Observation on postoperative analgesia effect of pudendal block for hemorrhoids operation

doi:10.3877/cma.j.issn.2095-3224.2014.02.06

Abstract

Abstract:

Objective

To observe postoperative analgesia effect of pudendal block for hemorrhoids operation.

Methods

A total of 60 patients with mixed hemorrhoid were divided into two groups: the observation group(n=30)and the control group(n=30), treatment for the two groups were same except pudendal nerves were blocked after Milligan-Morgan operation in observation group.The postoperative analgesia effect and complication were recorded.

Result

Compared with the control group, significantly less pain and lower rate of urinary retention were found in observation group in 24 hours after operation.Complications in observation group did not increase.

Conclusion

Thepudendal block for hemorrhoids operation is a safe, simple and effective treatment with good short-time analgesic effect.

Key words: Hemorrhoids, Analgesia, Urinary retention, Pudendal block

Tao WANG, Man LUO, Shuo CHEN, Yu-wei LI. Observation on postoperative analgesia effect of pudendal block for hemorrhoids operation[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2014, 03(02): 99-101.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2014.02.06

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2014/V03/I02/99

Figures/Tables 3

References 10

[1]	Guenin MO，Rosenthal R，Kern B，et al.Fergusonhemorrhoidectomy：long-term results and patient satisfaction after Ferguson's hemorrhoidectomy.Dis Colon Rectum，2005,48(8):1523-1527.
[2]	潘少骅，彭小南，洪卫祥．痔瘘术后疼痛的治疗近况．结直肠肛门外科，2009,(03):209-212.
[3]	黄美雄，苏伟，肖刚，等．阴部神经阻滞麻醉的解剖学基础．结直肠肛门外科，2006,12(5):275-277.
[4]	纪烈辰，俞林．阴部神经阻滞在痔手术中的应用．结直肠肛门外科，2011,17(4):220-223.
[5]	刘坤．罗哌卡因用于断指再植手术肌间沟臂丛神经阻滞的效应．中华显微外科杂志，2010,33(1):79-81.
[6]	王凤学，孙莹杰，周锦，等.0.25%和0.375%罗哌卡因用于臂丛阻滞病人的对比观察．中华麻醉学杂志，2004,24(1):68-69.
[7]	刘坤．罗哌卡因用于断指再植手术肌间沟臂丛神经阻滞的效应．中华显微外科杂志，2010,33(1):79-81.
[8]	陈湧鸣，王祥瑞，赵延华，等．下肢手术病人罗哌卡因混合利多卡因腰丛-坐骨神经阻滞的效果．中华麻醉学杂志，2008,28(3):282-283.
[9]	CasatiA，FanelliG，AlbertinA，et al.Interscalene brachial plexus anesthesia with either 0.5% ropivacaine or 0.5% bupivacaine.MinervaAnestesiol，2000,66(1-2):39-44.
[10]	王振军．直肠癌柱状经腹会阴切除术．中华结直肠疾病电子杂志，2012,1(2):61-64.

组别	治疗组	对照组
性别(男/女)	14/16	15/15
年龄	45.93±12.16	47.00±9.74
手术时间(min)	49.56±7.93	47.00±7.74
痔分级(3度/4度)	18/12	17/13

组别	治疗组	对照组
性别(男/女)	14/16	15/15
年龄	45.93±12.16	47.00±9.74
手术时间(min)	49.56±7.93	47.00±7.74
痔分级(3度/4度)	18/12	17/13

组别	治疗组	对照组	P值
6 h	2.13±0.94	3.27±0.82	0.001
9 h	2.97±0.85	3.80±0.66	0.001
12 h	4.57±0.90	7.97±0.85	0.001
24 h	3.70±0.75	4.07±0.74	0.061
48 h	2.53±0.63	2.70±0.70	0.337
尿潴留	1	6	0.044

组别	治疗组	对照组	P值
6 h	2.13±0.94	3.27±0.82	0.001
9 h	2.97±0.85	3.80±0.66	0.001
12 h	4.57±0.90	7.97±0.85	0.001
24 h	3.70±0.75	4.07±0.74	0.061
48 h	2.53±0.63	2.70±0.70	0.337
尿潴留	1	6	0.044

组别	治疗组	对照组
继发出血	2	1
皮桥水肿	11	10
伤口感染	0	0
肛门狭窄	0	0
腰麻反应	5	6
毒性反应	0	0

Please choose a citation manager

Content to export