摘要
目的:包皮环切术是治疗包茎、包皮过长的常用方法,但局部麻醉时和术后短期内常出现较为剧烈的疼痛,本文研究探讨口服曲马多超前镇痛在包皮环切术中的止痛效果。方法:选取包皮过长患者665例,按就诊顺序随机分为对照组(传统手术/商环环切)和曲马多组(传统手术/商环环切),其中对照组325例(70/255),曲马多组340例(72/268)。对照组直接予1%的盐酸利多卡因10ml行阴茎根部阻滞麻醉,曲马多组术前1h口服曲马多100mg后再予1%的盐酸利多卡因10ml行阴茎根部阻滞麻醉,以阻滞麻醉时疼痛评分、手术时疼痛评分、术后1h疼痛评分、术后2h疼痛评分、术后3h疼痛评分、术后24h疼痛评分对口服曲马多超前镇痛效果进行评估。结果:曲马多组(传统手术/商环环切)在局麻时、术后1h、术后2h的疼痛评分明显低于对照组(传统手术/商环环切),有显著性差异(P<0.05)。而对照组中,商环环切组在术后1h、术后2h、术后3h、术后24h疼痛评分明显低于传统手术组,差异有统计学意义(P<0.05)。结论:术前1h口服曲马多可有效减轻包皮环切术麻醉时及术后短期内的疼痛,商环包皮环切术较传统手术在术后疼痛方面更具优势。
Objectives： Prepuce circular resection operation is frequently used in practice, but the patients always suffer serious pain during local anesthesia and a short time after operation. This investigation aims to explore the effect of oral Tramadol preemptive analgesia to reduce the pain in operation of prepuce circular resection. Methods： According to the presenting order, a total o f 665 adults with redundant prepuce were selected and divided into two groups, the control group and the Tramadol group,with 325 cases and 340cases respectively. Patients in the control group were treated with the conventional surgical proce- dures （70 cases/Shang Ring circumcision 255 cases） as well as the Tramadol group（ conventional surgical procedures 72 cases/ Shang Ring circumcision 268 cases）. The patients in the control group received a local anesthesia in the root of penis with 1% li- docaine 10ml, while the patients in the Tramadol group received oral tramadol 100mg 1 hour before the local anesthesia. We can evaluate the effect of preemptive analgesia with oral Tramadol through the pain scores when the patient suffered local anesthesia 1 hour after the operation, 2 hours after the operation, 3 hours after the operation and 24 hours after the operation respectively. Results： The pain scores of Tramadol group significantly decreased when the patients suffered local anesthesia at the time of 1 hour after the operation and 2 hours after the operation, there is significantly statistical difference. In the control group, the pain scores of Shang Ring circumcision were much lower than those of the conventional surgical procedures at the time of 1 hour after the operation ,2 hours after the operation, 3 hours after the operation and 24 hours after the operation. There is significantly statisfical difference. Conclusions： It＇ s a pretty effective way of oral tramadol 1 hour before the local anesthesia to reduce the pain of local anesthesia and the short time after operation of prepuce circular resection . Comparing with the conventional surgical proce- dures, Shang Ring circumcision has the advantage of milder pain after the operation.
出处
《中国性科学》
2013年第9期16-18,共3页
Chinese Journal of Human Sexuality
关键词
口服曲马多
超前镇痛
中国商环
包皮环切术
疼痛
Oral administration of tramadol
Preemptive analgesia
Chinese Shang ring
Adult male circumci- sion
Pain
Analgesia
