芬太尼透皮贴剂与口服散利痛片剂治疗痔疮术后疼痛疗效比较

Effects of Fentanyl Transdermal System and Sanlitong on pain after hemorrhoids operation

目的观察微波组织间加热治疗痔疮术后芬太尼透皮贴剂与散利痛片剂的镇痛效果。方法 60名接受微波组织间加热法治疗的痔疮术后患者被随机分为芬太尼透皮贴剂组和散利痛片剂组 ,前者采用将芬太尼透皮贴剂粘贴于脐部的方法 ,后者服用散利痛片剂 ,用McGill评分法比较两种方法的镇痛效果。结果术后 1— 2周内 ,芬太尼透皮贴剂组与散利痛片剂组患者的疼痛评分差异有显著性意义 ;芬太尼透皮贴剂组在术后 2周内的镇痛效果明显优于散利痛片剂组 ,但术后即时与术后 1周的镇痛效果与散利痛组无显著性差异。结论芬太尼透皮贴剂是微波组织间加热法治疗痔疮术后疼痛的一种应用安全、方法简单、镇痛效果好的药物剂型。

ObjectiveTo observe effects of Fentanyl Transdermal System and Sanlitong on pain of hemorrhoids patients after operation of micro wave heating among tissue.Methods60 hemorrhoids patient whom were treated by micro wave heating among tissue were randomly divided into group A and group B. Patients of group A had Fentanyl Transdermal System affixed on navel position. Patients of group B taken Sanlitong. Effects of two groups were estimated with McGill Questionnaire.ResultsThere was a significant difference between pain scores of two groups in one or two weeks after hemorrhoids operation. The ease pain effect of Fentanyl Transdermal System was better than that of Sanlitong tablet within two weeks after operation.ConclusionThe Fentanyl Transdermal System is a safe, simple and better effect medicament type for ease the pain when treating hemorrhoids with method of micro wave heating among tissue.