摘要
目的:探究布比卡因+亚甲蓝混合液肛周封闭术联合中药熏蒸对混合痔嵌顿术后的效果。方法:2022年8月—2023年8月选取于九江市第一人民医院行手术治疗的混合痔嵌顿患者80例,用随机抽签法分为对照组(行中药熏蒸治疗)与观察组(行布比卡因+亚甲蓝混合液肛周封闭联合中药熏蒸治疗),各40例。比较两组临床疗效、疼痛程度、肛门功能、术后并发症。结果:与对照组(75.00%)比较,观察组总有效率(92.50%)显著更高(P<0.05)。术后24 h及治疗14 d后,两组视觉模拟评分法评分均较术前显著降低,且观察组[(3.39±0.87)、(1.82±0.56)分]较对照组[(4.27±1.03)、(2.37±0.70)分]均显著更低(P<0.05)。术后1个月,两组肛管最大收缩压、肛管静息压均升高,肛管高压带均缩短,且与对照组[(112.36±10.87)mmHg、(51.11±4.25)mmHg、(2.94±0.36)cm]比较,观察组肛管最大收缩压[(119.48±11.31)mmHg]、肛管静息压[(54.56±4.39)mmHg]均显著更高,肛管高压带[(2.71±0.28)cm]显著更短(P<0.05)。与对照组(27.50%)比较,观察组术后并发症发生率(10.00%)显著更低(P<0.05)。结论:布比卡因+亚甲蓝混合液肛周封闭联合中药熏蒸可减轻混合痔嵌顿患者术后疼痛,改善肛门功能,降低术后并发症发生率,促进患者术后恢复。
Objective:To investigate the effect of perianal block with Bupivacaine+Methylthioninium Chloride admixture combined with traditional Chinese medicine fumigation and steaming after incarcerated mixed hemorrhoid surgery.Method:A total of 80 patients who underwent surgery for incarcerated mixed hemorrhoid at Jiujiang NO.1 People's Hospital from August 2022 to August 2023 were selected and divided into control group(treated with traditional Chinese medicine fumigation and steaming)and observation group(treated with perianal block with Bupivacaine+Methylthioninium Chloride admixture combined with traditional Chinese medicine fumigation and steaming)by random drawing method,with 40 cases in each group.The clinical efficacy,pain degree,anal function and postoperative complications were compared between the two groups.Result:Compared with the control group(75.00%),the total effective rate of the observation group(92.50%)was significantly higher(P<0.05).24 h after surgery and 14 d after treatment,the scores of visual analogue scale in both groups were significantly lower than those before surgery,and the scores of observation group[(3.39±0.87),(1.82±0.56)scores]were significantly lower than those of control group[(4.27±1.03),(2.37±0.70)scores](P<0.05).1 month after surgery,the maximum systolic pressure and resting pressure of anal canal in both groups were increased,and the high pressure band of anal canal were shortened,and compared with the control group[(112.36±10.87)mmHg,(51.11±4.25)mmHg,(2.94±0.36)cm],the maximum systolic pressure of anal canal[(119.48±11.31)mmHg]and resting pressure of anal canal[(54.56±4.39)mmHg]in the observation group were significantly higher,and the high pressure band of anal canal[(2.71±0.28)cm]in the observation was significantly shorter(P<0.05).Compared with the control group(27.50%),the incidence of postoperative complications in the observation group(10.00%)was significantly lower(P<0.05).Conclusion:Perianal block with Bupivacaine+Methylthioninium Chloride admixture combined with
作者
万焱华
王日玮
万莎莎
WAN Yanhua;WANG Riwei;WAN Shasha(Department of General SurgeryⅢ,Jiujiang NO.1 People's Hospital,Jiujiang 332000,China)
出处
《中国医学创新》
CAS
2024年第15期10-14,共5页
Medical Innovation of China
基金
江西省中医药管理局科技计划项目(2023B0474)。
关键词
混合痔嵌顿
布比卡因
亚甲蓝
肛周封闭术
中药熏蒸
Incarcerated mixed hemorrhoid
Bupivacaine
Methylthioninium Chloride
Perianal block
Traditional Chinese medicine fumigation and steaming
