| ObjectiveTo observe the clinical efficacy and to explore the mechanism of regulating spirit acupuncture technique in the treatment of pain and anxiety after Milligant-Morgant Hemorrhoidectomy,and provide a safe and effective method for the treatment of pain and anxiety after Milligant-Morgant Hemorrhoidectomy.MethodsUsing a randomized parallel controlled clinical study,66 patients with postoperative pain of mixed hemorrhoids were randomly divided into treatment group and control group according to the proportion of 1:1.The treatment group used the acupuncture method of regulating mind:four spirit points,GV24,GB13,GV29,HT7,SP6,LI4,LR3,BL62,K16.The methods of twirling reinforcement-reduce and flat tonifying and relieving were used.The reinforcing and reducing method was performed once per 15min,and the needle was retained for 30min each time.1 Paracetamol and Dihydrocodeine Tartrate Tablets was taken orally in the control group.The course of treatment was 6h and the first week after operation,8 days in total,once a day.Main outcome measures:visual analogue score(VAS)was used to evaluate the curative effect by Pain Relief(PAR),and secondary evaluation indexes:Self-rating Anxiety Scale(SAS)score,SCL-90 diet and sleep subscale score,pain disappearance time,dosage of Paracetamol and Dihydrocodeine Tartrate Tablets,occurrence of adverse reactions and so on.And the changes of observation indexes before and after intervention and among different intervention methods were compared.SPSS25.0 software was used to analyze the results.Results1.This study included patients with mixed hemorrhoids who were hospitalized in the departments of Dermatology and Acupuncture Department of Bao’an Hospital of Traditional Chinese Medicine in Shenzhen City,Guangdong Province from June 2020 to December 2020.In the treatment group,3 cases were removed,and 30 cases was completed.In the control group,3 cases were removed,and 30 cases was completed.Finally,60 cases completed the trial.2.Baseline comparison:There were no statistical differences in age,gender and pain distribution before treatment between the two groups(P>0.05),indicating that the baseline data of the two groups were clinically comparable.3.Comparison of curative effect:The treatment group was ineffective in 3 cases,effective in 3 cases,markedly effective in 5 cases,cured in 19 cases,the total effective rate was 90.0%.The control group was ineffective in 5 cases,effective in 6 cases,markedly effective in 9 cases,cured in 10 cases,the total effective rate was 83.3%,the difference was statistically significant(P<0.05).4.The score of VAS scale:The VAS score on the 1st day and the first defecation in the two groups was higher than that 6h after operation,and the VAS score on the 3rd,5th and 7th day after operation was lower than that before treatment and the first day after operation.The VAS score on the 7th day after operation was lower than that at 6h and the 3rd day after operation.The VAS score on the 6h,3rd,5th and 7th day was lower than that on the first stool after operation.There was statistical differences between the two groups(P<0.05).There were no statistical differences in the remaining time points between pretherapy and post-treatment in two groups(P>0.05).In the treatment group,the VAS score decreased more significantly on the 3rd,5th and 7th day after operation,and the difference was statistically significant(P<0.05).There were no statistical differences in score between the two groups at other time points(P>0.05).5.The score of SAS scale:In the comparison of two groups,the scores on the 6h,1st,3rd,5th and 7th day after operation in both groups were lower than those before treatment,and the scores on the 1st,3rd,5th and 7th day after operation in both groups were lower than those on the 6h after operation,and the scores on the 3rd,5th and 7th day after operation in both groups were lower than those on the 1st day after operation,and the scores on the 5th and 7th day after operation in both groups were lower than those on the 3rd day after operation,and the scores on the 7th day after operation in both groups were lower than those on the 5th day after operation.There were no statistical differences in the remaining time points between pretherapy and post-treatment in two groups(P>0.05).In the comparison between two groups,the score of the treatment group decreased more significantly on the 5th and 7th day after operation,and the difference was statistically significant(P<0.05).There were no statistical differences in score between the two groups at other time points(P>0.05).6.The scores of SCL-90 diet and sleep subscale:The scores on the 1st,3rd,5th and 7th day after operation in both groups were lower than those before treatment,and the scores on the 3rd,5th and 7th day after operation in both groups were lower than those on the 1st day after operation.The scores on the 7th day after operation in both groups were lower than those on the 3rd day after operation.There was statistical differences between the two groups(P<0.05).There were no statistical differences in the remaining time points between pretherapy and post-treatment in two groups(P>0.05).The score of the treatment group decreased more significantly on the 5th and 7th day after operation,and the difference was statistically significant(P<0.05).There were no statistical differences in score between the two groups at other time points(P>0.05).7.Comparison of pain disappearance time:the pain disappearance time in the treatment group was 5.00(3.00～5.00)days,which was significantly less than that in the control group 7.00(5.00-8.00)days,and the difference was statistically significant(P<0.05).8.Comparison of the total amount of Paracetamol and Dihydrocodeine Tartrate Tablets:the additional dose in the treatment group was 56 tablets,which was significantly less than that in the control group(79 tablets),and the difference was statistically significant(P<0.05).9.Comparison of the number of adverse reactions:there were 3 cases of adverse reactions in the treatment group and 12 cases in the control group,the difference was statistically significant(P<0.05).10.Safety comparison:During the study,no serious adverse events occurred in both groups.Conclusion1.Both the regulating spirit acupuncture technique group and the drug group have definite curative effect in improving the postoperative pain and anxiety of mixed hemorrhoids.2.The method of regulating spirit acupuncture technique can shorten the disappearance time of pain after operation,reduce the dosage of analgesics and the occurrence of adverse drug reactions.3.The onset time of anxiety relief was slow in both the regulating spirit acupuncture technique group and the drug group,but the effect was better in the regulating spirit acupuncture technique group.4.In the treatment of postoperative pain and anxiety of mixed hemorrhoids,the method of regulating spirit acupuncture technique has obvious curative effect and high safety,so it is worth popularizing. |
PDF Full Text Request