耳穴压豆在混合痔围手术期便秘管理中的应用现状与机制探讨

Application and Mechanisms of Auricular Acupressure for Constipation in Mixed Hemorrhoids Perioperative Care

摘要: 背景与目的：混合痔术后便秘严重影响康复，常规药物疗法存在局限性。耳穴压豆作为一种安全简便的中医外治技术，在围手术期应用潜力显著。本文系统探讨其应用方案、疗效及作用机制。方法：结合中医“耳脉相通”理论与现代医学机制，分析耳穴选穴原则、操作方法及预防性干预时机。结果：耳穴压豆通过疏通经络、调节脑肠轴、缓解疼痛等多靶点途径，有效促进排便，兼具通便与身心调节双重优势。结论：耳穴压豆是防治混合痔术后便秘的有效非药物疗法，值得临床推广。未来应聚焦标准化方案构建与高质量研究深化。

Abstract: Background & Objective: Constipation after mixed hemorrhoid surgery impedes recovery, and conventional drug therapies remain limited. Auricular acupressure, a safe and straightforward TCM technique, holds promise for perioperative management. This paper reviews its protocols, efficacy, and mechanisms. Methods: Drawing on TCM theory and modern medicine, we analyzed acupoint selection, procedure, and timing for preventive intervention. Results: Auricular acupressure facilitates bowel motility through multiple pathways—including meridian regulation, brain-gut axis modulation, and pain relief—offering both physical and psychological benefits. Conclusion: Auricular acupressure is an effective non-pharmacologic therapy for postoperative constipation in mixed hemorrhoids and merits clinical adoption. Future work should emphasize protocol standardization and rigorous research.