Wrist-Ankle Acupuncture Relieves Postoperative Pain After Milligan-Morgan Hemorrhoidectomy for Mixed Hemorrhoids: A Randomized Controlled Clinical Trial.

IF 2.5 3区医学 Q2 CLINICAL NEUROLOGY

Journal of Pain Research Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI:10.2147/JPR.S542202

Min Xu, Wenjuan Li, Xiaoyan Wang, Yulei Gao, Lingyi Qi, Liping Xu, Yuhua He, Changsheng Dong, Jing Zhang, Huachun Zhang, Jiawen Wang

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Abstract

Purpose: To evaluate the efficacy of wrist-ankle acupuncture in alleviating postoperative pain in patients undergoing Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids.

Patients and methods: A total of 124 patients who underwent Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids at our center between January 2024 and December 2024 were randomly assigned to two groups (62 patients in each group). The control group received postoperative patient-controlled intravenous analgesia (PCIA), whereas the treatment group received wrist-ankle acupuncture in addition to PCIA. Pain relief was assessed at 6 h, 12 h, 24 h, 48 h, and 72 h postoperatively. Additional outcomes included PCIA usage, frequency of rescue analgesia for pain, and the incidence of postoperative complications.

Results: The treatment group exhibited significantly lower Numerical Rating Scale (NRS) pain scores than the control group starting at 12 h postoperatively (P < 0.05). By 24 h, both PCIA usage and the frequency of rescue analgesia were significantly reduced in the treatment group compared with the control group (P < 0.05). The incidence of constipation and urinary retention was also lower in the treatment group (P < 0.05). No adverse events occurred in either group.

Conclusion: Wrist-ankle acupuncture is a safe and effective adjunct for postoperative analgesia following Milligan-Morgan hemorrhoidectomy. It significantly alleviates pain, lowers the incidence of constipation and urinary retention, and is not associated with any adverse effects.

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腕踝针刺缓解混合性痔疮米利根-摩根痔切除术后疼痛：一项随机对照临床试验

目的：评价腕踝针对混合性痔疮米利根-摩根痔切除术患者术后疼痛的缓解效果。患者和方法：将2024年1月至2024年12月在本中心行米利根-摩根混合痔切除术的患者124例随机分为两组（每组62例）。对照组术后给予患者自控静脉镇痛（PCIA），治疗组在PCIA的基础上给予腕踝针刺。分别于术后6小时、12小时、24小时、48小时和72小时评估疼痛缓解情况。其他结果包括PCIA的使用、止痛的频率和术后并发症的发生率。结果：治疗组术后12 h NRS疼痛评分明显低于对照组（P < 0.05）。24 h时，与对照组相比，治疗组PCIA使用次数和抢救镇痛次数均显著减少（P < 0.05）。治疗组便秘、尿潴留发生率明显低于对照组（P < 0.05）。两组均未发生不良事件。结论：腕踝针是一种安全、有效的辅助治疗米利根-摩根痔切除术后镇痛的方法。它可以显著减轻疼痛，降低便秘和尿潴留的发生率，并且没有任何不良反应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pain Research CLINICAL NEUROLOGY-

CiteScore

4.50

自引率

3.70%

发文量

411

审稿时长

16 weeks

期刊介绍： Journal of Pain Research is an international, peer-reviewed, open access journal that welcomes laboratory and clinical findings in the fields of pain research and the prevention and management of pain. Original research, reviews, symposium reports, hypothesis formation and commentaries are all considered for publication. Additionally, the journal now welcomes the submission of pain-policy-related editorials and commentaries, particularly in regard to ethical, regulatory, forensic, and other legal issues in pain medicine, and to the education of pain practitioners and researchers.