Clinical Observation on the Thumb-tack Needling for Subcutaeous Embedding Combined with Electroacupuncture in the Treatment of Postoperative Pain of Hemorrhoids of Qi Stagnation and Blood Stasis Type
10.13359/j.cnki.gzxbtcm.2024.07.021
- VernacularTitle:揿针联合电针治疗气滞血瘀型痔病术后疼痛的临床观察
- Author:
Ming-Kai JIN
1
;
Jing-Tao SHA
;
Hui-Min LIU
;
Jia YAO
Author Information
1. 西安市中医医院,陕西西安 710000
- Keywords:
thumb-tack needling for subcutaeous embedding;
electroacupuncture;
qi stagnation and blood stasis type;
haemorrhoidal disease;
postoperative pain;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(7):1798-1804
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of thumb-tack needling for subcutaeous embedding combined with electroacupuncture in the treatment of postoperative pain of hemorrhoids with qi stagnation and blood stasis type.Methods A total of 150 patients with postoperative pain of hemorrhoids of qi stagnation and blood stasis type were randomly divided into observation group,control group and routine group,with 50 cases in each group.The routine group was given routine anti-inflammatory and supportive treatment.The control group was given thumb-tack needling for subcutaeous embedding therapy on the basis of routine group treatment.The observation group was given electroacupuncture treatment on the basis of control group treatment.A total of six days of treatments were given.After six days of treatment,the clinical efficacy of the three groups was evaluated,and the changes of Visual Analogue Scale(VAS)of pain scores were observed before and after treatment in the three groups.The changes of 5-hydroxytryptamine(5-HT),calcitonin-related gene peptide(CGRP),norepinephrine(NE),substance P(SP)and β-endorphin(β-EP)were compared before and after treatment in the three groups.Results(1)The effective rate of the observation group was 36.00%(18/50),the control group was 14.00%(7/50),and the routine group was 4.00%(2/50).The effective rate of the observation group was significantly superior to that of the control group and the routine group,and the difference was statistically significant(P＜0.05).(2)At 6,12,24,48 hours after treatment,the VAS of pain scores of the three groups were significantly improved(P＜0.05),and the improvement of VAS pain score in the observation group was significantly superior to that in the control group and the routine group,the difference was statistically significant(P＜0.05).(3)After treatment,the levels of serum NE,5-HT,CGRP,SP and β-EP in the three groups were significantly improved(P＜0.05),and the levels of serum NE,5-HT,CGRP,SP and β-EP in the observation group were significantly superior to those in the control group and the routine group,the differences were statistically significant(P＜0.05).Conclusion Thumb-tack needling for subcutaeous embedding combined with electroacupuncture in the treatment of postoperative pain of hemorrhoids of qi stagnation and blood stasis type can significantly improve the pain symptoms of patients.The levels of serum 5-HT,CGRP,NE,SP and β-EP were significantly improved,and the curative effect was significant.
