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目的 :研究安定、扑热息痛、利多卡因多途径联合用药的镇痛效果和安全性。方法 :将 82例肛管术后患者用随机双盲对照法分三组用药。A组予利多卡因表面麻醉 ;B组予扑热息痛口服 ;C组予安定、扑热息痛口服 ,利多卡因表面麻醉。疗程均为 1周。结果 :A,B,C组肛管术后伤口轻度疼痛者分别占74.1% ,5 6.7% ,92 .0 % ;镇痛效果 C组优于 A组 (P<0 .0 5 ) ,A组优于 B组 (P<0 .0 5 ) ,均无明显副作用。结论 :肛管术后伤口多途径镇痛优于单一用药 ,安定、扑热息痛口服与利多卡因表面麻醉相结合是一种安全、良好的肛管术后伤口镇痛方法
Objective: To study the analgesic effects and safety of diazepam, paracetamol and lidocaine in combination. Methods: 82 cases of anal canal patients were randomized double-blind control method divided into three groups. Group A was given lidocaine for topical anesthesia; Group B was given paracetamol orally; Group C was given diazepam and paracetamol orally, and the lidocaine was anesthetized on the surface. The course of treatment is 1 week. Results: The analgesic effects of analgesic effect in group A, B and C were 74.1%, 5 6.7% and 92.0% respectively. The analgesic effect was better in group C than in group A (P <0.05), and A Group than in group B (P <0. 05), no significant side effects. Conclusion: Multi-channel analgesia after anal canal surgery is superior to single drug therapy. The combination of diazepam and paracetamol orally and topical anesthesia with lidocaine is a safe and good analgesic method after anal canal surgery