difference in SDS scores and SAS scores between the two groups on the 14th and 28th days compared to before treatment(P>0.05);There was no statistically significant difference in SDS and SAS scores between the two groups on the 14th and 28th days(P>0.05),indicating that the combination of acupuncture and Chinese medicine or Chinese medicine alone both cannot significantly improve the patient’s psychological state through 28 days of treatment.2.Research 2 ResultsA total of 11 interviewees were ultimately included,including 6 females and 5 males;3 cases of cervical cancer,1 case of endometrial cancer,and 7 cases of rectal cancer;Between the ages of 35 and 67;The course of anorectal pain is between 5 and 48 months;In the efficacy evaluation,3 cases were effective and 8 cases were significantly effective.After organizing the interview content,the influencing factors of RLRI patients’ acceptance of acupuncture treatment for anorectal pain were identified as 7 themes:① cognition;②Trust;③ Beliefs and expectations;④ Acupuncture experience;⑤ Acupuncture benefits;⑥Complex intervention;⑦Suggestion.Through qualitative interview research,it is concluded that having a certain level of cognition is a good foundation for RLRI patients to receive acupuncture treatment for anorectal pain;The trust of RLRI patients in acupuncture therapy and doctors is an important prerequisite for receiving acupuncture treatment for rectal and anal pain;The beautiful expectation of therapeutic effect is the internal driving force for RLRI patients to receive acupuncture treatment for anorectal pain;The benefit of acupuncture is the key core for RLRI patients to receive acupuncture treatment for anorectal pain;A good doctor-patient relationship is an effective guarantee for RLRI patients to receive acupuncture treatment for anorectal pain.Research conclusion1.The combination of acupuncture and Chinese medicine(deep needling of the Huiyin,Changqiang and Baliao combine with the Qing li chang dao Decoration),and simple traditional Chinese medicine(the Qing li chang dao Decoration)have significant therapeutic effects in treating anorectal pain caused by RLRI,and both can have an overall therapeutic effect on RLRI.2.The clinical efficacy of the combination of acupuncture and Chinese medicine(deep needling of the Huiyin,Changqiang and Baliao combine with in the Qing li chang dao Decoration)the treatment of rectal pain caused by RLRI is significantly better than that of simple traditional Chinese medicine(the Qing li chang dao Decoration).3.Deep needling of acupoints Huiyin,Changqiang,and Baliao with filiform needles has an immediate effect on the treatment of rectal pain caused by RLRI,and can quickly relieve pain;The Qing li chang dao Decoration can eliminate the dampness and heat toxins in the trapped intestines,which can fundamentally relieve pain.The two methods for treating anal and rectal pain caused by RLRI have their own focuses and advantages.4.Acupuncture therapy(deep needling of Huiyin,Changqiang,and Baliao)and simple traditional Chinese medicine(the Qing li chang dao Decoration)both have good safety in treating anorectal pain caused by RLRI.5.Patients have a good acceptance of acupuncture treatment for anal and rectal pain caused by RLRI,and a good acceptance is based on the actual therapeutic effect.Suggestions for improving patient acceptance include:Popularizing relevant knowledge and expanding patient cognition;Enhance professional literacy and enhance patient trust;Strengthen doctor-patient communication and attach importance to humanistic care;Simplify the medical treatment process and improve the medical experience;Combining scientific research with clinical practice to improve acupuncture efficacy.