CAJ | 학술논문

目的：探讨氨酚曲马多片不同给药模式对肛周疾病术后疼痛控制的影响。方法将200例肛周疾病术后病人分为2组，每组100例，分别在术后72 h内按照按需给药模式和按时给药模式口服氨酚曲马多片，并在术后6 h、10 h、术后第1天、第2天晨起及睡前、术后72 h记录VSA疼痛评分。结果术后6、72 h两组VAS评分比较，χ2分别为0.824、0.652，差异无统计学意义(P>0.05)；术后10 h、术后第1天、第2天VAS评分比较，χ2分别为0、0.002、0.031、0、0，差异有统计学意义(P<0.05)。结论按时给药模式对术后的疼痛控制明显优于按需给药模式，可以为临床在肛周疾病术后疼痛控制方面提供一定的帮助。
목적：탐토안분곡마다편불동급약모식대항주질병술후동통공제적영향。방법장200례항주질병술후병인분위2조，매조100례，분별재술후72 h내안조안수급약모식화안시급약모식구복안분곡마다편，병재술후6 h、10 h、술후제1천、제2천신기급수전、술후72 h기록VSA동통평분。결과술후6、72 h량조VAS평분비교，χ2분별위0.824、0.652，차이무통계학의의(P>0.05)；술후10 h、술후제1천、제2천VAS평분비교，χ2분별위0、0.002、0.031、0、0，차이유통계학의의(P<0.05)。결론안시급약모식대술후적동통공제명현우우안수급약모식，가이위림상재항주질병술후동통공제방면제공일정적방조。
Objective To observe the efficacy of paracetamol and tramadol hydrochloride tablets on postoperative pain after perianal disease operation by different administration modes.Methods 200 patients with perianal disease were divided into two groups with 100 cases in each. Two groups of patients took paracetamol and tramadol hydrochloride tablets orally within postoperative 72 hours in accordance with on-demand administered mode and on-time administered mode, respectively.VSA scores at postoperative 6,10 h, early morning and bedtime of 1, 2 days postoperative, and 72 h were recorded.Results There is no statistically significant difference of VSA scores between the two groups postoperative 6,72 h (P>0.05), theχ2value is 0.824, 0.652 respectively;however, there is statistically significant difference postoperative 10h, 1day and 2 days (P<0.05), theχ2value is 0, 0.002, 0.031, 0, 0.Conclusion The effect of controlling postoperative pain of on-time administered mode group is better than the on-demand administered mode group, which is conducive to the controlling pain after perianal disease operation.