肛管术后伤口疼痛多途径镇痛的临床研究

Clinical study of remitting the pain of anal postoperative cut by multiple paths

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。

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.