CN110787050A

CN110787050A - Application of auricular point pressure treatment on mixed hemorrhoid perioperative pain

Info

Publication number: CN110787050A
Application number: CN201911156769.1A
Authority: CN
Inventors: 邓蓓蕾; 周茹; 黄信松
Original assignee: Jingan District Shanghai Traditional Chinese Medicine Hospital
Current assignee: Jingan District Shanghai Traditional Chinese Medicine Hospital
Priority date: 2019-11-22
Filing date: 2019-11-22
Publication date: 2020-02-14

Abstract

The invention relates to an application of an auricular point pressing pill in preparing perioperative medicaments for treating perianal disease operations. The ear acupoint pressing pill is seed or magnetic bead of cowherb seed. The perioperative period of the perianal disease operation is the perioperative period of the hemorrhoid operation. The invention has the advantages that: the analgesic effect of the auricular point pressing pill in the perioperative period is superior to that of the common oral medicine, and the auricular point pressing pill has popularization and application value in clinic.

Description

Application of auricular point pressure treatment on mixed hemorrhoid perioperative pain

Technical Field

The invention relates to the technical field of traditional Chinese medicines, in particular to application of an auricular point pressing pill in preparing perioperative medicaments for treating perianal common disease operations.

Background

Hemorrhoids are common frequently encountered diseases and have high incidence rate, which seriously affect the healthy life quality and the working efficiency of people. According to recent statistics at home and abroad, the prevalence rate of the hemorrhoids in people is 62.88 percent, wherein the hemorrhoids are 80.98 percent. The etiology is that the anal pad moves down and the vein expands.

The treatment method of the hemorrhoids comprises non-operative treatment and operative treatment, and when the anal pad of a patient is widely damaged and the symptoms such as prolapse, pain, bleeding and the like cannot be obviously improved by using the medicament treatment, the operative treatment can be carried out. The operation treatment of the hemorrhoid mostly adopts a local infiltration anesthesia method, the local anesthetic dosage is large, the anesthesia area is small, adverse reactions such as nausea, dizziness, vomiting and the like are easily generated, the pain is large due to tissue injury, wound surface edema, postoperative defecation reflex and the like after the operation, the healing time of the semi-polluted wound surface is long, the normal work and study are influenced, the intramuscular injection or oral analgesic is needed, and the adverse reactions such as addiction, gastrointestinal tract reaction, liver and kidney function injury and the like are easily caused after the long-term use. Therefore, it is urgent to find a method for safely and effectively reducing the use of local anesthetics in surgery, relieving postoperative pain and reducing the dosage of analgesics. The application of auricular point pressure treatment for pain in the perioperative period of mixed hemorrhoid is not reported at present.

Disclosure of Invention

The first purpose of the invention is to provide the application of the auricular point pressing pill in preparing the medicament for treating the perioperative period aiming at the defects in the prior art.

In order to achieve the first object, the technical scheme of the invention is as follows: an application of auricular point pressing pill in preparing perioperative medicine for treating perianal diseases is disclosed.

The ear acupoint pressing pill is seed or magnetic bead of cowherb seed.

The perioperative period of the perianal disease operation is the perioperative period of the hemorrhoid operation.

The invention has the advantages that: the analgesic effect of the auricular point pressing pill in the perioperative period is superior to that of the common oral medicine, and the auricular point pressing pill has popularization and application value in clinic. The ear acupoint pressing pill of the invention achieves the purposes of stimulating ear acupoints, relieving pain and alleviating mental stress and fear of operation patients by pressing corresponding acupoints. The invention treats the mixed hemorrhoid, takes the mental tranquilization and pain relief and the lung qi dredging function as main points, relieves pain and stanchs after operation, has good effect, simple and convenient operation and no side effect, is easy to be accepted by patients, and is an ideal treatment method.

Drawings

FIG. 1 is a technical scheme of the invention.

Detailed Description

The invention will be further illustrated with reference to specific embodiments. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Furthermore, it should be understood that various changes and modifications can be made by those skilled in the art after reading the disclosure of the present invention, and equivalents fall within the scope of the appended claims.

Example 1

General data:

1. the technical points are

1.1 diagnostic criteria traditional Chinese medicine diagnostic criteria: refer to the Chinese medicine industry Standard of the people's republic of China "Standard of curative Effect for diagnosis of TCM disease symptoms" (ZY/T001.7-94).

The disease names of the traditional Chinese medicine are as follows: hemorrhoid treatment

(1) Symptoms are:

① intermittent hematochezia is characterized by dripping blood and shooting blood during defecation, large amount, bright red color, and no confusion of blood with feces, and can also be manifested as bloody toilet paper.

② prolapse, the granular lump can be withdrawn from anus at the initial stage, and can be returned by hand or rested in bed at the later stage, and can be withdrawn when severe people squat, walk, cough or sneeze.

③ feeling of anal discomfort including anal tenesmus, foreign body sensation, itching or pain, which may be accompanied by mucus overflow.

(2) Physical signs: the mucosa skin at the same position above and below the tooth trace is raised and connected into a whole, and the anus is soft and is positioned at 3, 7 and 11 points.

The diagnosis can be established by adding ① or ② in the above item (2) plus item (1).

1.2 case grouping

The plan is included in 70 cases, and the cases are divided into 35 cases of auricular point groups and 35 cases of analgesic drugs according to a random method;

1.3 inclusion criteria

(1) In the stage III and IV of mixed hemorrhoid, the curative effect of the medicine is not obvious, and patients need to perform hemorrhoid operation;

(2) patients who volunteered to participate in the clinical study and agreed to sign informed consent.

1.4 rejection Standard

(1) Patients with immunodeficiency

(2) Patients with severe hypertension, coronary heart disease;

(3) those who are unwilling to receive ear acupuncture treatment;

(4) patients with rectal cancer and rectal polyp complicated with other anorectal diseases

1.5 case of exfoliation treatment

(1) Serious adverse reaction occurs after the needle is buried, and the patient is interrupted to continue the treatment;

(2) the ear acupoints are not uncovered according to the specification, and the curative effect or safety judgment is not affected by insufficient data or the curative effect cannot be judged;

(3) patients who self-discontinue treatment.

2. Technical route

See in particular fig. 1.

3. Specification of operation

3.1. Point location and disinfection

Selecting one-sided ear acupoint as a point, strictly sterilizing the ear acupoint before pelleting, sterilizing with 2.5% iodine tincture, deiodinating with 75% alcohol, and performing operation after the alcohol is dried.

3.2. Posture and needle insertion

Generally, the patient sits on the seat, fixes the ear after conventional disinfection with the left hand of the operator, clamps the adhesive plaster with forceps with the right hand, presses the semen Vaccariae lightly on the ear acupoint and fixes the adhesive plaster. The thumb is used to gently press and stimulate the patient until the patient gets qi.

3.3. Keep somewhere and take off

During the indwelling period, the hands should be cleaned and disinfected before self-pressing stimulation, the pressing force should not be too large to feel mild pain, and the pressing time should not be too long, limited to 1-2 minutes. Pressing three times a day, after changing dressing, after lunch and before sleeping at night.

After changing the dressing every day, the physician sterilizes the local auricle on one side, holds the auricle with the left hand, rapidly removes the adhesive plaster with the right hand, and then wipes it with alcohol cotton ball for sterilization.

The contralateral auricular point is pressed with bean, and the ear is changed every day.

3.4. Matters of attention

Strictly sterilizing and preventing infection. Auricle is exposed outside, the surface is uneven, the structure is special, the ear is strictly disinfected, and the affected part and the inflammation part are forbidden to be pressed, so that infection and even pyogenic periostitis are prevented.

During the period of keeping the ear acupoint pressing bean, the patient should be advised to avoid local soaking and dirt contact, and the ear is disinfected with 75% alcohol every other day to avoid pressing and wetting.

During treatment, care should be taken to prevent needle sickness and to treat the disease in time once the disease occurs.

3.5. Contraindication

Pregnant women with habitual abortion should be prohibited to take the injection; it is not suitable for patients with severe organic lesion and high anemia, and is not suitable for patients with severe heart disease and hypertension to do strong stimulation.

4. Scope of application

The perianal operation is mainly perioperative treatment of hemorrhoid operation.

5. Specific prescription

5.1 auricular point group: before the operation, a single ear point pressing pill (Wang Bu Zi) is given, and Shenmen (the upper part of 1/3 behind the triangular fossa, namely the area 4 of the triangular fossa), the lung (the periphery of the heart and trachea area, namely the area 14 of the concha), the rectum (the front upper part of the auricular pedunculus, the ear wheel of the near-screen incised track, and on the same level with the large intestine point, namely the area 2 of the ear wheel) are positioned according to the positioning standard of GBT 13734 plus 2008 'ear point name and positioning', the ear pressing pill is changed when the medicine is changed after every other day, and the acupuncture points are added and subtracted according to the wound surface condition. The spleen is added for excessive bleeding (below BD line, above and behind the cavum concha, below liver acupoint, in the upper and lower posterior margins of the missing part of crus orbicularis, i.e. area concha 13), and the liver is added for vomiting (behind the concha boat, behind the gastric reflex region and duodenal reflex region, in the middle of the line connecting pancreas acupoint to the point of the external abdomen, i.e. area concha 12). The pressure is applied for 7 days alternately after changing every day.

5.2 control group: after surgery, the patient was ordered to take ibuprofen sustained release capsules (Zhongmei Tianjin Shike pharmacy Co., Ltd.; specification: 0.3g)0.3g, 1 capsule per 12 hours, and asked about pain during dressing change.

Results

1. Data and method

1.1 general data

Selecting patients with anorectal diseases of the first half year from 2018 in 1 month to 2019 (mainly mixed hemorrhoid patients), removing influence on curative effect or safety judgment, and dividing into auricular point groups and control groups according to a random method, wherein each group comprises 35 cases. 19 men and 16 women in auricular point group patients; age 84-22 years, mean age (58.91 + -15.24) years; control group 18 men and 17 women; the age is 90-22 years, the mean age (61.54 + -13.07) years; the comparison of general data such as sex, age, etc. of two groups has no statistical significance, (P >0.05), and has comparability.

1.2 methods

1.2.1 control group

After the operation, the patient is ordered to take ibuprofen sustained-release capsules (Zhongmei Tianjin Shike pharmaceutical Co., Ltd.; specification: 0.3g)0.3g and 1 tablet per 12 hours.

1.2.2 Observation groups

Before operation, the pill is applied to the ear acupoint of single ear, and the pill is changed after dressing change after alternate days by selecting Shenmen (the upper part of 1/3 behind the triangular fossa, namely the area of the triangular fossa 4), lung (the periphery of the heart and trachea area, namely the area of the concha 14), rectum (the front upper part of the auricular pedunculus and the ear ring near the incised track on the screen, on the same level with the large intestine acupoint, namely the area of the ear ring 2), and the acupoints are added and subtracted according to the wound surface condition. The spleen is added for excessive bleeding (below BD line, above and behind the cavum concha, below liver acupoint, in the upper and lower posterior margins of the missing part of crus orbicularis, i.e. area concha 13), and the liver is added for vomiting (behind the concha boat, behind the gastric reflex region and duodenal reflex region, in the middle of the line connecting pancreas acupoint to the point of the external abdomen, i.e. area concha 12). Changing the two days and the one day, and alternately pressing for 7 days.

1.3 Observation index

Pain scores were recorded for the first, third, fifth, and seventh postoperative days in the two groups of patients, respectively, and compared at each time node. The scoring criteria were assessed for pain using VAS scoring.

1.4 statistical methods

The data is processed by adopting the sps 17.0 software, and multi-sample rank sum detection is respectively carried out on four time nodes

2. Results

The two sets of data were compared at D1, D3, D5, D7, respectively.

The pain scores of the ear acupoint pressing bean groups are respectively lower than those of the control group at D1, D3, D5 and D7, P is less than 0.05, and the statistical difference exists. See Table 1

Table 1 comparison of postoperative pain scores in two groups

According to statistical analysis of VAS scores of the auricular point soybean-pressing group and the control group at four time nodes, pain scores at D1, D3 and D7 are superior to those of the control group (p is less than 0.05), which shows that the analgesic effect of the auricular point soybean-pressing analgesic in the perioperative period is superior to that of the common oral medicament, and the auricular point soybean-pressing analgesic has popularization and application values in clinic.

Claims

1. An application of auricular point pressing pill in preparing perioperative medicine for treating perianal diseases is disclosed.

2. The use of claim 1, wherein the auricular point press pellet is a seed of cowherb or a magnetic bead.

3. Use according to claim 1 or 2, wherein the perioperative period of the perianal disease operation is the perioperative period of a hemorrhoidal operation.