中国综合临床
中國綜閤臨床
중국종합림상
Clinical Medicine of China
2015年
9期
835-837
,共3页
于锦利%段宏岩%郝鹏%陈仲金
于錦利%段宏巖%郝鵬%陳仲金
우금리%단굉암%학붕%진중금
混合痔%迈之灵%痔上黏膜环切术%并发症
混閤痔%邁之靈%痔上黏膜環切術%併髮癥
혼합치%매지령%치상점막배절술%병발증
Mixed hemorrhoids%Aescuven forte tablets%Procedure for prolapse and hemorrhoids%Complication
目的 评价手术前、后应用迈之灵对预防混合痔患者吻合器痔上黏膜环切术(PPH)并发症的效果.方法 将2013年6月至2014年6月在我院接受PPH手术的混合痔患者179例分为术后开始应用迈之灵90例(术后应用组)和术前2d即开始应用迈之灵89例(术前应用组).比较两组患者的术后疼痛程度、直肠出血、尿潴留、肛周水肿、住院时间及复发情况.结果 术前应用组患者相关指标发生率均较术后应用组显著降低[术后疼痛7.9％ (7/89)与20.0％ (18/90),x2=5.484,P＜0.05;伤口出血0与6.7％(6/90),P=0.026;尿潴留9.0％ (8/89)与20.0％(18/90),x2=4.370,P＜0.05;舡周水肿1.1％(1/89)与8.9％(8/90),P=0.035];住院时间明显缩短[(11.9±3.9)d与(13.3 ±5.0)d,t=3.134,P＜0.05.随访2个月以上,两组患者均无复发情况.结论 术前2d应用迈之灵较术后应用可降低PPH并发症的发生率.
目的 評價手術前、後應用邁之靈對預防混閤痔患者吻閤器痔上黏膜環切術(PPH)併髮癥的效果.方法 將2013年6月至2014年6月在我院接受PPH手術的混閤痔患者179例分為術後開始應用邁之靈90例(術後應用組)和術前2d即開始應用邁之靈89例(術前應用組).比較兩組患者的術後疼痛程度、直腸齣血、尿潴留、肛週水腫、住院時間及複髮情況.結果 術前應用組患者相關指標髮生率均較術後應用組顯著降低[術後疼痛7.9％ (7/89)與20.0％ (18/90),x2=5.484,P＜0.05;傷口齣血0與6.7％(6/90),P=0.026;尿潴留9.0％ (8/89)與20.0％(18/90),x2=4.370,P＜0.05;舡週水腫1.1％(1/89)與8.9％(8/90),P=0.035];住院時間明顯縮短[(11.9±3.9)d與(13.3 ±5.0)d,t=3.134,P＜0.05.隨訪2箇月以上,兩組患者均無複髮情況.結論 術前2d應用邁之靈較術後應用可降低PPH併髮癥的髮生率.
목적 평개수술전、후응용매지령대예방혼합치환자문합기치상점막배절술(PPH)병발증적효과.방법 장2013년6월지2014년6월재아원접수PPH수술적혼합치환자179례분위술후개시응용매지령90례(술후응용조)화술전2d즉개시응용매지령89례(술전응용조).비교량조환자적술후동통정도、직장출혈、뇨저류、항주수종、주원시간급복발정황.결과 술전응용조환자상관지표발생솔균교술후응용조현저강저[술후동통7.9％ (7/89)여20.0％ (18/90),x2=5.484,P＜0.05;상구출혈0여6.7％(6/90),P=0.026;뇨저류9.0％ (8/89)여20.0％(18/90),x2=4.370,P＜0.05;강주수종1.1％(1/89)여8.9％(8/90),P=0.035];주원시간명현축단[(11.9±3.9)d여(13.3 ±5.0)d,t=3.134,P＜0.05.수방2개월이상,량조환자균무복발정황.결론 술전2d응용매지령교술후응용가강저PPH병발증적발생솔.
Objective To evaluate the effect of preoperative aescuven forte tablets in the prevention of procedure for prolapse and hemorrhoids(PPH) complications.Methods One hundred and seventy-nine patients underwent PPH in the Erlonglu Hospital of Beijing from June 2013 to June 2014 were divided into postoperative aescuven forte tablets group (n =90) and preoperative aescuven forte tablets group (n =89).The postoperative pain,bleeding,retention of urine,anal swelling,length of stay in hospital and recurrence were compared between the two groups.Results The incidence of postoperative pain,bleeding,retention of urine,anal swelling were lower than in the preoperative aescuven forte tablets group (pain after operations rate:7.9％ (7/89) vs.20.0％ (18/90),x2 =5.484,P＜ 0.05;Wound bleeding:0 vs.6.7 ％ (6/90),P =0.026;retention of urine:9.0％ (8/89) vs.20.0％(18/90),x2 =4.370,P＜0.05;anal swelling:1.1％(1/89) vs.8.9％(8/90),P=0.035),and length of stay in hospital was shorter(11.9±3.9) d vs.(13.3 ±5.0) d,t=3.134,P＜0.05).There was no recurrence both of two groups follow up for more than 2 months.Conclusion Preoperative oral aescuven forte tablets of 2 h can reduce PPH complications and worthy of popularization and application.
