| ObjectivePain as mixed hemorrhoid external strip in common postoperative complications,the treatment of it has been concerned by people,the current method of treatment of hemorrhoid postoperative pain many,but there are some side effects,to explore a kind of a new,safe,without side effects,fast effect in the treatment of mixed hemorrhoid postoperative pain treatment,this study chose floating needle therapy with innovation as the research object and observe its curative effect on postoperative pain hemorrhoid.Methods.MethodsFrom March 2018 to January 2019,105 patients undergoing external stripping and internal ligation of mixed hemorrhoids in the department of anorectal medicine of guangdong provincial hospital of traditional Chinese medicine were selected,and SPSS22.0 statistical software was used to analyze,program and run the results of random distribution,and corresponding groups were conducted.The 105 included cases were divided into the experimental group(floating needle group),control group 1(electroacupuncture)and control group 2(drug group)in a ratio of 1:1:1,with 35 cases in each group.In the experimental group,the floating needle therapy was carried out:first,the injured muscle was searched,and a disposable floating needle and a needle feeder were used.The direction of acupuncture was to the affected muscle,without deviation.The needle insertion depth should be controlled at 25-35 mm.After the scanning and reperfusion activities are completed,the needle core should be extracted,soft sleeve should be retained,and the tube seat should be fixed on the skin with adhesive tape.The catheter should be kept for 5 to 8 hours,but not more than 24 hours.The soft cannula should be pulled out and the pinhole should be pressed for 2 to 3 minutes to prevent bleeding.In control group 1,the electroacupuncture instrument was used to lower the electroacupuncture on both sides of bai huan shu points:the operator used single-hand injection method,and the acid swelling pain and numbness after injection were preferred.After getting the air,the wire was connected to the needle handle,and the electrical stimulation was given with density wave of 14-28 times/min.According to the patient' s acceptance degree,the amount of stimulation was adjusted,and the acupuncture was performed for 20-30min.Control group and drug group:according to the time law of postoperative pain,in this study,1 tablet of aminophenol tramadol was given orally between 6-10h after surgery.Main outcome measures:pain score:Visual analogue scale(VAS)was used to score 1h,2h,3h and 12h,24h and 48h after treatment.Secondary indicators:VAS score of postoperative first bowel pain,number of cases requiring oral administration of aminophentramadol for pain after treatment,and duration of pain within 24h after surgery.Spss22.0 statistical software was used to process all data.When normal distribution and homogeneity of variance were satisfied,one-way anova and repeated measurement anova were used for comparison between groups.Rank sum test was used for rank data.Chi-square test was used for measurement data.When P<0.05,it was considered statistically significant.ResultThe results of repeated test anova and univariate analysis showed that the VAS scores of the three groups at 1h,2h,3h,12h,24h and 48hVAS after treatment showed a statistically significant decrease between different treatment methods.Compared with the electroacupuncture group,P>0.05 showed no statistical significance.The VAS scores of the three groups decreased significantly at different time points.The pain scores of 1h,2h,3h,4h,12h,24h and 48hVAS after treatment were significantly higher in the floating needle group and the electroacupuncture group than in the drug group,and P<0.05 was statistically significant.Compared with the electroacupuncture group,P>0.05 showed no statistical significance.In terms of the differences between the three groups before and after the treatment of two time points,the differences of 1,2 and 6 were statistically significant(P<0.05),and the differences between the floating needle group and the electroacupuncture group and the drug group were statistically significant(P<0.05).Compared with the electroacupuncture group,P>0.05 had no statistical significance.The difference values were 3 and 12.There were statistical differences between the electroacupuncture group and the floating acupuncture group and the drug group,while there were no statistical differences between the floating acupuncture group and the drug group.The difference value was 5,and there was no statistical difference among the three groups.Compared with the first VAS score and the number of cases taking amadeol after the use of secondary indicators,there was a difference between the floating needle group and the electroacupuncture group and the drug group,P<0.05,while there was no significant statistical significance between the floating needle group and the electroacupuncture group.Chi-square test was used to compare the duration of pain within 24 hours.There was statistical significance between the floating needle group,electroacupuncture group and the drug group(P<0.05),while there was no statistical significance between the floating needle group,and electroacupuncture group.ConclusionsThe overall distribution of therapeutic effect of the three groups on postoperative pain of mixed hemorrhoids showed a gradually decreasing trend.There was no significant difference between the floating needle group and the electroacupuncture group in VAS score decline and pain improvement.Floating-needle therapy for early postoperative hemorrhoid pain has the characteristics of quick analgesic effect,safety,less adverse reactions,and can be used clinically according to the patient's condition needs. |
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