Effects of local injection with ropivacaine and dexamethasone to relieve anal pain and tenesmus after the Procedure for prolapsing hemorrhoids(PPH)

doi:10.3877/cma.j.issn.1674-3946.2020.03.024

Abstract

Abstract:

Objective

To evaluate the effects of local injection with ropivacaine and dexamethasone to relieve anal pain and tenesmus after the procedure for prolapsing hemorrhoids(PPH).

Methods

62 cases with hemorrhoid treated in our hospital by PPH from Jun 2016 to Jun 2018 were selected as subjects in the study. According to the random number table method, the 31 cases(experimental group) combined with local injection with ropivacaine and dexamethasone after PPH and 31 cases(control group) treated only with PPH were analyzed. SPSS11.0 software package was used to analyze. The measurement data was treated with the t-test, and the Chi square was used for counting data.

Results

The scores of anal pain in the experimental group were significantly lower than those in the control group at every time after the operation(P<0.05). The cases of analgesic use were also lower than the control group(P<0.05). The scores of anal tenesmus in the experimental group were significantly lower than those in the control group at every time after the operation(P<0.05).

Conclusions

Local injection with ropivacaine and dexamethasone after PPH was effective to improve the anal pain and tenesmus, which promotes rapid recovery.

Key words: Dexamethasone, Ropivacaine, PPH, Pain in the anus, Feeling of dilating anus

Wei Cui, Liang Sun, Jinlu Geng, Gang Cheng, Shiyong Li. Effects of local injection with ropivacaine and dexamethasone to relieve anal pain and tenesmus after the Procedure for prolapsing hemorrhoids(PPH)[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(03): 300-302.

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References 13

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组别	例数	性别	年龄(岁)	诊断	手术时间(min)	出血量(ml)
组别	例数	男/女	年龄(岁)	Ⅱ度/Ⅲ度/Ⅳ度内痔/混合痔	手术时间(min)	出血量(ml)
实验组	31	21/10	45.9±7.9	5/14/10/2	29.8±4.7	5.3±2.6
对照组	31	16/15	51.7±7.8	7/15/6/3	26.7±4.0	3.5±2.5
P	?	0.196	0.087	0.667	0.094	0.093

组别	例数	性别	年龄(岁)	诊断	手术时间(min)	出血量(ml)
组别	例数	男/女	年龄(岁)	Ⅱ度/Ⅲ度/Ⅳ度内痔/混合痔	手术时间(min)	出血量(ml)
实验组	31	21/10	45.9±7.9	5/14/10/2	29.8±4.7	5.3±2.6
对照组	31	16/15	51.7±7.8	7/15/6/3	26.7±4.0	3.5±2.5
P	?	0.196	0.087	0.667	0.094	0.093

组别	例数	术后24 h	术后48 h	术后72 h	使用镇痛药物人次(例)
实验组	31	2.56±1.13	1.9±0.74	1.4±0.51	3
对照组	31	4.18±1.40	3.0±0.94	2.4±0.70	10
P	?	0.012	0.009	0.002	0.029

组别	例数	术后24 h	术后48 h	术后72 h	使用镇痛药物人次(例)
实验组	31	2.56±1.13	1.9±0.74	1.4±0.51	3
对照组	31	4.18±1.40	3.0±0.94	2.4±0.70	10
P	?	0.012	0.009	0.002	0.029

组别	例数	术后24 h	术后48 h	术后72 h
实验组	31	2.2±1.03	2.0±0.67	1.7±0.82
对照组	31	4.5±1.27	3.8±1.92	2.8±0.92
P	?	0.001	0.001	0.011

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