CAJ | 학술논문

目的：探讨壳聚糖凝胶（Ⅲ型）降低重度混合痔外剥内扎术后并发症效果，并总结护理要点。方法选择76例重度混合痔患者，随机分为治疗组与对照组，每组各38例。两组均采用传统外剥内扎手术，治疗组在手术的基础上术后应用壳聚糖凝胶（Ⅲ型）治疗。比较两组患者治疗效果、疼痛、并发症及住院时间情况。结果两组患者治疗效果比较，差异无统计学意义（P＞0.05）；治疗组患者术后第2天疼痛评分明显低于对照组，便血积分、创血感染明显少于对照组，住院天数明显短于对照组，两组比较，差异具有统计学意义（均P＜0.05）。结论壳聚糖凝胶（Ⅲ型）在重度混合痔外剥内扎术后应用，可有效减轻术后疼痛及减轻出血，降低感染等并发症，从而也缩短了住院时间。护理方面要做好患者心理护理及加强术后并发症的观察及护理。
목적：탐토각취당응효（Ⅲ형）강저중도혼합치외박내찰술후병발증효과，병총결호리요점。방법선택76례중도혼합치환자，수궤분위치료조여대조조，매조각38례。량조균채용전통외박내찰수술，치료조재수술적기출상술후응용각취당응효（Ⅲ형）치료。비교량조환자치료효과、동통、병발증급주원시간정황。결과량조환자치료효과비교，차이무통계학의의（P＞0.05）；치료조환자술후제2천동통평분명현저우대조조，편혈적분、창혈감염명현소우대조조，주원천수명현단우대조조，량조비교，차이구유통계학의의（균P＜0.05）。결론각취당응효（Ⅲ형）재중도혼합치외박내찰술후응용，가유효감경술후동통급감경출혈，강저감염등병발증，종이야축단료주원시간。호리방면요주호환자심리호리급가강술후병발증적관찰급호리。
Objective To explore the effect of Chitosan gel (Ⅲ) on the complications from Milligan-Morgan hemorrhoidectomy for treatment of severe mixed hemorrhoids.Methods Seventy-six patients with severe mixed hemorrhoids were randomly divided into treatment group and control group with 38 cases in each group. All patients from the two groups were treated with Milligan-Morgan hemorrhoidectomy. Then Chitosan gel (Ⅲ) was used in the treatment group. The two groups were compared in terms of curative effect, pain level, complications and hospital stay.Results There was no significant difference in the curative effect (P>0.05). But the scores on pain level, hemtochezia, infection and edema of the treatment group were all significantly lower than those of the control group (allP<0.05) and the hospital stay was significantly shorter than that of the control group (P<0.05).Conclusions In the treatment of severe mixed hemorrhoids by Milligan-Morgan hemorrhoidectomy, Chitosan gel (Ⅲ) is effective in relieving pains, reducing hemorrhage, edema and preventing infections and therefore shortens the hospital stay. In view of nursing, it is critical to perform mental care as well as close observations on complications.