中国医学创新2024，Vol.21Issue(15)：10-14,5.DOI:10.3969/j.issn.1674-4985.2024.15.003
布比卡因+亚甲蓝混合液肛周封闭联合中药熏蒸对混合痔嵌顿术后的效果观察
Observation on the Effect of Perianal Block with Bupivacaine+Methylthioninium Chloride Admixture Combined with Traditional Chinese Medicine Fumigation and Steaming after Incarcerated Mixed Hemorrhoid Surgery
摘要
Abstract
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 traditional Chinese medicine fumigation and steaming can alleviate postoperative pain,improve anal function,reduce the incidence of postoperative complications and promote postoperative recovery in patients with incarcerated mixed hemorrhoid surgery.关键词
混合痔嵌顿/布比卡因/亚甲蓝/肛周封闭术/中药熏蒸Key words
Incarcerated mixed hemorrhoid/Bupivacaine/Methylthioninium Chloride/Perianal block/Traditional Chinese medicine fumigation and steaming引用本文复制引用
万焱华,王日玮,万莎莎..布比卡因+亚甲蓝混合液肛周封闭联合中药熏蒸对混合痔嵌顿术后的效果观察[J].中国医学创新,2024,21(15):10-14,5.基金项目
江西省中医药管理局科技计划项目(2023B0474) （2023B0474）
