自控静脉镇痛加括约肌侧切用于痔术后镇痛的效果探讨 |
| |
引用本文: | 石光炳,龙承勇,龙明群,张博志.自控静脉镇痛加括约肌侧切用于痔术后镇痛的效果探讨[J].中国肛肠病杂志,2014(2):62-63. |
| |
作者姓名: | 石光炳 龙承勇 龙明群 张博志 |
| |
作者单位: | 贵州省黎平县人民医院外二科,贵州黎平557300 |
| |
摘 要: | 为探讨自控静脉镇痛加括约肌侧切用于痔术后的镇痛效果,将拟接受手术治疗的80例痔患者随机分为A组和B组,各40例,A组术中给予括约肌侧切,并在术后给予自控静脉镇痛,B组给予亚甲蓝局部注射镇痛,对比两组患者术后疼痛程度、换药及排便时疼痛情况,同时观察A组的不良反应。结果显示,A组术后6h、24h、48h及术后首次换药和排便时VAS评分均明显低于B组,P〈O.05。A组自控静脉镇痛期间无明显不良反应。结果表明,自控静脉镇痛加括约肌侧切可有效减轻痔术后疼痛,而且无不良反应。
|
关 键 词: | 痔 自控静脉镇痛 括约肌侧切 镇痛效果 |
Patient Control Intravenous Analgesia Combined with Lateral Incision of Sphincter for Postoperative Analyge- sia of Hemorrhoids Patients:Observation on Analgesia Efficacy |
| |
Authors: | SHI Guang-bing LONG Cheng-yong LONG Ming-qun ZHANG Bo-zhi |
| |
Institution: | The Second Department of Surgery ,the People's Hospital of Liping County ,Liping ,Guizhou 557300 |
| |
Abstract: | In order to explore the analgesia efficacy of patient control intravenous analgesia(PCIA) com- bined with lateral incision of sphincter used to stop postoperative pain of hemorrhoids patients, authors di- vided 80 patients to be subjected to surgery into group A and B randomly,40 cases per group;gave group A with sphincter lateral incision, then with PCIA after operation, while gave group B with local injecting methylene blue for stopping postoperative pain;then compared the postoperative pain degree, and the status of pain when dressing change and defecation, also observed the adverse reaction of group A. As results,in group A the VAS score ratings of pain at 6h,24h,48h after operation,and when postoperative firstly defe- cating and dressing change were significantly lower than that in group B,i. e the analgesia efficacy of group A was significantly superior to group B( P d0.05),also,during PCIA in group A no adverse reaction was found. Results show that PCIA plus sphincter lateral incision can effecitvely reduce postoperative pain with any adverse reaction. |
| |
Keywords: | Hemorrhoid PCIA Laternal incision of sphincter Analgesia effect |
本文献已被 维普 等数据库收录! |
|