利多卡因加亚甲蓝对痔疮术后肛门疼痛的镇痛效果研究

Study on the analgesic effect of lidocaine and methylene blue on the analgesia of anal pain after hemorrhoids

目的 探讨利多卡因加亚甲蓝对痔疮术后肛门疼痛的镇痛效果。方法 采用电脑随机的方式,将浙江省平湖市第二人民医院于2014年1月-2016年10月收治的52例痔疮术后肛门疼痛患者,随机分为对照组与研究组,各占26例,其中对照组予以常规止痛处理,研究组予以利多卡因加亚甲蓝进行处理,对比2组患者镇痛效果以及不良反应发生率。结果 术后第1天、第3天、第5天、第7天,研究组VAS疼痛评分低于对照组（P〈0.05）;2组不良反应发生率,研究组呕吐恶心、头痛头晕以及一过性高血压等不良反应发生率,明显低于对照组（P〈0.05）。结论 痔疮术后肛门疼痛,应用利多卡因加亚甲蓝,可获得满意的镇痛效果,操作方法简单,不良反应发生率低,安全可靠。

Objective To investigate the effects of lidocaine and methylene blue on the analgesia of the anal pain after hemorrhoids. Methods Using computer random way, to the hospital from January 2014 to October 2016 postoperative anal pain patients, 52 cases of hemorrhoids were randomLy divided into normal group and research group, 26 cases of each item, which the conventional pain processing, conventional group team to lidocaine and methylene blue, compared two groups of patients with analgesic effect and the incidence of adverse reactions. Results 1d, 3d, 5d and 7d were performed after surgery, and the VAS pain score of the study group was lower than that in the conventional group, and the results of the test were statistically significant （P〈0.05）. Statistical incidence of adverse reactions in both groups, found the team vomiting nausea, headache, dizziness and transient hypertension incidence of adverse reactions, significantly lower than the normal group, the difference between groups with the clinical inspection was statistically significant （P〈0.05）. Conclusion The postoperative anal pain, hemorrhoids application of lidocaine and methylene blue, can obtain satisfactory analgesia effect, operation method is simple, low incidence of adverse reactions, safe and reliable, and can use it as a clinical analgesic solution recommended applications.