CAJ | 학술논문

目的:探讨肛肠疾病术后有效镇痛的方法.方法:将肛肠病术后86例随机单盲分为A组(双氯芬酸钠利多卡因加长效止痛剂)56例、B组(长效止痛剂)30例.观察记录术后6、24、48 h镇痛评分(VAS)、不良反应发生情况.结果:术后6、24 h VAS评分A组显著低于B组(P<0.01),两组48 h VAS差异无统计学意义(P>0.05),A组不良反应明显少于B组(P<0.01).结论:双氯芬酸钠利多卡因与长效止痛剂联合应用于肛肠术后镇痛效果良好,可持续长效镇痛,不良反应少,是一经济适用简便的术后多模式镇痛方法.
목적:탐토항장질병술후유효진통적방법.방법:장항장병술후86례수궤단맹분위A조(쌍록분산납리다잡인가장효지통제)56례、B조(장효지통제)30례.관찰기록술후6、24、48 h진통평분(VAS)、불량반응발생정황.결과:술후6、24 h VAS평분A조현저저우B조(P<0.01),량조48 h VAS차이무통계학의의(P>0.05),A조불량반응명현소우B조(P<0.01).결론:쌍록분산납리다잡인여장효지통제연합응용우항장술후진통효과량호,가지속장효진통,불량반응소,시일경제괄용간편적술후다모식진통방법.
Objective:To discuss the effective analgesic means to anorectal diseases after operation. Method:86 patients were divided into 2 groups with randomized and singleblind method:56 patients in group A receiwed diclofenac sodium/dolicaine associated with long acting analgesic,30 patients in group B receiwed long acting analgesic.The two groups were also observed concerning postoperative VAS scoring at 6,24 and 48 h respectively, and adverse reactions. Result:VAS scores after 6 h and 24 h and adverse reactions in group A were significantly lower than those in group B(P<0.01), yet,postoperative 48h VAS score between the two groups showed no difference(P>0.05).Conclusion:Diclofenac sodium/dolicaine and long acting analgesic combination can produce long-term analgesic effects on patients after operation of hemorrhoids and fistula as well as less adverse effects,and be simple in performance and cost saving.