こう門部手術後のとう痛対策　　内痔核手術後における効果的な鎮痛坐剤の使用方法について

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タイトル別名
  • Anti-Pain Countermeasure after Anal Operation. Effective Method of Use of Analgesic Suppository.
  • Effective Method of Use of Analgesic Suppository
  • 内痔核手術後における効果的な鎮痛坐剤の使用方法について

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Pain after excision of hemorrhoids performed under saddle block anesthesia was comparatively studied by dividing patients into 5 groups: an analgesic suppository was not administered after operation (Group A), administered immediately after operation (Group B), administered 3 hours after anesthesia (Group C), administered 4 hours after anesthesia (Group D), and administered 5 hours after anesthesia (Group E). After admini stration of the suppository, the patient ingested an analgesic when they felt pain, and the e fficacy of this medication was assessed based on time to ingestion of an analgesic after anesthesia and the amount of the oral drug used by the patients. Saddle block anesthesia was effective for at least 4 hours, but was not always effective for 5 hours. Time from anesthesia to first ingestion of the oral analgesic was 5.7±1.6 hours (mean±SD) in Group A, 10.3±7.1 in Group B, 12.4±6.6 in Group C, 19.5±9.2 in Group D, and 10.7±7.6 in Group E. Time was longer in Group A, B, C, and D in that order, but it became shorter again in Group E. Pain within 24 hours after operation and the amount of the analgesic used during the first five days after operation were the smallest in Group D.<BR>In conclusion, administration of an analgesic suppository 4 hours after anesthesia was the most effective.

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