复方亚甲蓝联合中药坐浴熏洗对84例肛肠手术患者术后疼痛缓解的临床疗效观察

Clinical effective observation on relieving 84 cases of pain following anorectal surgery with methylene blue compound plus TCM bathing

目的:探讨复方亚甲蓝联合中药坐浴熏洗对缓解肛肠手术患者术后疼痛的临床疗效。方法:随机将168例肛肠手术患者分为两组,各84例,两组术后均给予常规创口换药,并同时给予头孢匹胺、替硝唑治疗。观察组在该治疗外加用复方亚甲蓝联合中药坐浴熏洗进行治疗。结果:观察组术后疼痛率明显少于对照组(x2=44.21,P<0.01),且以轻微疼痛(无疼痛及1度疼痛)为主,占86.9%(73/84)。观察组尿潴留发生率较对照组明显减少(x2=12.92,P<0.01)。结论:复方亚甲蓝注射和中药坐浴熏洗法联用,可明显缓解肛肠手术患者术后疼痛,是一种有效的方法。

Objective： To explore the efficacy of Methylene blue compound preparation plus TCM bathing on patients with postoperation pain after anorectal operation. Methods： 168 cases with postoperation pain after anorectal operation were randomly divided into two groups, 84 for earch. All patients were given by Cefpiramide and Tinidazole after operation. The patients in the observed group were given additionally by methylene blue compound preparation combined with TCM fumigation sitz bath. Results： The postoperation pain rate of the observed group were lower than that of the control group （x2=44.21,P〈0.01）, with the major of mildly pain, taking the percentage of 86.9% （73/84）. There was significant difference between two groups in the urinary retention rate （x2=12.92, P〈0.01） . Conclusion： Methylene blue compound preparation combined with TCM fumigation sitz bath on patients with postoperation pain after anorectal operation would relieve the pain, which would be a good treatment.