针灸治疗前列腺术后疼痛的临床研究

目的:比较针灸与药物治疗经尿道前列腺电切术(TURP)术后疼痛的疗效差异。方法:将符合纳入标准的68例临床患者用随机数字表法分为观察组和对照组各34例,观察组脱落2例,剩余32例;对照组脱落1例,剩余33例。术后两组均予阿莫西林、氨基酸、脂肪乳等常规治疗,在此基础上观察组予针刺配合行针手法治疗;对照组在基础治疗上采用静脉注射及静脉滴注配合外用药物治疗。两组均治疗1周,比较两组治疗前后及治疗后2周随访时的疼痛视觉模拟评分(VAS)、匹兹堡睡眠质量指数量表(PSQI)评分及治疗期间的不良反应和治疗后患者满意度。结果:两组患者治疗后VAS评分及PSQI评分较治疗前均下降(P<0.05),但组间比较差异无统计学意义(P>0.05),随访时上述指标及治疗期间的不良反应观察组明显低于对照组(P<0.05)。两组患者治疗前后VAS及PSQI评分差值组间比较均无统计学意义(P>0.05),但两组患者治疗前与随访时、治疗后与随访时上述指标组间比较,差异均具有统计学意义(P<0.05)。观察组满意度较高。结论:针灸治疗TURP术后疼痛疗效确切,效果持久,远期效果好,不良反应小;其临床疗效与西医常规药物疗效相当,且止痛的持续性及治疗期间不良反应的缓解作用明显优于西医常规药物治疗。

Clinical Study of Acupuncture and Moxibustion in Treating Prostate Postoperative Pain

Objective:To compare the efficacy of acupuncture and medication in treating postoperative pain with transurethral resection of prostate(TURP).Methods:A total of 68 clinical patients who met the inclusion criteria were divided into the observation group and control group by random number table method,34 cases in each group.Two cases fell out of the observation group and there were 32 cases remained;one case fell out of the control group and there were 33 cases remained.The observation group was treated with acupuncture and acupunc ture manipulation on the basic treatment;the control group was treated with intravenous injection and intravenous drip in combination with topical medicine on the basic treatment.The two groups were treated for 1 week,and the visual analog score(VAS),Pittsburgh Sleep Quality Index Scale score(PSQI),adverse reactions during treatment and patient satisfaction degree after treatment were compared between the two groups before and after treatment and 2 weeks after treatment.Results:After treatment,the VAS score and PSQI score of the two groups of patients were lower than before treatment(P<0.05).There was no statistically significant difference between the two groups of patients after treatment(P>0.05),but the above indicators and the adverse reactions in the observation group during treatment was significantly lower than those of the control group(P<0.05).The difference between the VAS and PSQI scores between the two groups of patients before and after treatment was not statistically significant(P>0.05),but the differences between the two groups of patients before treatment and at follow-up,after treatment and at follow-up were statistically significant.Academic significance(P<0.05).Conclusions:Acupuncture has a definite curative and long-lasting effect on postoperative pain after TURP,with good long-term efficiency and small adverse reactions;its clinical efficacy is comparable to that of conventional western medicine,and its duration of analgesia and adverse reactions during treatment are significantly better than conventional western medication.