Table 1.
Characteristics of the included studies.
| Author | Year | Study design | Patients | Diagnostic criteria | Surgical technique | Validated scale | Anesthesic method | Regular treatment | Acupuncture treatment | Device information | Control treatment | Scoring time | Num Acu | Num Con |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Song YY[1] | 2019 | prospective | June, 2016 to December, 2017 Department of Anorectal Unit, Second Chinese Hospital of Jiangsu Province | Guidelines for the Treatment of Common Diseases in Chinese Medicine and Proctology [2]. | Hybrid hemorrhoid anastomosis with suprahemorrhoidal circumferential hemorrhoidectomy and stapling (PPH procedure) according to Provisional specification for suprahemorrhoidal circumferential hemorrhoidectomy and stapling [3] | Referring to the guideline of clinical research of new Chinese medicine [4], combined with the clinical The postoperative observation indexes and scoring criteria of mixed hemorrhoids were formulated in the clinic | Anesthesia at the lumbar point | After 6 h of fasting, the patients were fed a liquid diet, given regular low-flow oxygen for 6 h, and monitored with electrocardiogram for 6 h. The patients were treated with regular rehydration, anti-inflammatory and hemostatic therapy. All patients were All patients were routinely changed at 16 h postoperatively | electroacupuncture:Baliao point | SDZ-V electronic needle therapy instrument, dense and sparse wave, frequency 2 Hz/15 Hz | Operation only | 6h,12h,18h,24 h Postoperatively | 30 | 30 |
| Wen Y [5] | 2017 | prospective | January, 2014 to January, 2016 Department of Traditional Chinese Medicine, Southwest Medical University Hospital | Guide to the Clinical Management of Hemorrhoids (2006 Edition) [6] | External stripping and internal tying Tie surgery | visual analogue scale (VAS) | Anesthesia at the lumbar point | All patients underwent soap and water enema for 6 h before surgery, no water fasting, prophylactic antibiotics for 48 h after surgery, hemostatic drugs for 3 d, liquid diet for 2 d, defecation for 2 d after surgery, regular defecation with Chinese medicine, warm saline sitz bath for 5-10 min after defecation, and local drug change. | Electroacupuncture and electroacupuncture combined with buried thread:Chengshan, Changqiang point | SDZ-V electronic acupuncture therapy instrument, dense and sparse wave | Buried thread | 4h,12h,24h,72h,7d Postoperatively | 40 | 40 |
| Long Q[7] | 2018 | prospective | May, 2016 to May, 2017 Department of Traditional Chinese Medicine, Affiliated Hospital of Southwest Medical University | Guidelines for the Treatment of Common Diseases in Chinese Medicine and Proctology [2]. | External stripping and internal tying Tie surgery | VAS | Anesthesia at the lumbar point | All patients were admitted to the hospital for preoperative education, perfect preoperative related examination, and enema 4 h before surgery. Postoperatively, all patients were given routine antibiotics to prevent infection, hemostasis and symptomatic treatment such as drug changes. | Electroacupuncture and electroacupuncture combined with Ear acupressure group: Xialiao,Changqiang point | G6805-1 electronic acupuncture therapy instrument, dense and sparse wave | Ear acupressure group | 4h,12h,24h,48h,72 h Postoperatively | 30 | 30 |
| Wu J[8] | 2017 | prospective | June, 2012 to January, 2013 West China Hospital of Sichuan University, Department of Integrative Medicine, Chinese Medicine and Fistula Specialist Unit | Chinese Medicine Industry Standard of the People’s Republic of China “Diagnostic Efficacy Criteria for Chinese Medical Evidence” (ZY/T001-94) [9] | External stripping and internal tying Tie surgery | VAS | Anesthesia at the lumbar point | All patients were treated with routine antibiotics to prevent infection, stop bleeding and change medication, etc. They were given a 6-h preoperative fast, and a 40-mL enema 2 h before surgery. After the operation, all subjects were fed a liquid diet after 2h of fasting, and were treated with regular rehydration, anti-inflammation, hemostasis and other symptomatic support. All subjects resumed normal diet and regular bowel movements on the second day after surgery, and were given a fumigating sitz bath with traditional Chinese medicine after the bowel movement. | Electroacupuncture:Chengshan, Changqiang point | SDZ-V electro-acupuncture instrument, dense and sparse wave, frequency 2 Hz/ 15 Hz | Operation only | 24h Postoperatively | 40 | 40 |
| Sun PL[10] | 2011 | prospective | January, 2008-April, 2010 Inpatient Department of Anorectology, The First Affiliated Hospital of Guangxi College of Traditional Chinese Medicine | Guide to the Clinical Management of Hemorrhoids (2006 Edition) | External stripping and internal tying Tie surgery | VAS | Local perianal nerve Anesthesia | The subjects were given anti-infection and hemostatic treatment after surgery, and received warm water sitz bath, T DP infrared light therapy, and clean change of medication after stool from the first day after surgery. | Electroacupuncture: Chengshan point | Han’s electro-acupuncture instrument (L H-202-H) takes the sparse and dense wave current intensity of 6–10 mA at 2 Hz/100 Hz | Naproxen | 5h,24h,48h,72 h Postoperatively | 60 | 55 |
VAS = visual analog scale.
References
[1]Song YY, Ni GX. [Effect of preoperative intervention of electroacupuncture at Baliao point on postoperative complications of procedure for prolapsed and hemorrhoids]. Zhongguo Zhen Jiu. 2019;39:253–256.
[2]Zhang Y, Han B, Tian Z. Guidelines for the treatment of common diseases in Chinese medicine anorectology. Beijing: China Traditional Chinese Medicine Press; 2012.
[3]Surgery CSoM. Anorectal Surgery group. Revision of the provisional specification of suprahemorrhoidal circumferential hemorrhoidectomy (PPH) Chin J Gastroin Surgery. 2005;8:342.
[4]Zheng X. Clinical research guidelines for new Chinese medicines. Beijing: China Medical Science and Technology Press; 2002.
[5]Wen Y, Li J, Long Q et al: [Electroacupuncture combined with catgut implantation for postoperative pain of mixed hemorrhoids]. Zhongguo Zhen Jiu. 2017;37:243–246.
[6]Surgery CSoM. Chinese society of traditional Chinese medicine, Chinese society of integrative medicine. Guidelines for the clinical management of hemorrhoids (2006 edition). Chin J Gastroin Surgery. 2006;9:46.
[7]Long Q, Li Y, Li J,et al [Clinical observation of electroacupuncture combined with auricular point sticking therapy for anal pain of mixed hemorrhoid after external excision and internal ligation]. Zhongguo Zhen Jiu. 2018;38:580–585.
[8]Wu J, Zhao Y, Yang CM et al: [Effects of electroacupuncture preemptive intervention on postoperative pain of mixed hemorrhoids]. Zhongguo Zhen Jiu. 2014;34:279–283.
[9]Medicine MSotSAoTC. 22 specialties and 95 diseases of Chinese medicine treatment plan. Beijing: China Chinese Medicine Publishing House; 2010.
[10]Sun PL, Yang W, Zhang LC. [Effect of electroacupuncture at Chengshan (BL 57) on postoperative pain of mixed hemorrhoids]. Zhongguo Zhen Jiu. 2011;31:413–415.