摘要
目的观察混合痔内扎外剥术后患者不同体位对术后并发症的影响。方法将200例接受混合痔内扎外剥术的住院患者随机分为观察组(端坐位)及对照组(卧位)各100例;两组手术统一采用混合痔内扎外剥术,术后每日红油膏常规换药,并分别选择端坐位和卧位。采用症状分级法观察、记录术后当天、第3天、第7天疼痛、排尿困难、排便困难、出血、水肿等并发症情况,并观察住院时间和术后恢复工作时间。结果术后当天,观察组疼痛、排尿困难情况较对照组轻(P<0.01);术后第3天,观察组疼痛、排尿困难、排便困难、出血、水肿等明显轻于对照组(P<0.05,P<0.01);术后第7天,观察组疼痛、排便困难、出血情况轻于对照组(P<0.05,P<0.01)。两组住院时间、术后恢复工作时间比较,差异有统计学意义(P<0.05,P<0.01)。结论混合痔内扎外剥术后患者早期采用端坐位可有效预防和缓解术后并发症。
Objective To observe the effects of different operative positions on the complications following mixed-hemorrhoids surgery.Methods Two hundred in-patients with mixed hemorrhoids were randomly divided into two groups： 100 patients in treatment group took sitting position,and the other 100 patients in control group took recumbent position.The symptoms and signs of complications including pain,dysuria,bleeding and edema were evaluated by scoring system after operation in each group.Results On the first day,such complications as pain and dysuria were milder in the treatment group than in control group（P〈0.01）;on the third day,the pain,dysuria,difficult defecation,bleeding and edema were significantly milder in the treatment group than in control group（P〈0.05）;on the seventh day,the complications pain,difficult defecation and bleeding and edema were significantly milder in the treatment group than in control group（P〈0.05）;there were striking differences in hospitalization period and recovery to work between the two groups（P〈0.05）.Conclusion Sitting position after mixed hemorrhoids surgery can prevent and relieve postoperative complications.
出处
《上海中医药杂志》
2011年第6期52-54,共3页
Shanghai Journal of Traditional Chinese Medicine
基金
上海申康医院发展中心项目(SHDC12010219)
关键词
混合痔
术后并发症
体位
Mixed hemorrhoids
postoperative complication
position
