摘要
目的探讨肛管直肠疾病手术后局部注射复方亚甲蓝的镇痛效果。方法采用1%亚甲蓝2ml+2%利多卡因5ml+生理盐水至13ml组成的长效止痛剂,局部注射治疗肛管直肠疾病术后疼痛126例。结果术后第1天Ⅲ级疼痛5例(4%),术后第7天已无Ⅲ级疼痛,术后止痛效果明显,且未见明显不良反应。结论应用亚甲蓝肛周局部注射安全、有效,适合于肛肠科多种手术的术后镇痛。亚甲蓝浓度不应超过0.33%,一次局部用量不超过30mg。
Objective To explore the efficiency of local injection of compound methylene blue on analgesia after anorectal operation. Methods One hundred and twenty-six patients who had undergone anorectal operations received local injection of compound methylene blue for analgesia which was included 1% methylene blue 2 ml,2% lidocaine 5ml and 0.9% physiological saline 6 ml. Results There were only five patients＇ pain reached III grade on the first day after surgical operation, and there was no cases with grade III patients on the 7th day. Generally, the analgesic efficacy was better and there was no notable adverse reaction. Conclusions Compound methylene blue is effective and safe, and is suitable for many anorectal operations, it is suggested that the concentration of methylene blue should not be more than 0. 33%, and that the dosage of local injection should not be more than 30 mg.
出处
《中华全科医学》
2008年第7期681-682,共2页
Chinese Journal of General Practice
关键词
肛肠疾病
复方亚甲蓝长效止痛剂
镇痛
Anorectal diseases
Long-acting analgesic
Compound methylene blue
Analgesia
