双氯芬酸钠栓塞肛超前镇痛联合盐酸利多卡因在包皮环切术中的应用

Application of diclofenac sodium suppository anal preemptive analgesia combined with lidocaine hydrochloride in circumcision

目的采用双氯芬酸钠栓塞肛超前镇痛用于包皮环切术，研究其在包皮环切术中的镇痛效果及疗效。方法将包皮过长患者200例，随机分为对照组及试验组，对照组给予1％的盐酸利多卡因10mL进行阴茎阻滞麻醉，试验组术前即给予双氯芬酸钠栓塞肛，再给予1％的盐酸利多卡因10mL进行阴茎阻滞麻醉。以阻滞麻醉时、手术时及术后疼痛评分为考核指标，综合评价双氯芬酸钠栓塞肛超前镇痛效果。结果与对照组比较，试验组患者在麻醉时、手术后1～3h的疼痛度均明显降低，差异有统计学意义（P〈0．05）。结论术前给予双氯芬酸钠栓塞肛可有效减轻包皮环切术麻醉时及术后的疼痛，建议将双氯芬酸钠栓应用于该类手术，以减轻疼痛。

Objectives To investigate analgesia effect and curative effect of diclofenac sodium suppository anal ahead in circumcision resection. Methods 200 patients with redundant prepuce were randomly divided into control group and the experimental group, patients in control group was given with 1% lidocaine 10mL for penile block anesthesia, patients in experimental group were given diclofenac sodium suppository anal before the surgery, and then given 1% hydrochloric acid lidocaine 10mL for penile block anesthesia. Efficacy of diclofenac sodium suppository anal super analgesia was evaluated. Results Compared with the control group, the pain of the patients in the experimental group was significantly lower than that of the 1 -3h after anesthesia, and the difference was statistically significant （ P 〈 0.05 ）. Conclusions Diclofenac sodium suppository anal can effectively reduce pain of circumcision anesthesia and postoperation. It is recommended that the diclofenac sodium suppository is used in clinical operation for reducing the patient＇s pain.