| Objective: To explore the clinical effect and prevention effect of acupuncture on mixed hemorrhoid common postoperative complications,the safety of the acupuncture therapy and the role in the ERAS,to provide data and theoretical support with acupuncture treating mixed hemorrhoid postoperative complications,and so promote acupuncture treatment application,relieve patients’ pain and promote patients recover.Methods: 120 patients with mixed hemorrhoids complying the standard of entry and exclusion were randomly divided into experimental group and control group,60 cases in each,by the method of random grouping.Both groups were treated with the same perioperative treatment plan.In addition to the control group,the experimental group after surguy was treated with acupuncture once,and the time of needle retention was 30 minutes.The occurrence and remission of postoperative pain,defecation,urination,anal swelling,wound edema,and wound bleeding were observed,and each observation indicator was quantified and recorded in the corresponding table.Finally,statistical analysis was performed by SPSS 25.0 software.Results:1.A total of 120 patients with mixed hemorrhoids after surgery were observed,and no cases were removed or loss during the observation period;2.There was no statistical significance in the comparison of general information(gender,age,course of disease,number of hemorrhoids,number of incisions,BMI)between the two groups(P>0.05).Baseline was consistent and comparable.3.Postoperative pain: Comparison results of postoperative pain between the two groups at different time points: VAS score: 0 h after surgery,there was no statistically significant difference between the two groups(P>0.05),and the degree of postoperative pain was the same and comparable.There were statistically significant differences in the VAS scores at 6,12,24 hours after surgery(P<0.01).The pain in the experimental group was better than that in the control group.After 48 and 72 hours,the difference was statistically significant(P<0.05).VAS score of the experimental group was lower than that of the control group at each time point and total score after surgery.NRS score: 0 h after surgery,there was no significant difference between the two groups(P>0.05),the results were consistent with the VAS score and the baseline of postoperative pain,which was comparable.6h,24 h,48h,72 h after surgery and the total NRS score were significantly lower than the control group,with statistical significance(P<0.01).There was no statistically significant difference between the two groups 12 hours after surgery(P>0.05),so it could not be considered that the two groups had different pain scores.There was statistical significance in the use of postoperative analgesics(P<0.05),the amount of analgesics in experimental group was less than that in control group.The overall results of VAS score and NRS score were basically the same,but there were some differences.4.Postoperative defecation: The total scores of the two groups were statistically combined for analysis and comparison,and the overall postoperative defecation of the experimental group was better than that of the control group,with statistical significance(P<0.05);Among them,there were statistically significant differences in the number of defecation effort and unsuccessful defecation(P<0.05),and the experimental group was superior to the control group in the above two aspects.In terms of defecation time,incomplete defecation,abdominal pain,abdominal distension,duration of defecation,adjuvant medication and fecal characteristics,there was no statistical difference between the two groups in the above symptoms(P>0.05).5.Postoperative urination: The total scores of the two groups were analyzed and compared,and the postoperative urination of the experimental group was better than that of the control group,the difference was statistically significant(P<0.01);Among them,the urination time,urination state,abdominal symptoms were better than the control group,the difference was statistically significant(P<0.05);There was no statistical difference in urine volume,frequency and urgency,urethral tingling pain(P>0.05).The comparison of urethral catheterization between the two groups showed that there was no urethral catheterization in the experimental group and 4 patients in the control group,and the difference was not statistically significant(P>0.05),but it was still considered that the urethral catheterization in the experimental group was better than that in the control group.6.Postoperative anal swelling: The scores and total scores of anal swelling on the day,the first day and the second day after surgery were analyzed and compared.The experimental group was superior to the control group in the three days after surgery and total scores,with statistically significant differences(P<0.01).7.Postoperative edema of wound edge: The scores and total scores of wound edema on the first,second and third days after surgery were analyzed and compared,and the experimental group was superior to the control group,with statistically significant differences(P<0.01).8.Postoperative wound bleeding: The wound bleeding scores and total scores of the first day,the second day and the total score after surgery were compared,and there was no statistical significance(P>0.05).It could not be considered that the bleeding of the test group on the first day and the second day after surgery was superior to the control group;The bleeding situation of the experimental group was better than that of the control group on the third day after operation,and the difference was statistically significant(P<0.05).9.Comparison of other symptoms after surgery: the scores of other symptoms of the two groups were analyzed and compared after comprehensive statistics,and the difference was statistically significant(P<0.05).The experimental group was better than the control group in the occurrence and degree of other symptoms;There was no statistical difference in the specific symptoms(P>0.05).10.Comparison of total postoperative efficacy: In terms of postoperative hospital stay,the hospital stay of the experimental group was shorter than that of the control group(P<0.01).In terms of postoperative adverse reactions,there was no adverse reaction in the experimental group,while dizziness in 1 patient and perianal eczema in 1 patient in the control group were observed and relieved after medication.The total effective rate of the experimental group was 91.67%,and that of the control group was 71.67%.The experimental group was better than the control group(P<0.01).Conclusion:1.Acupuncture treatment can effectively prevent and relieve postoperative pain,poor urination,difficult defecation,anal swelling,wound edema complications,and also has a certain effect on wound bleeding.2.Acupuncture treatment can reduce the amount of postoperative analgesics,reduce urinary catheterization operations,and avoid new adverse reactions secondary to drugs and operations.3.Acupuncture therapy can shorten the length of hospital stay,accelerate the recovery process of patients,relieve the pain of patients,and promote the clinical application of TCM acupuncture in Enhanced Recovery After Surgery(ERAS).4.Acupuncture therapy has the characteristics of high efficiency,safety,simplicity and economy,which is worthy of clinical promotion and application.5.VAS score and NRS score of postoperative pain of mixed hemorrhoids were basically consistent,but there were still some differences. |
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