文档介绍：南京中医药大学硕士学位论文摘要背景:疼痛是痔术后常见的并发症,也是让患者感到恐惧,不愿接受手术治疗的最主要的原因。痔术后疼痛还会对循环、呼吸、消化、内分泌及免疫等各个系统的功能造成一定的影响,对患者的术后的康复有不良的影响。因此,采取有效措施,预防术后疼痛的发生及减轻其程度,对于减轻患者的痛苦、提高疗效,具有重要的临床意义。目的:通过对痔手术患者进行应用耳穴埋籽以及对照的术后疼痛比较而取得一种便捷易行,价格低廉,安全有效,无副作用,易于被患者接受的镇痛方法。方法:对45例由门诊收住入院的符合要求的痔患者,随机分成三组:治疗组A05例.)、治疗组B(15例)和对照组(15例)。三组全部采取外剥内扎术,治疗组A术前1小时予以耳穴埋籽、术后予以氨丁三醇静滴:治疗组B术后即刻予以耳穴埋籽及氨丁三醇静滴;对照组仅术后予以氨丁三醇静滴。术后对三组病人的总疗效、水肿及尿潴留等其他并发症情况进行观察比较,疼痛采用视觉模拟评分法(VAS)。结果:l、术后3、6、12、24、48、72小时,术前埋籽及术后埋籽组患者的VAS分值均明显低于无埋籽对照组,术前埋籽与术后埋籽则无显著性差异。2、三组患者尿潴留的发生率无显著性差异。3、术前埋籽组和术后埋籽组的术后切口水肿程度均明显轻于无埋籽对照组,术前埋籽与术后埋籽则无显著性差异。结论:1、耳穴埋籽法对防治痔术后疼痛是安全有效的;2、耳穴埋籽法可以明显减少术后水肿等并发症的发生;3、耳穴埋籽作为防治痔术后疼痛的有效方法,值得在临床进一步推广应用并加以研究。关键词:耳穴埋籽;防治;痔术后疼痛;临床研究 Abstract Abstract Background:Pain plication afterhemorrhoid operation,sopatients feelscared afterhemorrhoid operation can alsoinfluencesystem ofcirculation,respiration,digestion, internalsecretionandimmunifaction and have deverse effect on issignificant totake effectiveprecaution toprevent beforehand pain afterhemorrhoid operation andtolessenthedegree. Purpose: Inan effortto achieve aconvenient effectivecheaps嘶and eptedanalgesic method by applying earacupointion and controlgroup. Merthod:Divid 45patients withmixhemorrhoids ply withthestandardrandomly intothreegroups: treatment groupA(1 5cases)、treatmentgroupB(1 5cases)and controlgroup(1 5cases).ThetreatmentgroupA acupoints ears before thesurgery andintervenous drop trometamol aftersurgery:the treatmentgroupB acupoints ears and intervenous drop trometamol aftersurgery;the controlgroup only intervenous drop trometamol pare them intherapeutic plications suchasedema and urinary retention,pain scores esedbY visualanalogue pain scales(VAS). Result:1,3hours,6hours,12hours,24hours,48hours,72hours。VAS ofearacupointion beforeandafter surgery isobviously lowerthan controlgroup,but earacupointion beforeand after surgery doesn’t has 、The incidenceofurinary retentionofthethreegroups ofpatients h