肛肠病术后镇痛方法的临床研究

Clinical Study of Postoperative Analgesia in Anorectal Disease

为了探索肛肠病术后镇痛的有效方法，对455例肛肠病术后病人采取下述措施：（1）骶麻加基础麻醉，术中给予一次性镇痛泵镇痛；（2）镇痛泵镇痛结束前，局部注射利多卡因；（3）中医针刺治疗。结果显示，455例病人术中无痛，术后7～9d基本无痛或疼痛轻微，90％以上病人无需服用止痛药。结果表明，该疗法用于肛肠病术后镇痛疗效明显。

This study was to explore an effective postoperative analgesic method in anorectal disease,455 cases received the following management： 1）caudal anesthesia plus basal anesthesia, disposable pain management pump was applied during analgesia;2）local injection of lidocaine was given before the end of analgesia induced by pain management pump; 3）acupuncture analgesia. The results showed that none of the 455 cases felt pain during the operation, and painless or mild pain basically occurred 7-9d after the operation; more than 90 % of the cases didn＇t need to take painkillers. It is concluded that this method is of potent analgesic action in anorectal disease.