首页|期刊导航|中国肛肠病杂志|通络药线灸联合提肛运动用于湿热下注型痔术后疗效的临床研究

通络药线灸联合提肛运动用于湿热下注型痔术后疗效的临床研究OA

Clinical Study on Efficacy of Collateral-Dredging Medicated Thread Moxibustion Combined with Anal Lifting Exercise in Postoperative Hemorrhoids of Damp-Heat Type

中文摘要英文摘要

目的:探讨通络药线灸联合提肛运动对湿热下注型痔术后疼痛、创面愈合及生活质量的干预效果.方法:选取2024年2月至2025年2月,我院收治的100例湿热下注型混合痔术后患者,随机分为观察组和对照组,每组各50例.对照组术后采用常规护理,观察组在此基础上联合通络药线灸及提肛运动.比较两组术后疼痛评分(VAS)、创面愈合指标、生活质量及并发症等情况.结果:观察组术后3 d和7 d的VAS评分均显著低于对照组(P<0.01),首次排便时间及下床活动时间均早于对照组(P<0.01),术后 7 d水肿消退率和创面上皮覆盖率均显著优于对照组(P<0.01),生活质量评分高于对照组(P<0.01),住院时间及住院费用均优于对照组(P<0.01).结论:通络药线灸联合提肛运动可通过抗炎、促愈和神经调节三重机制,有效缓解术后疼痛,加速创面修复,减少术后并发症,临床效果显著.

Objective To investigate the intervention effects of collateral-dredging medicated thread moxi-bustion combined with anal lifting exercise on postoperative pain,wound healing and quality of life(QOL)in patients with hemorrhoids of damp-heat type.Methods A total of 100 postoperative patients with mixed hemorrhoids of damp-heat type admitted to our hospital from February 2024 to February 2025 were randomly divided into the observation group and the control group,with 50 cases in each group.The control group received routine postoperative nursing,while the observation group was additionally treated with collateral-dredging medicated thread moxibustion and anal lifting exercise.Visual analogue scale(VAS),wound healing indicators,QOL and complications were compared between the two groups.Results The VAS scores of the observation group on the 3rd and 7th days after operation were significantly lower than those in the control group(P<0.01).The first defecation time and the first time to get out of bed were earlier than those in the control group(P<0.01).The edema regression rate and wound epithelial coverage rate on the 7th day after operation were significantly better than those in the control group(P<0.01).The QOL score was higher than that in the control group(P<0.01).The length of hospital stay and hospital cost were also better than those in the control group(P<0.01).Conclusion Collateral-dredging medicated thread moxibustion combined with anal lifting exercise can effectively relieve postoperative pain,accelerate wound repair and reduce postop-erative complications through triple mechanisms of anti-inflammation,healing promotion and neural regulation,with significant clinical efficacy.

龚健;周燕萍;陈蕴怡;杨晓君;周玫;徐悦

江苏省常熟市中医院(江苏 常熟 215500)江苏省常熟市中医院(江苏 常熟 215500)江苏省常熟市中医院(江苏 常熟 215500)江苏省常熟市中医院(江苏 常熟 215500)江苏省常熟市中医院(江苏 常熟 215500)江苏省常熟市中医院(江苏 常熟 215500)

痔术后通络药线灸提肛运动效果

Postoperative hemorrhoidsCollateral-dredging medicated thread moxibustionAnal lifting exerciseEfficacy

《中国肛肠病杂志》 2026 (6)

34-37,4

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