摘要
目的 探讨吻合器痔上黏膜钉合术治疗重度痔疮的临床效果。方法 选取2020年1月至2021年1月海南省海口市中医医院收治的重度痔疮患者72例,借助随机数字法将患者分为两组,对照组(n=36)应用传统痔切除术治疗,研究组(n=36)应用吻合器痔上黏膜钉合术治疗。比较两组患者的治疗总有效率、临床指标(手术时间、住院天数、创面愈合时间)、不良反应发生率以及复发率。结果 研究组治疗总有效率(94.4%)高于对照组(75.0%)(P <0.05);研究组手术时间[(19.2±3.3)min]、住院天数[(4.6±2.2)d]、创面愈合时间[(8.0±1.4)d]均短于对照组[(29.1±6.1)min、(9.4±1.5)d、(28.4±3.5)d](P<0.05);研究组不良反应发生率(8.3%)与复发率(5.6%)均低于对照组(27.8%、25.0%)(P<0.05);治疗后,研究组生理健康评分[(78.5±10.7)分]、心理状态评分[(79.3±8.9)分]、社会关系评分[(76.3±9.2)分]、独立能力评分[(75.4±11.2)分]、社会信仰评分[(78.2±8.5)分]、周围环境评分[(78.6±8.7)分]、总分[(383.2±50.8)分]均高于对照组[(69.8±8.3)分、(62.3±7.2)分、(65.3±6.4)分、(64.2±9.3)分、(68.2±7.3)分、(64.2±7.1)分、(284.7±36.6)分](P<0.05);研究组治疗依从率(94.4%)高于对照组(77.8%),差异有统计学意义(P<0.05)。结论 重度痔疮在临床治疗时,应用吻合器痔上黏膜钉合术治疗,具有特别确切的临床效果,可有效缓解临床症状,缩短手术时间,减少住院天数,加快创面愈合时间,并明显降低发生不良反应的比重,减少复发情况,有利于改善预后,值得推广。
Objective To investigate the clinical efficacy of the procedure for prolapse and hemorrhoids(PPH) in the treatment of severe hemorrhoids. Methods A total of 72 patients with severe hemorrhoids who came to Haikou Hospital of Traditional Chinese Medicine for treatment from January 2020 to January 2021 were selected as study subjects. They were divided into two groups according to the random number method, with the control group(n=36) treated with traditional hemorrhoidectomy and the study group(n=36) treated with PPH. The overall effective rate of treatment, clinical indicators(operation duration, hospitalization days, and wound healing time), incidence of adverse reactions and relapse rate were compared between the two groups. Results The overall effective rate of treatment in the study group(94.4%) was higher than that in the control group(75.0%)(P<0.05). The operation duration([19.2 ± 3.3]min), hospitalization days([4.6±2.2]d), and wound healing time([8.0±1.4]d) of the study group were shorter than those of the control group([29.1±6.1]min, [9.4±1.5]d, and [28.0±1.4]d), respectively(P<0.05). The incidence of adverse reactions was 8.3%and the relapse rate was 5.6% in the study group, which were lower than those in the control group(27.8% and25.0%), respectively(P<0.05). The physical health score([78.5±10.7] points), psychological state score([79.3±8.9]points), and social relationship score([76.3±9.2] points), independence score([75.4±11.2] points), social belief score([78.2±8.5] points), surrounding environment score([78.6±8.7] points), and total score([383.2±50.8] points) of the study group after treatment were higher than those of the control group([69.8 ±8.3] points, [62.3 ±7.2] points, [65.3 ±6.4]points, [64.2±9.3] points, [68.2±7.3] points, [64.2±7.1] points, and [284.7±36.6] points), respectively(P<0.05). The treatment compliance rate of the study group(94.4%) was higher than that of the control group(77.8%), with statistically significant differences(P<0.05). Conclusion In the clinical treatment of severe hemorrhoids, the application of PPH is definitely effective in relieving clinical symptoms, shortening the operation duration, reducing the number of hospitalization days, accelerating the time of wound healing, and significantly lowering the incidence of adverse reactions and relapse rate, and is conducive to improving the prognosis. Therefore, this procedure is worthy of promotion.
作者
江聪
JIANG Cong(Department of Anorectology,Haikou Hospital of Traditional Chinese Medicine,Haikou570100,China)
出处
《中国现代医生》
2022年第10期46-49,共4页
China Modern Doctor
关键词
吻合器痔上黏膜钉合术
重度痔疮
临床指标
不良反应
The procedure for prolapse and hemorrhoids
Severe hemorrhoids
Clinical indicators
Adverse reactions
