경피적 전기자극이 항문수술 후 통증에 미치는 효과

Effects of Transcutaneous Electrical Nerve Stimulation for Relief of Perianal Pain after Anal Surgery

  • 박찬홍 (대구효성가톨릭대학교 의과대학 마취과학교실) ;
  • 조성경 (대구효성가톨릭대학교 의과대학 마취과학교실) ;
  • 이상화 (대구효성가톨릭대학교 의과대학 마취과학교실) ;
  • 김봉일 (대구효성가톨릭대학교 의과대학 마취과학교실) ;
  • 노운석 (대구효성가톨릭대학교 의과대학 마취과학교실) ;
  • 이한일 (대구효성가톨릭대학교 의과대학 외과학교실)
  • Park, Chan-Hong (Department of Anesthesiology, School of Medicine, The Catholic University of Taegu-Hyosung) ;
  • Cho, Sun-Kyeong (Department of Anesthesiology, School of Medicine, The Catholic University of Taegu-Hyosung) ;
  • Lee, Sang-Hwa (Department of Anesthesiology, School of Medicine, The Catholic University of Taegu-Hyosung) ;
  • Kim, Bong-Il (Department of Anesthesiology, School of Medicine, The Catholic University of Taegu-Hyosung) ;
  • Rho, Woon-Seok (Department of Anesthesiology, School of Medicine, The Catholic University of Taegu-Hyosung) ;
  • Lee, Han-Il (Department of General Surgery, School of Medicine, The Catholic University of Taegu-Hyosung)
  • 발행 : 1999.11.30

초록

Background: Transcutaneous Electrical Nerve Stimulation (TENS) has been widely used for pain relief after surgery instead of opioid analgesics therapy. This study was designed to study the effectiveness of TENS on perianal pain after anal surgery. Methods: Forty-eight patients who underwent anal surgery were evaluated in this suudy. Caudal anesthesia with 1.5% lidocaine 30 ml mixture 1:200,000 epinephrine was performed. TENS was done at 100 Hz for 25 min. duration, postoperatively at 4 hrs and 24 hrs. Pain was also measured at the 4 hrs and 24 hrs postoperatively by visual analogue scale (VAS). VAS value were compared before and after TENS application. Results: Values of VAS after TENS were significantly lower compared to those before TENS. Conclusions: From these results, we concluded, TENS may be effective for postoperative perianal pain relief after anal surgery.

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