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肛管术后伤口疼痛多途径镇痛的临床研究
引用本文:余月飞,朱传娣,冯乃涛.肛管术后伤口疼痛多途径镇痛的临床研究[J].现代中西医结合杂志,2002,11(9):785-786.
作者姓名:余月飞  朱传娣  冯乃涛
作者单位:江苏省南京市中西医结合医院肛肠科,210014
摘    要:目的 :研究安定、扑热息痛、利多卡因多途径联合用药的镇痛效果和安全性。方法 :将 82例肛管术后患者用随机双盲对照法分三组用药。A组予利多卡因表面麻醉 ;B组予扑热息痛口服 ;C组予安定、扑热息痛口服 ,利多卡因表面麻醉。疗程均为 1周。结果 :A,B,C组肛管术后伤口轻度疼痛者分别占74.1% ,5 6.7% ,92 .0 % ;镇痛效果 C组优于 A组 (P<0 .0 5 ) ,A组优于 B组 (P<0 .0 5 ) ,均无明显副作用。结论 :肛管术后伤口多途径镇痛优于单一用药 ,安定、扑热息痛口服与利多卡因表面麻醉相结合是一种安全、良好的肛管术后伤口镇痛方法

关 键 词:安定  扑热息痛  利多卡因  多途径  镇痛

Clinical study of remitting the pain of anal postoperative cut by multiple paths
Yu Yuefei,Zhu Chuandi,Feng Naitao Anal and Bowel.Clinical study of remitting the pain of anal postoperative cut by multiple paths[J].Modern Journal of Integrated Chinese Traditional and Western Medicine,2002,11(9):785-786.
Authors:Yu Yuefei  Zhu Chuandi  Feng Naitao Anal and Bowel
Institution:Yu Yuefei,Zhu Chuandi,Feng Naitao Anal and Bowel Department,Integrated Traditional Chinese and Western Medicine Hospital of Nanjing,Nanjing 210014,Jiangsu,China
Abstract:Objective:It is to investigate the effect and safety of diazepam, paracetamol and lidocaine in remitting the pain of anal postoperative cut. Methods: Eighty two patients with anal postoperative cut were randomly divided into three groups. Group A was treated with lidocaine. Group B was treated with paracetamol. Group C was treated with diazepam, paracetamol and lidocaine. The cure was a week. Results: The rate of gentle pain was 74.1%, 56.7% and 92.0% in three groups. Group C was superior to group A ( P <0.05), and group A was superior to group B ( P< 0.05). Serious side effects were not found in each group. Conclusion:Multiple path treatment is superior to single administration in remitting the pain of anal postoperative cut. It is a very effective and safe way taking diazepam, paracetamol and lidocaine to remit the pain o f anal postoperative cut.
Keywords:diazepam  paracetamol  lidocaine  multiple paths  remitting pain  
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