摘要
目的分析浮针疗法对混合痔吻合器痔上黏膜环形切除术(PPH)术后肛门坠胀的临床疗效。方法选择2021年1月—2022年12月在泰安市中医医院行混合痔PPH术后发生肛门坠胀的患者90例,将其采用随机数表法分为对照组与研究组,各45例。对照组术后仅接受常规基础治疗,研究组术后则在接受常规基础治疗的同时开展浮针治疗,对两组的临床疗效、肛门坠胀程度、坠胀时间评分、排便情况、水肿程度进行分析比较。结果研究组的总有效率显著高于对照组(P<0.05)。相比于治疗前,两组治疗后12 d的肛门坠胀程度、坠胀时间评分均显著降低(P<0.05);而且研究组治疗后12 d的肛门坠胀程度、坠胀时间评分降低幅度更加显著(P<0.05)。相比于治疗前,两组治疗后12 d的排便情况、水肿程度评分均显著降低(P<0.05);而且研究组治疗后12 d的排便情况、水肿程度评分降低幅度更加显著(P<0.05)。结论在治疗混合痔PPH术后肛门坠胀时,采用浮针疗法治疗能取得显著疗效,不但能有效缓解肛门坠胀感,坠胀时间明显缩短,而且还能改善排便和水肿,值得应用。
Objective To analyze the clinical efficacy of floating needle therapy in treating anal prolapse after mixed hemorrhoid stapler hemorrhoid mucosal circular resection(PPH).Methods A total of 90 patients with anal collapsion after mixed hemorrhoids PPH in the proctology department of Tai'an Hospital of Traditional Chinese Medicine from January 2021 to December 2022 were selected and divided into two groups by random number table method,45 cases in control group and 45 cases in study group.The control group only received conventional basic treatment after surgery,while the study group received conventional basic treatment after surgery at the same time,fl oating needle treatment was carried out,and the clinical effi cacy,anal distension degree,distension time score,defecation situation,edema degree of the two groups were analyzed and compared.Results The total eff ective rate of the study group was signifi cantly higher than that of the control group(P<0.05).Compared with before treatment,the degree and duration of anal distension in both groups were signifi cantly reduced 12 days after treatment(P<0.05);moreover,the study group showed a more signifi cant decrease in the degree and duration of anal distension 12 days after treatment(P<0.05).Compared to before treatment,the defecation and edema scores of both groups were signifi cantly reduced 12 days after treatment(P<0.05);moreover,the study group showed a more signifi cant decrease in bowel movements and edema scores 12 days after treatment(P<0.05).Conclusion When treating anal prolapse and swelling after mixed hemorrhoids PPH surgery,fl oating needle therapy can achieve signifi cant therapeutic eff ects.It not only eff ectively alleviates the sensation of anal prolapse and swelling,significantly shortens the time of prolapse and swelling,but also improves defecation and edema,which is worth application.
作者
孙彬彬
SUN Bin-bin(Department of Proctology,Tai'an Hospital of Traditional Chinese Medicine,Taian Shandong 27100,China)
出处
《中华养生保健》
2023年第22期15-17,21,共4页
CHINESE HEALTH CARE
关键词
浮针疗法
混合痔
吻合器痔上黏膜环形切除术
肛门坠胀
fl oating needle therapy
mixed hemorrhoids
circumferential resection of hemorrhoid mucosa with stapler
anal distension
