自身对比法客观估混合痔术后疼痛的临床研究.pdfVIP

Clinical Study on Objective assessment of their comparative method of early postoperative pain mixed hemorrhoid Speciality: Surgery of TCM Tutor: Professor Guan Zhongan Author: Fan Mingfeng Abstract Objective: Objective assessment of the pain after outer peel and in rolling of mixed hemorrhoid patients, explore the self-comparison method postoperative pain assessment Anal advantages and feasibility of pain assessment in order to further promote the improvement of surgical methods and lay the foundation. Methods: Ⅱ Ⅳ The study collected consistent with mixed hemorrhoids ( ~ degree hemorrhoids) surgical treatment of 60 patients, divided into 2 groups according to anesthesia, 30 patients in each group. A group of local anesthesia outside the strip within the mixed hemorrhoid ligation, referred to as local anesthesia group; another group in the spinal or epidural stripping down outside the mixed hemorrhoid ligation, referred to as the spinal anesthesia group. Divided into 2 groups according to gender, male 41 cases, 19 cases of women. Observed using a linear visual analog scale in patients with different parts of the preoperative and postoperative pain scores at different times, outside of mixed hemorrhoid patients after stripping the bar to make an objective evaluation of pain. Results: Mixed hemorrhoids external dissection and internal ligation group and spinal anesthesia in patients with preoperative pain during venous puncture was no significant difference; mixed hemorrhoid outside strip internal ligation of pain scores were sign