复方盐酸利多卡因注射液用于肛门病术后镇痛的临床观察

Compound Lidocaine Hydrochloride Used for Analgesia Following the Operation for Anal Diseases：Clinical Observation

为探讨复方盐酸利多卡因注射液用于肛门病术后镇痛的效果，将120例患者随机分为治疗组和对照组，各60例。治疗组术毕用复方盐酸利多卡因注射液于切口边缘皮下浸润注射，对照组术毕常规处理切口，不用任何药物。观察两组术后疼痛起始时间、疼痛持续时间、术后24h内疼痛情况和排便、换药时疼痛情况，以及镇痛剂使用和术后排尿情况。结果显示，治疗组的疼痛起始时间、疼痛持续时间、术后24h内疼痛及排便、换药时的疼痛情况，以及镇痛剂使用和排尿情况均明显优于对照组，P〈0．01。结果表明，复方盐酸利多卡因注射液切口局部注射能有效减轻肛门病术后疼痛，还可有效减少术后排尿障碍的发生。

In order to explore the analgesia efficacy of compound lidocaine hydrochloride used following the operation for anal disease,author＇s department randomly divided the 120 patients into two groups： treatment group and controlled group,60 cases, per grouprat the end of operation gave treatment group compound lidoeaine hydrochloride injection on the incision edge by hypodermic infiltration injection,meanwhile controlled group only received routine management on the incision without using any drugs ~ postoperative pain onset time,pain lasting time, and pain situations in 24h after operation,during defecation and during dressing change,as well postoperative using anodyne status and micturition status in both groups were observed. As results,all above mentioned items of treatment group were significantly superior to that of con- trolled group（ P 〈0.01）. Results show that locally injecting compound lidocaine hydrochloride at the incision edge can effectively relieve postoperative pain of anal disease patient, also reduce the incidence of postoperative dysuria.