Abstract:Objective:To observe the influence of combination of hysteroscopy and acupoint application on postoperative pain and intestinal function recovery in patients with perimenopausal abnormal uterine bleeding.Methods:100 patients with peri-menopausal abnormal uterine bleeding were enrolled as study subjects,and were divided into study group(n=50)and control group(n=50)by means of different treatment methods.The control group was given hysteroscopy,whereas the study group received postoperative acupoint application on the basis of the control group.Both groups were treated for 2 days.The postoper-ative pain degree[visual analogue scale(VAS)],pain factors[substance P(SP),norepinephrine(NE)],gastrointestinal hor-mones[gastrin(GAS),motilin(MLT)],intestinal function recovery time(bowel sound recovery time,first exhaust time,first defecation time)and hospitalization time were compared between the two groups.Results:The VAS score in the study group at each time point after surgery(6 hours,1 and 2 days after surgery)was lower than that in the control group(P<0.05).At 1 day and 2 days after surgery,both groups showed higher levels of SP and NE compared to preoperative day 1,and the study group was lower than the control group(P<0.05).Both groups showed lower levels of GAS compared to preoperative day 1,and the study group was higher than the control group(P<0.05).MLT was higher than 1 day before surgery,and the study group was lower than the control group(P<0.05).The intestinal function recovery time and hospitalization time in study group were shorter than those in the control group.Conclusion:Hysteroscopy combined with acupoint application has a good re-lieving effect on postoperative pain in patients with perimenopausal abnormal uterine bleeding,and it can promote the recovery of postoperative intestinal function and shorten the hospitalization time.