【摘要】 目的：探讨腕踝针联合耳穴贴压对混合痔术后疼痛的疗效。方法：回顾性收集2020年4月—2021年1月在广东省中医院肛肠科行混合痔切除术的151例患者的资料，根据治疗方式不同分为腕踝针联合耳穴贴压组（A组，n=55）、耳穴贴压组（B组，n=37）及常规护理组（C组，n=59），比较3组患者在术后不同时间静息及活动时视觉模拟评分法（VAS）评分、术后不良反应发生率及住院时间的差异。结果：A组患者术后6 h、12 h、24 h、48 h、72 h静息时的疼痛VAS评分分别为（4.22±1.78）分、（3.49±1.07）分、（3.11±0.85）分、（2.19±1.03）分、（1.88±0.60）分，术后6 h、12 h、24 h、48 h、72 h活动时的疼痛VAS评分分别为（4.82±1.62）分、（4.25±0.99）分、（3.64±0.78）分、（2.87±0.84）分、（2.24±0.70）分，均明显低于B组和C组，差异有统计学意义（P <0.05）;A组患者术后头晕、呕吐、恶心的发生例数分别为5、7、4例，明显低于B组和C组，差异有统计学意义（P <0.05）;A组患者的平均住院时间为（5.58±1.18）d，也短于B组和C组，差异有统计学意义（P <0.001）。结论：腕踝针联合耳穴贴压能有效缓解混合痔术后疼痛，降低不良反应发生率，缩短住院时间。更多还原

【Abstract】 Objective To investigate the effect of wrist ankle acupuncture combined with auricular point sticking on postoperative pain of mixed hemorrhoids. Methods The clinical data of patients who underwent mixed hemorrhoidectomy in the anorectal department of Guangdong Provincial Hospital of Traditional Chinese Medicine from April 2020 to January 2021 were retrospectively collected. A total of 151 clinical cases were included. According to different treatment methods, they were divided into wrist ankle acupuncture combined with auricular point sticking group(group A, n = 55), auricular point sticking group(group B, n = 37) and routine nursing group(Group C, n = 59). The VAS scores at rest and activity of the three groups as well as the difference between the incidence of postoperative adverse reactions and the length of hospital stay were compared. Results The VAS scores of patients in group A at rest at 6 h, 12 h, 24 h, 48 h and 72 h after operation were(4.22±1.78),(3.49±1.07),(3.11±0.85),(2.19±1.03),(1.88±0.60) respectively. The VAS scores of patients in group A at activity at 6 h, 12 h, 24 h, 48 h and 72 h after operation were(4.82±1.62),(4.25±0.99),(3.64±0.78),(2.87±0.84),(2.24±0.70) respectively, which were significantly lower than those in group B and group C. The difference was statistically significant(P<0.05). The number of postoperative dizziness, vomiting and nausea in group A were 5, 7 and 4 respectively, which were significantly lower than those in group B and group C. The average hospital stay of group A was( 5. 58 ± 1. 18) d, which was also shorter than that of group B and group C(P <0.001). Conclusion Wrist ankle acupuncture combined with auricular point sticking can effectively alleviate the postoperative pain of mixed hemorrhoids, reduce the incidence of adverse reactions and shorten the length of hospital stay. It can provide evidence-based reference for postoperative analgesia of mixed hemorrhoids.更多还原