差值法在混合痔后疼痛强度评估中的应用.pdfVIP

Difference method in mixed hemorrhoid postoperative pain intensity evaluation of application Speciality:External Medicine of TCM Author:Wang wen gang Tutor: Pro Guan zhong an Abstract Objective:using Difference method is one of the ways to assess the anus disease postoperative pain degree objectively,This topic is using Difference method to evaluate mixed hemorrhoid postoperative pain degree, to observe the different way of anesthesia and the operation method influence of postoperative pain,for selecting or improving operative way, selecting the way and postoperative analgesia anesthesia guidance. Methods: meeting the conditions of the mixed hemorrhoid patients, surgical procedures in accordance with anesthesia way of different groups,Select 60 patients with anesthesia way, including 30 cases of Local anesthesia, the Waist hard joint anesthesia group of 30 patients;Select 60 patients with anesthesia way, including 30 cases of Milligan Morgan, the PPH plus extemal hemorrhoidectomy in the treatment of hemorroids group of 30 patients,according to different groups patients with application of postoperative value method at different time points pain intensity evaluation for Difference method,to observe the pain differences and trend. Results: In different ways of anesthesia group, local anesthesia group patients who underwent the first disappeared, anesthesia when defecate, the first change medicine, 7 days after the pain was significantly lower than Waist hard joint anesthesia group (P 0.01), two groups of pain are changes with time, and in the first time when the mixture to achieve maximum progressive decrease; In the group of different surgical procedure