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| Effects of acupuncture on inflammatory factors，traumatic edge edema and cystourodynamics in the off-line period of postoperative hemorrhoids with damp-heat obstructing type |
| Hits 8 Download times 0 Received:July 10, 2024 |
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| DOI
10.11656/j.issn.1672-1519.2024.12.07 |
| Key Words
acupuncture;mixed hemorrhoids;off-line stage;inflammation;cysturodynamics;analgesic supplemental rate |
| Author Name | Affiliation | E-mail | | GU Xiuli | Department of Acupuncture and Moxibustion, Southern District, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 102600, China | | | XU Dong | Department of Acupuncture and Moxibustion, Southern District, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 102600, China | | | CHEN Jiahua | Department of Acupuncture and Moxibustion, Southern District, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 102600, China | | | ZHANG Bo | Department of Acupuncture and Moxibustion, Southern District, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 102600, China | zhangbo886@sina.com |
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| Abstract
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| [Objective] To observe the effects of acupuncture on inflammatory factors，traumatic edge edema，and bladder urodynamics in the off-line period after mixed hemorrhoid surgery. [Methods] Eighty patients with mixed hemorrhoids treated with external stripping and internal ligation were selected from the southern district of Guang’anmen Hospital，China Academy of Chinese Medical Sciences. The random number table method was used to divide the patients into the sham acupuncture group and the acupuncture group，with 40 cases in each group. Both groups were treated with external stripping and internal ligation and received conventional symptomatic treatment after surgery. The sham acupuncture group received the sham acupuncture treatment on the 4th day after the operation，and the acupuncture group received the acupuncture treatment on the 4th day after the operation. The clinical efficacy of the two groups was evaluated after 4 d treatment，and traditional Chinese medicine（TCM） syndrome evaluation was given before and after acupuncture. The Digital Assessment Scale（NRS） was evaluated. The rate of analgesic addition from the 4th day after surgery was recorded. An assessment of traumatic edema was performed. Vesiculodynamic parameters，such as detrusor pressure and maximum urine flow，were detected. The levels of procalcitonin（PCT），interleukin-6（IL-6） and hypersensitive C-reactive protein（hs-CRP） were measured. [Results] The total effective rate of the acupuncture group was higher than that of the sham acupuncture group（P<0.05）. The TCM syndrome score of the acupuncture group was lower than that of the sham acupuncture group（P<0.05）. The scores of NRS and traumatic edge edema in the acupuncture group were lower than those in sham acupuncture group（P<0.05）. The addition rate of analgesic drugs in the acupuncture group was lower than that in the sham acupuncture group（P<0.05）. Detrusor pressure and maximum urine flow in the acupuncture group were higher than those in the sham acupuncture group（P<0.05）. The levels of IL-6，PCT and hs-CRP in the acupuncture group were lower than those in the sham acupuncture group（P<0.05）. [Conclusion] Acupuncture treatment of patients with mixed hemorrhoids at the off-line stage after surgery can improve clinical efficacy，reduce TCM syndrome score，improve traumatic edge edema，relieve pain，reduce the supplemental rate of analgesics，improve bladder urodynamics，and inhibit inflammation. |
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