authentic中文摘要
clever是什么意思
目的：观察腹针治疗对混合痔术后镇痛效果，并与去痛片组比较，而取得一种镇痛效果理想、不良反应小、操作简便、经济实用的理想镇痛方案。
方法：选取混合痔术后疼痛(符合入选标准)60例，随机分为腹针组30例、去痛片组30例。腹针治疗：取穴：主穴取中脘(浅刺)、气海(深刺)、关元(深刺)；辅穴取水分(浅刺)；佐穴取气海下风湿点(浅刺)；使穴取天枢(中刺)。去痛片组：口服去痛片(湖南湘药制药有限公司，批准文号:H43021605),2片。观察23小时内两组患者疼痛程度、镇痛效果，疼痛采用视觉模拟评分法评定，分别对两组患者术后1、3、5、7、11、23小时疼痛程度(VAS评分值)，术后并发症以及不良反应情况进行观察。
jeanswear结果：两组在镇痛效果上经统计学分析，1、3、5小时VAS评分值，P<0.01，两组间差异有统计学意义；7、11、23小时VAS评分值，P<0.05, 两组间差异有统计学意义。对尿潴留观察，两组经统计学分析，P<0.01，两组间差异有统计学意义。对肛门失禁和不良反应观察，Ａ、Ｂ两组中未发生肛门失禁，Ａ组中有１例出现恶心、呕吐、头昏、胸闷、心慌；Ｂ组有１例稍许恶心，皮肤瘙痒，Ａ、Ｂ两组在肛门失禁和不良反应上比较，P＞0.05两组间差异无统计学意义。对肛缘水肿观察，两组经统计学分析，P<0.05，两组间差异有统计学意义。
全球护士缺口达590万结论：1：腹针对混合痔术后疼痛有确切的镇痛作用;2：腹针与去痛片比较，腹针治疗镇痛效果比去痛片
强，腹针作用的起效时间比去
痛片短，镇痛维持时间比去痛片长;3：腹针治疗可以防止混合痔术后肛缘水肿的作用。4：腹针治疗可以防止混合痔术后尿潴留的作用。5：腹针治疗对混合痔术后镇痛中的使用是安全的。
关键词： 腹针治疗； 混合痔； 术后疼痛； 临床研究
整机英文
ABSTRACT
Objective: In order to ek for one kind of economical practical plan of analgesic effect ideal, adver reaction to be small, the operation to be simple. To obrve the analgesic effect about abdominal needle treatment mixed hemorrboids after operation .
Methods: After lection mixed hemorrboids after operation, the ache 60 examples, we divided into the group abdominal needle treatment and anodyne tablets, each group had 30 patients. Abdominal needle treatment group:acupuncture was given at main points,Zhongwan(shallo wneedling),Qihai(deep needing),Guanyuan(deep needing). Auxiliary acupuncture point wae Shuifen(shallow needing).Assistance acupuncture point were Fengshidian under Qihai(shallow needing) and Tianshu(middle needing). Anodyne tablets group:oral ,two tablets.Using the visual anal
og scale(V AS) to evaluate the ache ,we obrved two group of pain degree and the analgesic effect in 23 hours then obrved complication and adver reaction after operation.
requestcodeResults: Analgesic effect between tuo groups ,the V AS score of each patient was recorded at 1, 3, 5 hrs(P<0.01); the V AS score of each patient was recorded at 7,11, 23 hrs(P<0.05). the urinary retention was obrved(P<0.01). the anal margin edema was obrved(P<0.05). Comparison of anal incontinence in the two groups was P＞0.05. There
was one group that had 1 example to naua, vomiting, dizziness, chest stuffiness , palpitation , one group had 1 example to naua and skin itch slightly.
Conclusion:Abdominal needle treatment had the accurate analgesia function for mixed hemorrboids after operation. A comparison between abdominal needle treatment and anodyne tablets, the former had the effect time to be short and the analgesia maintenance time to be long. There was certain function for the anal margin edema and the retention of urine. The abdominal needle treatment was safe for mixed hemorrboids after operation about analgesia.
Key Words: abdominal needle treatment, mixed hemorrboids, postoperative pain,clinical rearch.
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本人声明，所呈交的学位论文是本人在导师指导下进行的研究工作及取得的研究成果，除了论文中特别加以标注及致谢的地方外，论文中不包含其他已经发表或撰写过的研究成果，也不包含为获得湖南中医药大学和其他单位的学位和证书而使用过的材料，与我共同工作的对本研究所做的贡献均已在论文中作了明确地说明。
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