复方丹参注射液治疗肛肠病术后疼痛的临床观察

【作者】 陈宝安；

【导师】 谷云飞；

【作者基本信息】 南京中医药大学 ， 外科学， 2004， 硕士

【摘要】 目的：观察复方丹参注射液对肛肠病术后疼痛的治疗效果。方法：选择临床资料50例混合痔患者，术式采用外剥内扎术，采用随机平行对照研究方法，将50例患者分为治疗组25例和对照组25例，分别采用复方丹参注射液和亚甲蓝组对照，治疗组运用复方丹参注射液2-4ml作创面点状注射，对照组采用0.2％亚甲蓝5—8ml作创面点状注射，从术后创面是否疼痛及排便、换药等刺激后创面是否疼痛、术后创面是否水肿、疤痕增生的程度及创面愈合时间等指标进行观察。结果：在无禁忌症的条件下，复方丹参注射液对肛肠病手术后疼痛的临床止痛效果与亚甲蓝疗效相近，术后创面水肿、疤痕增生的程度均较亚甲蓝轻，创面愈合时间短，且副作用及所耗费用较亚甲蓝少。结论：复方丹参注射液对肛门病术后止痛效果明显，且能减少水肿及疤痕，促进创面愈合。更多还原

【Abstract】 Objective: Postoperative pain has influenced seriously upon patients’ postoperative recovery and living qualities,especially anorectal operation, the stimulation of defecation & application,always put patients into a sore environment ,so seeking an ideal and effective postoperative pain relief method becomes an important task.The study is using the compound dansheng injection as an relieve method to achieved an ideal analgesia effect.Methods:50 adult patients with mixed hemorrhoids who need operation were divided randomly into two groups(n=25),the therapy group received the compound dasheng injection,being injected dottedly on the wound ,the control group received long effect analgesia alone,which is widely used in clinical.Efficacy of analgesia was assessed by VAS(visual analogue pain scales),score and side effects were recorded.Resultthe two groups were no significant difference on the two groups(P>0.05).The satisfaction rate was 92% in therapy grpup and 96%in control group(p<0.01).However there were significant difference in side effects such as edma, scar and the heal time., Conclusion:the study indicates that the therapy group is similar as the control group in prevent from anorectal postoperative pain.The compound dasheng injection can provide satisfactoty anorectal postoperative pain relief with fewer side effects.更多还原