摘要
目的探讨聚卡波非钙在混合痔围手术期的应用效果。方法选取2019年6月至2020年6月的徐州医科大学附属第二医院肛肠科混合痔患者120例作为研究对象,采用随机数字表法将其分为观察组和对照组,每组各60例。对照组给予肛肠科优质护理,观察组在对照组的基础上口服聚卡波非钙片。比较两组患者的临床疗效、首次排便时间、术后第7天的排便困难程度、大便性状评分、术后并发症和不良反应。结果观察组术后第7天的总有效率高于对照组,差异有统计学意义(P<0.05)。观察组术后的首次排便时间短于对照组,差异有统计学意义(P<0.05)。观察组术后第7天的排便困难程度低于对照组,差异有统计学意义(P<0.05)。观察组术后首次排便及第7天的大便性状评分高于对照组,差异有统计学意义(P<0.05)。两组的术后第3天的疼痛评分比较,差异无统计学意义(P>0.05),观察组术后第3天的水肿、渗液和术后第7天的疼痛、水肿、渗液并发症评分低于对照组,差异有统计学意义(P<0.05)。在整个研究期间,观察组无严重不良反应发生。结论围手术期应用聚卡波非钙显著改善患者术后的排便情况,减少手术并发症的发生,具有较好的安全性。
Objective To explore the application effect of Calcium Polycarbophil in the perioperative period of mixed hemorrhoid.Methods A total of 120 patients with mixed hemorrhoids in Department of Anorectal,the Second Affiliated Hospital of Xuzhou Medical University from June 2019 to June 2020 were enrolled in this study.The patients were randomized digital tables and divided into observation group and control group,a total of 60 casees in each group.The control group was given high-quality care in the anorectal department,and the observation group was taken orally with Calcium Polycarbophil Tablets on the basis of the control group.The clinical efficacy of the two groups,first defecation time,degree of defecation diffirate culty,stool trait score,postoperative complications,and adverse reactions were compared.Results The total efficacy rate of the observation group was higher than that of the control group on the 7th day after operation,and the difference was statistically significant(P<0.05).The first defecation time after operation in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The observation group defecation difficulty on the 7th day after operation was lower than that of the control group,and the difference was statistically significant(P<0.05).The stool trait scores of the observation group on the first and 7th day after operation were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the pain scores of the two groups on the third day after surgery(P>0.05).The scores of edema,effusion on the 3rd day after operation and pain,edema,and effusion on the 7th day of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).During the entire study period,no serious adverse reactions occurred in the observation group.Conclusion Perioperative application of Calcium Polycarbophil signifi
作者
蒋豪杰
王建
徐永强
JIANG Hao-jie;WANG Jian;XU Yong-qiang(Department of General Surgery,the Second Affiliated Hospital of Xuzhou Medical University,Jiangsu Province,Xuzhou 221000,China)
出处
《中国当代医药》
CAS
2021年第35期61-64,共4页
China Modern Medicine
关键词
聚卡波非钙
混合痔
围手术期
便秘
Calcium Polycarbophil
Mixed hemorrhoids
Perioperative period
Constipation
