|
|
|
| Application of "triple analgesia" and intelligent management in postoperative analgesia of anorectal disease |
| QIAN Kun WU Lie TIAN Zhen-wu DING Jin-huo LUO Gang |
| Department of General Surgery, Shangrao People′s Hospital, Jiangxi Province , Shangrao 334000, China |
|
|
|
|
Abstract Objective To explore the application effect of "triple analgesia" and intelligent management in postoperative analgesia of anorectal disease. Methods A total of 92 patients with anorectal disease who underwent surgical treatment at Shangrao People′s Hospital from January 2019 to June 2020 were selected as the research objects, randomly numbered from 1 to 92, the odd numbers were classified as the control group, and the even numbers were classified as the observation group, with 46 cases in each group. The control group was used intelligent management intervention,and the observation group was used intelligent management combined with "triple analgesia" intervention. Both groups were intervened until 15 days after operation, and the visual analogue scale (VAS) scores, wound healing time and total incidence rates of adverse reactions at different time points after operation were vomared between the two groups. Results The differences in time, inter-group, and interaction between the two groups of patients were statistically significant (P<0.05); further pairwise comparison, intra-group comparison: the Vas score on the 1, 3, 5, 7, 10, and 15 days after surgery were all higher than 6 hours after surgery, the differences were statistically significant (P<0.05); comparison between groups: the VAS scores of the observation group at 1, 3, 5, 7, 10, and 15 days after surgery were lower than those of the control group, the differences were statistically significant (P<0.05); the wound healing time of the observation group was shorter than that of the control group, and the difference was statistically significant (P<0.05).There was no statistically significant difference in the total incidence rate of adverse reactions between the two groups(P>0.05). Conclusion "Triple analgesia" combined with intelligent management applied in postoperative analgesia of anorectal disease can effectively reduce the pain of patients, accelerate wound healing, and will not increase adverse reactions.
|
|
|
|
|
|
| [1] |
高庆建，杨铁峥.肛肠疾病术后疼痛研究进展[J].长春中医药大学学报，2017，33（4）：681-683.
|
| [2] |
张威，王荣.不同种类止痛药对肛肠病术后镇痛的疗效观察[J].中国疼痛医学杂志，2016，22（5）：398-400.
|
| [3] |
中华医学会外科学分结直肠肛门外科学组，中华中医药学会肛肠病专业委员会，中国中西医结合学会结直肠肛门病专业委员会.痔临床诊治指南（2006 版）[J].中华胃肠外科杂志，2006，9（5）:461-463.
|
| [4] |
邓玲，黄小雄，刘建辉.中医病证诊断疗效标准[M].北京：中国中医药出版社，2017：52-54.
|
| [5] |
孙兵，车晓明（整理）.视觉模拟评分法（VAS）[J].中华神经外科杂志，2012，28（6）：645.
|
| [6] |
李南，姜国丹，刘慧峰.地奥司明片联合马应龙痔疮栓治疗混合痔术后并发症的临床观察[J].结直肠肛门外科，2016，22（1）：24-27.
|
| [7] |
赵春虎，熊小青，吴丰学.双氯芬酸钠栓塞肛超前镇痛联合盐酸利多卡因在包皮环切术中的应用[J].国际泌尿系统杂志，2016，36（4）：570-572.
|
| [8] |
唐平，毛红，张翠.40 例中医药干预多模式镇痛疗法在肛肠病术后的应用效果[J].结直肠肛门外科，2019，25（6）：709-713.
|
| [9] |
杜岩，杨丽丽.中药熏洗联合亚甲蓝对肛肠疾病术后疼痛疗效观察[J].陕西中医，2017，38（10）：1451-1452.
|
| [10] |
付松林，付静，刘全印，等.亚甲蓝联合罗哌卡因长强穴封闭对肛肠疾病术后镇痛效果观察[J].人民军医，2016，59（6）：569-570.
|
| [11] |
韩炜.川芎的化学成分与药理作用研究进展[J].中国现代中药，2017，19（9）：1341-1349.
|
| [12] |
谢瑞芳，林评兰，王瑛，等.不同配伍比例当归补血汤化学成分及促血管新生作用比较[J].中国中医药信息杂志，2016，23（6）：83-87.
|
| [13] |
袁韩涛，徐顺，唐德志.复方苦参黄柏溶液联合康复新液对糖尿病创面愈合中EGF 和FGF 含量的影响[J].上海中医药大学学报，2019，33（1）：76-80，92.
|
| [14] |
尚坤，李敬文，常美月，等.延胡索药理作用研究[J].吉林中医药，2019，39（1）：108-110.
|
| [15] |
连涛.“三联镇痛法”对痔疮术后疼痛的缓解作用[J].世界中西医结合杂志，2019，14（3）：399-402.
|
|
|
|
