Research Article
Comparative Study Between Adjuvant Perineal Block and Spinal Anaesthesia Alone for Post-haemorrhoidectomy Pain Control
Tazdina Hoque Khan*,
Minhajul Hasan Chowdhury,
Tahira Benzir
Issue:
Volume 15, Issue 1, February 2026
Pages:
1-5
Received:
19 November 2025
Accepted:
26 January 2026
Published:
11 February 2026
Abstract: Background: Severe postoperative pain is common after haemorrhoidectomy and can delay recovery and discharge. While spinal anaesthesia provides good intraoperative analgesia, its postoperative effect is short-lived. This study aimed to compare the efficacy of an adjuvant perineal block combined with spinal anaesthesia versus spinal anaesthesia alone for postoperative pain control. Methods: In this randomized, double-blind controlled trial, 68 patients (ASA I–III) scheduled for elective open haemorrhoidectomy were assigned into two groups: Group A (Block Group): spinal anaesthesia with 0.5% hyperbaric bupivacaine followed by posterior perineal block using 20 ml of 0.25% bupivacaine; Group B (Control Group): spinal anaesthesia alone. Postoperative pain was assessed using the Visual Analogue Scale (VAS) at 2, 12, 24 and 48 hours. Secondary outcomes included time to first rescue analgesic, total opioid consumption, urinary retention, nausea/vomiting, and patient satisfaction. Results: Patients in Group A had significantly lower mean VAS scores at all postoperative intervals, with the greatest difference at 6 hours (3.1 ± 1.2 vs 5.2 ± 1.4; p < 0.001). The mean time to first analgesic request was prolonged in the Block Group (312 ± 56 min) compared to Control (182 ± 48 min). Total 24-hour opioid requirement was reduced by approximately 40%. Incidence of urinary retention and nausea/vomiting was similar between groups. No local anaesthetic toxicity or block-related complications occurred. Conclusion: Adding a perineal block to spinal anaesthesia significantly enhances postoperative pain control, delays the need for rescue analgesia, and lowers opioid consumption without added risk. This combined approach may be recommended as an effective, safe analgesic technique after haemorrhoidectomy.
Abstract: Background: Severe postoperative pain is common after haemorrhoidectomy and can delay recovery and discharge. While spinal anaesthesia provides good intraoperative analgesia, its postoperative effect is short-lived. This study aimed to compare the efficacy of an adjuvant perineal block combined with spinal anaesthesia versus spinal anaesthesia alon...
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Research Article
A Prospective Analysis of the Effects of Motivational Interviewing Combined with Phased Nursing Interventions on Patients with Gastroesophageal Reflux Disease
Li-Li Zhuo,
Daguan Zhang,
Wei-Xiao Xiang,
Tian-Na Liu,
Yin-Rong Ding*
Issue:
Volume 15, Issue 1, February 2026
Pages:
6-18
Received:
24 March 2026
Accepted:
7 April 2026
Published:
23 April 2026
DOI:
10.11648/j.cmr.20261501.12
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Abstract: Objectives: To evaluate the effects of MI combined with PNI on the quality of life, self-efficacy, psychological state, and sleep quality of patients with GERD. Methods: 60 GERD patients were enrolled based on inclusion and exclusion criteria and randomly assigned to the observation (30 cases) or control groups (30 cases). The observation group underwent MI combined with PNI, while control group received conventional nursing interventions. The changes in inflammatory response-related indicators were compared between two groups. The reflux disease questionnaire (RDQ), symptom self-rating scale (SCL-90), self-efficacy scale (GSES), simple SF-36 scale and Pittsburgh sleep quality index scale (PSQI) were employed to assess the patient's conditions before, three months following and after nursing. Results: Baseline inflammatory markers and scale scores showed no significant between-group differences. After 3 months, the observation group demonstrated significant reductions in these inflammatory markers compared with baseline and the control group. At the same time point, SCL-90 scores decreased across multiple domains, GSES scores improved, and SF-36 scores increased in several dimensions. PSQI scores were also significantly lower in the observation group, indicating better sleep quality. Conclusion: MI combined with PNI may reduce inflammation, relieve negative emotions, and enhance self-efficacy, quality of life, and sleep in GERD patients.
Abstract: Objectives: To evaluate the effects of MI combined with PNI on the quality of life, self-efficacy, psychological state, and sleep quality of patients with GERD. Methods: 60 GERD patients were enrolled based on inclusion and exclusion criteria and randomly assigned to the observation (30 cases) or control groups (30 cases). The observation group und...
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