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  

Multi-modal analgesia therapy with traditional Chinese medicine for anorectal diseases after surgery: a study of 40 patients

作　　者：唐平[1] 毛红[1] 张翠[1] Tang Ping;Mao Hong;Zhang Cui(Department of Anorectal Diseases,The Second Chinese Medicine Hospital of Sichuan Province,Chengdu 610031,Sichuan,China)

机构地区：[1]四川省第二中医医院肛肠科

出　　处：《结直肠肛门外科》2019年第6期709-713,共5页Journal of Colorectal & Anal Surgery

摘　　要：目的探讨中医药干预的多模式镇痛疗法在肛肠病术后的应用效果。方法纳入四川省第二中医医院肛肠科2019年1月至2019年6月收治并行手术治疗的80例患者为研究对象。按照患者入院单双号顺序分为对照组和治疗组,每组各40例。治疗组采用中医药干预的多模式镇痛管理方案进行镇痛治疗,对照组采用一般多模式镇痛管理方案进行镇痛治疗。记录两组术后1~7天自主活动(包括排便)状态下和静卧休息状态下VAS最高数值,以及追加镇痛药的次数(包括口服、肌注)。结果两组术后第1天至第7天静息状态VAS评分比较,差异均无统计学意义(均P> 0.05)。术后第1天,两组活动状态VAS评分比较,差异无统计学意义(P> 0.05)。术后第2天至第7天,治疗组活动状态VAS评分低于对照组,差异均有统计学意义(均P <0.05)。治疗组术后追加镇痛药的次数少于对照组,差异有统计学意义(P <0.05)。结论相比于一般多模式镇痛管理方案,中医药干预的多模式镇痛管理方案有助于减轻肛肠病术后活动状态时的肛门疼痛,以及减少术后镇痛药的使用次数。Objectives To investigate the effect of multi-modal analgesa therapy with traditional Chinese medicine in patientswith anorectal diseases after surgery. Methods Eighty patients who received surgery at the Department of Anorectal Diseases,The Second Chinese Medicine Hospital of Sichuan Province between January 2019 and June 2019 were recruited. Patients wereassigned to the control group and treatment group with 40 patients in each group according to odd or even number of their ad-mission sequence. The treatment group received multi-modal analgesic therapy with traditional Chinese medicine, while the con-trol group received multi-modal analgesia therapy alone. The highest score of visual analog scale(VAS) during activity(includingdefecation) and resting from day 1 to day 7 day after surgery and the frequency of additional analgesics use(including oral in-take or muscle injection) were recorded. Results The VAS score during resting from day 1 to day 7 and the VAS score duringactivity on the first day after surgery did not differ significantly between the two groups(P > 0.05). The VAS score during activi-ty from day 2 to day 7 were significantly lower and the frequency of additional analgesics use were less in the treatment groupthan that in the control group(P < 0.05). Conclusion Compared with multi-modal analgesia therapy alone, multi-modal inter-vention with Chinese medicine could effectively reduce anal pain during activity after surgery and the frequency of additional an-algesics use in patients with anorectal diseases.

关 键 词：肛肠手术 多模式镇痛疗法 中医药干预 

分 类 号：R657.1[医药卫生—外科学]