骶神经刺激疗法治疗混合痔术后疼痛的疗效观察

Effect of Treatment of Pain with Sacral Nerve Stimulation After the Operation of Mixed Hemorrhoid

目的观察骶神经刺激疗法(SNS)治疗混合痔术后疼痛的临床疗效。方法选取2010年1月至2012年12月在广东省中医院肛肠科住院手术治疗的患者,随机分为SNS组和氨酚曲马多组,每组40例。对比分析两组患者疼痛效果评分、止痛时间等指标差异。结果 SNS组患者治疗后的疼痛持续时间和止痛平均起效时间均显著低于氨酚曲马多组,疼痛VAS评分差值显著大于氨酚曲马多组,差异有统计学意义(P<0.05)。结论 SNS对痔术后疼痛疗效确切,实用性强,更适合于术后中、重度疼痛。

Objective To observe the effect of sacral nerve stimulation （SNS） in the clinical effect of the treatment of postoperative pain of mixed hemorrhoids. Methods From January 2010 to December 2012 in Guangdong Provincial Hospital of TCM,the patients with anorectic diseases received surgery were randomly divided into SNS group and paracetamol ＋ tramadol hydrochloride group, 40 cases in each group. Analysis of differences between two groups of patients with pain score,analgesic effect of time index. Results In SNS group,the pain of patients and the duration of pain onset time was significantly lower than that of paracetamol ＋ tramadol hydrochloride group, the difference of VAS score and BRS score of pain were significantly larger than those of paracetamol and tramadol group, the differences were statistically significant （P〈 0.05）. Conclusion The use of SNS on pain relieve after hemorrhoid surgery is effective, practical,and more suitable for surgery severe pain.