CAJ | 학술논문

目的观察长期服用抗凝药物的患者痔切除手术治疗效果.方法24例长期服用抗凝药物的患者为治疗组,均于术前72 h开始停用抗凝药物,常规方法手术,术后96 h恢复使用抗凝药物.选择同期接受手术治疗而未服用抗凝药物的患者30例作为对照组,比较两组患者术后伤口出血评分、平均住院时间和平均伤口愈合时间.结果治疗组术后伤口出血评分显著高于对照组(P<0.01),但两组患者的平均住院时间和伤口的愈合时间无显著性差异.结论长期服用抗凝药的患者在术前及术后调整抗凝血药物治疗,进行痔切除术是可行的.
목적관찰장기복용항응약물적환자치절제수술치료효과.방법24례장기복용항응약물적환자위치료조,균우술전72 h개시정용항응약물,상규방법수술,술후96 h회복사용항응약물.선택동기접수수술치료이미복용항응약물적환자30례작위대조조,비교량조환자술후상구출혈평분、평균주원시간화평균상구유합시간.결과치료조술후상구출혈평분현저고우대조조(P<0.01),단량조환자적평균주원시간화상구적유합시간무현저성차이.결론장기복용항응약적환자재술전급술후조정항응혈약물치료,진행치절제술시가행적.
Objective To observe the therapeutic effect of cases with hemorrhoidectomy who were taken anticoagulants long-term. Methods 24 cases were stoped using anticoagulants 72 hours before operation, who were taken anticoagulants long-term were the treatment group, and desterilized anticoagulants 96 hours after operation. 30 case as the control group at the same time were given the operation, who weren’t taken anticoagulants. the wound bleeding score,the average length of stay,the wound healing time of the treatment were compared with that of the control group. Results The wound bleeding scores of the treatment group are higher than that of the control group (P<0.01).But there were no difference on the average length of stay and the wound healing time between two groups. Conclusion It is feasible that the case who were taken anticoagulants long term were given hemorrhoidectomy. It should adjust the therapeutic schedule of taking anticoagulant at preoperative and postoperative.