Integrative Therapy For Anorectal Postoperative Analgesia

Objective: To investigate the method of relieving postoperative pain after anorectal operations, treating postoperative pains after anorectal operations by the combined method of traditional Chinese and Western medicine, to improve the patient's life quality and enhance the postoperative recovery.Methods: 160 patients after anorectal operations in the Third Affiliated Hospital of Liaoning University of TCM (Liaoning Coloproctological Hospital) were randomized into two groups. For treatment group, 80 patients were treated with (1) operative region infiltration injection with long-acting analgesics (contains 2ml of 1% methylthioninium chloride injection, 5ml of 0.9% Sodium chloride injection, 5ml of 0.5% ropivacaine hydrochloride, 12ml in total); (2) pill - pressing on Ear points after operation; For control group, 80 patients were treated with pill - pressing on Ear points fumigating after operation. NRS in 6 hours, the 1st day, 2nd day, 3rd day, 5th day, and 7th day after operation were observed and recorded, and analyzed by using statistical software SPSS16.0.Result:1. NRS of treatment group in each time point were all below 4 points, the pain was mild and tolerable; the analgesic effect was basically satisfactory. NRS of control group in each time point were all above 4 points, the pain was moderate and severe; the analgesic effect was not satisfactory. By statistics, it was considered statistical significant (p<0.05) which meant that the comparison between treatment group and control group had significant differences.2. Comparison of postoperative complications comparison between the two groups, by statistics, was considered statistical significant (p<0.05) which meant that the comparison between treatment group and control group had significant differences.3. Comparison of the length of hospital stay (the wound basically heal) between the two groups, by statistics, was not statistical significant (p>0.05) which means that the comparison between treatment group and control group had no significant difference.Conclusion:1. Using long-acting analgesic and pill - pressing on Ear points combination therapy of Chinese and Western medicine and Western medicine to give full play the characteristics and advantages of postoperative analgesia for Anorectal significant effect.2. Using long-acting analgesic and pill - pressing on Ear points combined Chinese and Western medicine therapy is simple, easy to patients with few complications.