林冬寅　袁长裕　陈凤仪

[摘要] 目的 评价艾箱灸穴位配方与药物治疗痔术后疼痛的临床疗效。 方法 选择我院2014年3～10月痔术后疼痛患者78例，将其随机分成观察组和对照组。观察组予艾箱灸白环俞、腰俞、会阳穴，对照组予肌内注射双氯芬酸钠利多卡因75 mg。采用数字分级评分法（NRS）评估治疗前后的疼痛程度。 结果 两组治疗后30、60 min疼痛程度均减轻，但差异无统计学意义（P>0.05）；治疗后6 h观察组疼痛程度轻于对照组，差异有统计学意义（P<0.05）。观察组和对照组水肿的发生率分别5.26%和25.00%，两组比较差异有统计学意义（P<0.05）。结论 艾箱灸双白环俞、腰俞、双会阳穴治疗痔术后疼痛，操作简单，并发症少，安全有效。

[关键词] 艾箱灸；药物；痔术后；镇痛

[中图分类号] R246.2 [文献标识码] A [文章编号] 1674-4721（2016）02（c）-0097-03

[Abstract] Objective To analyze the clinical effect of moxa box moxibustion acupuncture point formula and drug in treating hemorrhoids postoperative pain. Methods 78 patients with hemorrhoids postoperative pain in our hospital from March to October 2014 were selected.Patients were randomly divided into observation group and control group.Patients in observation group were given moxa box moxibuste point Baihuanshu point，Yao point and Huiyang point.Patients in control group were given intramuscular injection lidocaine diclofenac sodium 75 mg.The pain degree before and after treatment were evaluated by NRS. Results After treatment for 30 min and 60 min，the pain degree between two groups was alleviated，but the difference had no statistical significance（P>0.05）.After treatment for 6 h，the pain degree in observation group was lower than control group，and the difference was statistical significance（P<0.05）.The incidence rate of edema in observation group and control group was respectively 5.26% and 25.00%，and the difference was statistical significance（P<0.05）. Conclusion Using Moxa box moxibuste Baihuanshu point，Yao point and Huiyang point for hemorrhoids postoperative pain with easy operation，less complications，safety and effective.

[Key words] Moxa box；Drug；Hemorrhoids postoperative；Analgesia

肛肠疾病为临床中的常见、多发病，总发病率约为60%，其中痔疮发病率约占肛肠疾病的90%[1]，采取手术治疗，疗效确切、治愈率高。而痔疮手术后，其特殊的解剖位置、术后炎症介质释放、排便、换药等对创面的刺激，会导致术后产生剧烈的疼痛。疼痛又可引致尿潴留、排便困难，从而影响伤口的愈合[2]。因此，术后采取安全有效的镇痛方法非常必要。中医药在镇痛方面积累了宝贵的临床经验，我科于2014年开始应用艾箱灸治疗痔术后疼痛，效果满意，现报告如下。

1 资料与方法

1.1 一般资料

选择2014年3～10月在我院肛肠科择期手术的痔术后疼痛患者78例，麻醉方式均为腰部麻醉，术式包括PPH+外痔修剪术、环肛混合痔外剥内扎术。按随机数字表法将符合纳入标准的患者分成观察组和对照组。观察组38例，男25例，女13例，年龄18～68岁，平均40.5岁；对照组40例，男27例，女13例，年龄22～70岁，平均41.3岁。两组患者性别、年龄、痔疮分期、手术时间及术式等一般资料比较，差异无统计学意义（P>0.05），具有可比性。