• 复杂性肛瘘患者术后多模式镇痛应用效果分析
  • Analysis of the effect of postoperative multimodal analgesia in patients with complex anal fistula
  • DOI:
    中文关键词:  复杂性肛瘘  多模式镇痛  手术  疼痛程度  睡眠质量
    英文关键词:Complex anal fistula  multimodal analgesia  surgery  pain level  sleep quality
    基金项目:
    作者单位邮编
    张西宛* 南阳市第一人民医院 肛肠外科 河南南阳 473000 473000
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    中文摘要:
          【摘要】目的 分析复杂性肛瘘患者术后多模式镇痛应用效果。方法 选取2022年7月至2024年7月收治的92例拟行手术治疗的复杂性肛瘘患者作为研究对象,按照术后不同镇痛方式将其随机分为研究组(46例)和对照组(46例),研究组患者于肛瘘术后应用多模式镇痛(肛周局部神经阻滞+非甾体类抗炎/镇痛药+中药坐浴+曲马多肌肉注射)治疗,对照组患者于肛瘘术后常规按需应用镇痛药物治疗,对比观察两组患者疼痛情况、曲马多使用情况、睡眠质量、住院时间以及并发症发生情况。结果 术后6、12、24 h以及术后3、5 d,研究组患者VAS评分均明显低于对照组(P均<0.05);研究组患者曲马多使用明显少于对照组(P<0.05);研究组患者住院时间明显短于对照组(P<0.05);研究组患者术后并发症发生率低于对照组(P均<0.05)。结果 多模式镇痛可减轻复杂性肛瘘患者术后疼痛程度,改善患者睡眠质量,缩短住院时间,且并发症少。
    英文摘要:
          【Abstract】Objective To analyze the effect of postoperative multimodal analgesia in patients with complex anal fistula. Methods A total of 92 patients with complicated anal fistula who were admitted for surgical treatment from July 2022 to July 2024 were selected as the study subjects, and they were randomly divided into study group (46 cases) and control group (46 cases) according to different postoperative analgesic methods. The pain, tramadol use, sleep quality, hospital stay and complications of the two groups were compared and observed. Results At 6, 12, 24 h and 3 and 5 days after surgery, the VAS scores of the study group were significantly lower than those of the control group (all P<0.05), the use of tramadol in the study group was significantly lower than that of the control group (P<0.05), the hospital stay in the study group was significantly shorter than that of the control group (P<0.05), and the incidence of postoperative complications in the study group was lower than that of the control group (all P<0.05). Results Multimodal analgesia could reduce postoperative pain, improve sleep quality, shorten hospital stay, and reduce complications in patients with complex anal fistula.