铜离子介入和药物治疗内痔出血疗效的比较_医学论文.docVIP

铜离子介入和药物治疗内痔出血疗效的比较_医学论文 铜离子介入和药物治疗内痔出血疗效的比较_医学论文 作者：常宝志，黄莚庭，胡章顺，王振军，李冻冰，满 蒙 【摘要】 目的 观察和研究铜离子介入治疗内痔出血的疗效。方法 收集Ⅰ～Ⅲ度内痔出血的病人共计914例，分为铜离子介入组701例和药物治疗组213例进行对比观察，铜离子治疗组采用治疗仪一次性治疗。药物治疗组采用内服和外用药物治疗的方法，有外用皮肤康洗液、化痔栓，口服药物有消脱止等，每例患者用药1个月。结果 铜离子组治疗后2天第1次排便不再出血者，Ⅰ度87例，占92例的94.57%；Ⅱ度158例，占242例的65.29%；Ⅲ度215例，占367例的58.58%。1个月内不出血者：Ⅰ度92例，占92例的100.00%；Ⅱ度242例，占242例的100.00%；Ⅲ度367例，占367例的100.00%。药物对照组用药后2天排便均有出血，但Ⅰ度有7例自觉出血量减少；Ⅱ度有4例自觉出血量减少；Ⅲ度有1例自觉出血量减少。用药1个月之内出血停止者：Ⅰ度75例，占79例的94.94%；Ⅱ度64例，占71例的90.14%；Ⅲ度47例，占63例的74.60%。结论 本组对照研究铜离子治疗对痔出血有止血迅速，疗效显著的作用。 【关键词】 铜离子；内痔；药物治疗 【Abstract】 Objective To study the better way for the treatment of internel hemorrhoid hemorrhage.Methods 914 patients with internel hemorrhoid hemorrhage of degree Ⅱ Ⅲ Ⅳ were studied.2 groups were divided 701 cases were treated by using copper-ion interventional therapy for one time another 213 cases by pharmaceutical therapy including local suppositories and venotensive drugs by mouth.Results The patients in the copper-ion group had bleeding stopped after defecation 2 days later，87 with degree Ⅰ constituting 94.57% of 92，158 cases with degree 2 constituting 65.29% of 242，367 cases， degree Ⅲ taking 57.58% of 367.The patients in the copper-ion group had hemorrhoids stopped after detection 2 days later， in which 87 cases with degree Ⅰ in 92 cases constituting 94.6% 242 with degree Ⅱ.in the parmaceutical group， no patients had the bleeding stopped in 2 days after detection， but a few the bleeding decreases， in the period of one month， 75 cases with degree Ⅰ 75 cases had no bleeding again， constituting 94.9%.Conclusion By the therapy of the 701 patients and contrast with the 213 patients adopted conservative therapy， we could find that about 95% patients of degree Ⅰ stopped bleeding after 2 days， and 100.00% after 1 week.Patient of degree Ⅱ and Ⅲ， about 60% stopped bleeding after 2 days， 70% after 1 week， and 100.00% after 3 to 4 weeks.According to the comparison of hemostatic effects between intervetional and pharmaceutical