Objective To evaluate the effect of painless treatment in perioperative period of anorectal surgery.Methods A total of 200 patients with anorectal surgery were randomly divided into an experimental group and a control group.The experimental group (n=100) was treated with painless multimodal analgesia.The control group (n=100) was treated with oral celecoxib or intramuscular tramadol.The pain scores of postoperative 6 h,24 h,48 h,5 d,and first defecation,as well as the satisfaction score,of the two groups were compared.Results The pain score of postoperative 6 h of the experimental group was (3.6±0.6),and that of the control group was (3.7±0.3),showing no statistical difference (P>0.05).The pain scores of postoperative 24 h (2.7±0.9),48 h (4.3±0.4),5 d (3.1±0.6),and first defecation (5.7±1.5) of the experimental group were lower than those of the control group [(5.9±0.2),(5.6±1.3),(6.3±0.4),and (8.9±1.5),respectively],and the difference was statistically significant (P<0.05).The satisfaction score of the experimental group (4.6±0.3) was higher than that of the control group (3.4±0.6)(P<0.05).Conclusion Painless treatment for perioperative anorectal patients using multimodal analgesia can effectively reduce postoperative pain and improve quality of life.
LI Shi
,
GUO Songming
. Application of painless treatment in perioperative period of anorectal surgery[J]. Surgical Research and New Technique, 2017
, 6(3)
: 169
-171
.
DOI: 10.3969/j.issn.2095-378X.2017.03.007
[1] 王爽,朱晓昌,蒋进广,等.小剂量左布比卡因在肛肠手术中麻醉效果分析[J].淮海医药,2016,34(4):410-411.
[2] 赵艳平,周锦辉,叶福才,等.重比重罗哌卡因鞍麻用于肛肠手术罗哌卡因的最低有效剂量研究[J].北方药学,2016,13(5):107-108.
[3] 汪健,全程无痛在肛肠手术中的应用观察[J].临床医药文献杂志,2017,4(12):2224
[4] 彭刚艺,刘雪琴.疼痛评分-临床护理规范(基础篇)[M].2版.广州:广东科技出版社,2013:231.
[5] 李大淦.肛肠病患者术后疼痛的机理及对其进行治疗的方法探讨[J].当代医药论丛,2015,13(9):285-286.
[6] 李颖,无痛病房能否化解术后疼痛[N],科技日报,2013-12-10(004).
[7] 马元琛,廖俊星,顾宏林,等.无痛病房管理对全髋关节置换术后疼痛控制的效果评价[J].中华关节外科杂志(电子版),2014,4(8):147-149.