肛门皮下组织亚甲蓝注射神经阻滞术用于肛肠科术后镇痛的效果分析  

Analysis of the Effect of Anal Subcutaneous Tissue Methylene Blue Injection Nerve Block for Postoperative Analgesia in the Department of Anorectology

作　　者：龙安湖 任冬冬 杨文刚 LONG Anhu;REN Dongdong;YANG Wengang(Department of First Surgery and Anorectology,Sansui County Hospital of Traditional Chinese Medicine,Sansui,Gui-zhou Province,556500 China)

机构地区：[1]三穗县中医医院外一肛肠科,贵州三穗556500

出　　处：《系统医学》2024年第8期96-98,102,共4页Systems Medicine

摘　　要：目的分析临床在肛肠科术后镇痛中,运用肛门皮下组织亚甲蓝注射神经阻滞术的效果。方法选取2022年11月—2023年12月三穗县中医医院收治的100例肛肠手术患者为研究对象,经随机数表法分为参比组、探究组,每组50例,参比组使用双氯酚酸钠缓解胶囊治疗,探究组选择肛门皮下组织亚甲蓝注射神经阻滞术治疗,比较两组患者的疼痛情况、心理状态以及不良反应发生情况。结果探究组术后6 h、术后24 h及术后48 h的疼痛评分分别为(2.82±0.18)分、(2.19±0.16)分、(1.63±0.12)分,均低于参比组,差异有统计学意义(P均<0.05)。探究组的心理状态优于参比组,差异有统计学意义(P<0.05)。探究组的不良反应总发生率为4.00%,低于参比组的18.00%,差异有统计学意义(χ^(2)=5.005,P<0.05)。结论在肛肠科术后镇痛中,肛门皮下组织亚甲蓝注射神经阻滞术可以缓解患者术后疼痛程度,患者心理状态得到改善,不良反应发生率降低,安全性良好。Objective To analyze the effect of clinical use of anal subcutaneous tissue methylene blue injection nerve block in postoperative analgesia in the Department of Anorectology.Methods A total of 100 anorectal surgical patients admitted to Sansui County Hospital of Traditional Chinese Medicine from November 2022 to December 2023 were selected as the study objects,and were divided into reference group and exploration group by random number table method,with 50 cases in each group.The reference group received diclofenac sodium relief capsule for treatment,and the exploration group received anal subcutaneous tissue methylene blue injection nerve block protocol for treatment.The pain,psychological state and adverse reactions were compared between the two groups.Results The pain scores of the exploration group were(2.82±0.18)points,(2.19±0.16)points and(1.63±0.12)points at 6 h,24 h and 48 h after surgery,respectively,which were lower than those of the reference group,and the differences were statistically significant(all P<0.05).The psychological state of the exploration group was better than that of the reference group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the exploration group was 4.00%,lower than that in the reference group(18.00%),and the difference was statistically significant(χ^(2)=5.005,P<0.05).Conclusion In postoperative analgesia in anorectal department,anal subcutaneous tissue methylene blue injection nerve block can alleviate postoperative pain,improve the psychological state of patients,reduce the incidence of adverse reactions,and the safety is good.

关 键 词：肛肠疾病 亚甲蓝 术后镇痛 

分 类 号：R657.1[医药卫生—外科学]