CAJ | 학술논문

目的：观察复方亚甲蓝用于痔瘘术后镇痛的疗效。方法：将128例患者随机分成治疗组和对照组，每组64例。治疗组术后给予创口周围多点注射复方亚甲蓝注射液，对照组创面不用任何药物，观察2组术后换药或排便疼痛程度，疼痛消失时间以及术后尿潴留和肛缘水肿情况。结果：2组患者手术当天，术后第1天、2天、3天、6天镇痛效果明显优于对照组（ P＜0．05）；2组痔瘘术后治疗组尿潴留、肛缘水肿发生率低于对照组，治疗组术后疼痛消失时间、创面愈合时间均较对照组明显缩短，差异有统计学意义（ P＜0．05）。结论：复方亚甲蓝用于痔瘘术后镇痛疗效确切安全可靠。
목적：관찰복방아갑람용우치루술후진통적료효。방법：장128례환자수궤분성치료조화대조조，매조64례。치료조술후급여창구주위다점주사복방아갑람주사액，대조조창면불용임하약물，관찰2조술후환약혹배편동통정도，동통소실시간이급술후뇨저류화항연수종정황。결과：2조환자수술당천，술후제1천、2천、3천、6천진통효과명현우우대조조（ P＜0．05）；2조치루술후치료조뇨저류、항연수종발생솔저우대조조，치료조술후동통소실시간、창면유합시간균교대조조명현축단，차이유통계학의의（ P＜0．05）。결론：복방아갑람용우치루술후진통료효학절안전가고。
Objective]To observe theanalgesiceffectof compound methylene blue for the treatment of anal fistula patients after operation .[Method] 128 patients were randomlydivided into treatmentgroup and control group ,64 cases per group .After opera-tion of anal fistula ,the patients in treatment group were injected through multi sites with compound methylene bluearound the wound . ,while the wound of control group without treatment .The degree of pain in changing fresh dressing for a wound or defecation ,paindisappearing time ,uroschesis after operation and perianal edema were recorded .[Result] The two groups were observed andcomparedon the day of surgery ,1 day ,2 days ,3 days and 6 days after operation .It was shown that analgesicef-fect in the treatment group was superior to that of control group ( P<0 .05 );Compared with the control group ,urinary reten-tion afteroperation , perianal edema , paindisappearing timeor wound healing time of the treatment group was much lower or shorter ( P<0 .01) .[Conclusion]The compound of methylene bluefor the treatment ofpostoperative analgesia of anal fistulais effective .