复方亚甲蓝注射液联合中药熏洗坐浴对缓解肛肠术后疼痛影响研究.docVIP

复方亚甲蓝注射液联合中药熏洗坐浴对缓解肛肠术后疼痛影响研究 　　摘要：目的研究复方亚甲蓝注射液联合中药熏洗坐浴对缓解肛肠术后疼痛的影响。方法选取本院肛周手术的220例患者随机分为观察组与对照组。观察两组患者术后疼痛程度、愈合情况。结果观察组术后3d疼痛程度明显低于对照组，观察组术后局部组织水肿时间、创口愈合时间、平均住院时间明显低于对照组。结论复方亚甲蓝注射液联合中药熏洗坐浴可有效降低术后疼痛，减轻局部组织水肿，促进创口愈合，缩短住院时间。 　　关键词：复方亚甲蓝；中药熏洗；镇痛 　　.Methylene Blue Compound Injection Combined with Traditional Chinese Medicine Fumigating and Washing of the Impact of Pain Relief after Anorectal Operation 　　GE Xiu-lin 　　(Zigong City Fushun County Hospital of Traditional Chinese Medicine,Zigong 643200,Sichuan,China) 　　Abstract：ObjectiveTo study the compound injection of methylene blue combined with traditional Chinese medicine fumigating and washing effect on pain relief after anorectal operation. MethodsThe hospital perianal operation in 220 patients were randomly divided into observation group and control group. The healing degree of pain, observe two groups of patients with postoperative. Results In the observation group, three days after operation, pain degree was lower than that of the control group, the patients in the observation group of local tissue edema, wound healing time, mean hospital stay was significantly lower than the control group. ConclusionMethylene blue compound injection combined with sitz bath with traditional Chinese medicine can effectively reduce postoperative pain, reduce local edema, promote wound healing, shorten the hospitalization time. 　　Key words：Methylene blue compound; Herbal Fumigation; Analgesia 　　随着人们不良生活习惯，痔疮、肛瘘的发病率呈上升趋势。疾病早期患者通过外用痔疮膏可得到缓解，一旦痔核脱出或?顿，则必须手术治疗[1]。肛周手术后患者疼痛剧烈，普通止痛药物无法有效缓解疼痛，许多患者因此抗拒手术，临床肛肠科医生也因此感到头痛。我院肛肠科自2010年3月开始，采用复方亚甲蓝注射液联合中药熏洗坐浴，有效缓解了患者术后肛门疼痛，现将研究过程总结报道如下。 　　1资料与方法 　　1.1一般资料研究对象为2010年3月~2013年9月来我院接受手术治疗的220例痔疮、肛瘘患者，依据术后镇痛方法不同，采用数字表法随机分为观察组和对照组各110例。观察组男78例，女32例；年龄21~59岁，平均（30.4±1.57）岁。对照组男65例，女45例；年龄19~58岁，平均（29.6±1.84）岁。排除有出血性倾向及合并严重器质性疾病患者。两组患者人口学资料经检验差异无统计学意义（P0.05），具有可比性。 　　1.2方法对照组患者手术后第2d便后采用中药熏洗坐浴。熏洗坐浴中药方剂组成:五倍子、朴硝、桑寄生、莲房、荆芥、槐角各30g，每剂加水煎至200~300ml。取250ml中药液加开水稀释，总量约1000ml，保持温度45℃~50℃，进行坐浴，10min/次[2]