CAJ | 학술논문

目的探讨不同肠道准备方法对应用结扎速血管闭合系统行痔切除术的效果以及对患者的影响.方法痔疮患者共78例按手术日分为硫酸镁组(n=21),开塞露组(n=32)和尤肠道准备的对照组(n=25)进行术前肠道准备.比较3组方法的效果,包括手术医牛对肠道准备的满意度,患者对肠道准备的舒适度,术后伤口最疼痛的持续时间及VAS疼痛评分,初次排便时间及排便时VAS疼痛评分,术后恢复正常牛活时间及伤口愈合时间.结果 3组患者的观察指标中只有患者对肠道准备的舒适度比较差异有统计学意义(P＜0.01),其中硫酸镁组61.90%的患者有不适但不影响生活;开塞露组各有6.25%的患者有不适但不影响生活,或影响生活;差异均高于对照组.结论 3种肠道准备方法在应用结扎速血管闭合系统行痔切除术的疗效相近,在患者舒适度方面,不做肠道准备直接手术是最佳选择.如果需做肠道准备,则使用开塞露优于口服硫酸镁.
목적 탐토불동장도준비방법 대응용결찰속혈관폐합계통행치절제술적효과이급대환자적영향.방법 치창환자공78례안수술일분위류산미조(n=21),개새로조(n=32)화우장도준비적대조조(n=25)진행술전장도준비.비교3조방법 적효과,포괄수술의우대장도준비적만의도,환자대장도준비적서괄도,술후상구최동통적지속시간급VAS동통평분,초차배편시간급배편시VAS동통평분,술후회복정상우활시간급상구유합시간.결과 3조환자적관찰지표중지유환자대장도준비적서괄도비교차이유통계학의의(P＜0.01),기중류산미조61.90%적환자유불괄단불영향생활;개새로조각유6.25%적환자유불괄단불영향생활,혹영향생활;차이균고우대조조.결론 3충장도준비방법 재응용결찰속혈관폐합계통행치절제술적료효상근,재환자서괄도방면,불주장도준비직접수술시최가선택.여과수주장도준비,칙사용개새로우우구복류산미.
Objective To approach the effect of Hemorthoidectomy using LigaSure vessel sealant system with different bowel preparation means.Methods Seventy-eight patients with hemorrhoids were divided into three groups which are the Epsom salt group(21 cases),the Kaiselu group(32 eases),and the no bowel preparation group(25 cases)according to their operation's day.The observation items are the satisfaction rate of the operative doctors,the degree of comfort to patient,the severe pain duration time and scores,the first defecation time and the pain scores after operation,and the intention time．Results 61.90％patients in Epsom salt group felt uncomfortable but did not influence the life.6.25％patients in Kaiselu group felt uncomfortable but did not influence the life and 6.25％patients felt uncomfortable and influence the life.The degree of comfort of patient Was significant difference in three groups(H=13.39,P=0.001 2).There were no significant differences in other observation items among three groups(P>0.05).Condusions There are similar effect in three groups with Hemorrhoidectomy patient using LigaSure vessel sealant system,but in the degree of comfort to patients,the no bowel preparation means is the hest choice for patient.If the doctor order to do bowel preparation for patient,the bowel preparation using Kaiselu is better than that using Epsom salt.