肛肠术后的止痛（Analgesia after anorectal operation）.docVIP

肛肠术后的止痛（Analgesia after anorectal operation） Analgesic study of anal surgery The pain of anal incision is a complex and special physiological function. The local nerve endings in the anus are very abundant, and the receptors are innervated by the nerves below the line of the teeth. They are very sensitive, especially sensitive to pain. When the Anorectal Postoperative traumatic lesions, or stimulation, in the treatment process of prostaglandin, histamine, 5- tryptamine, release bradykinin induced pain substances, stimulation of anus sphincter, the shrinking spasm, pain. Especially, the operation of the anus often adopts the open operation. The sphincter and the wrinkled muscle of the operation are easy to move or spasm, and the postoperative defecation is easy to cause pain or even severe pain, which brings great pain to the patient. In addition, the patients fear, excessive tension, allergic to pain, touch, that is, the feeling of drama unbearable pain. Therefore, the pain after anal surgery is due to its physiological and mental factors. According to the principle of pain, both doctors and patients have proposed the painless operation of the anus and the special requirement for long time analgesia after the operation. With the progress of studies on Mechanism of pain and neurophysiology, in recent years, according to the principle of neural plasticity, some scholars of literature, combined with our clinical experience, the painless technique on anal surgery are studied, such as preemptive analgesia, balanced analgesia, long-acting analgesic, analgesia, analgesic and other comprehensive clinical methods and achieved good results. First, painless techniques for anal surgery 1. significance and preparation of anesthesia 1.1 anal surgery anesthesia specialist features The operation of the lower part of the anus and rectum is usually the scope of outpatient surgery. Anorectal surgeons are required to perform their own anesthesia and perform independent tasks. How to im