提肛运动对痔上黏膜环切术后肛门坠胀的改善效果.docVIP

提肛运动对痔上黏膜环切术后肛门坠胀的改善效果 　　[摘要] 目的 探讨提肛运动对痔吻合器痔上黏膜环切术（PPH）术后患者肛门坠胀的改善效果。 方法 收集并筛选2013年4月～2014年6月在重庆市大足区人民医院确诊为混合痔的患者140例，将其按照随机数字表方法分为两组，观察组和对照组每组各70例，两组患者入院后第2天起给予PPH术治疗，所有操作均规范，并严格参考手术适应证，排除不适宜手术的干扰因素。其中对照组给予术后常规抗感染治疗及护理。观察组患者在上述常规干预的基础上于术后第3天给予提肛运动记录患者术后肛门坠胀消失时间，同时观察比较两组术后肛门坠胀持续时间、程度、控便能力、便感急等量化评分。 结果 两组患者术后肛门坠胀持续时间、坠胀发生程度的评分均较干预前降低，差异均有统计学意义[观察组：（2.17±0.23）比（0.05±0.00）分，（2.16±0.11）比（0.05±0.01）分；对照组：（2.19±0.07）比（1.07±0.12）分，（2.21±0.14）比（0.65±0.01）分，均 P 0.05]，术后观察组的评分改善较对照组更为显著，差异有统计学意义（均P 0.05）。观察组术后肛门坠胀消失时间、控便能力评分及便感急评分均较对照组下降，差异均有统计学意义[（3.50±1.14）比（5.55±1.01）分，（0.10±0.00）比（0.46±0.11）分，（0.14±0.01）比（0.37±0.02）分，均P 0.05]。 结论 适宜的提肛运动可明显改善PPH术后肛门坠胀，减轻患者肛门坠胀程度，减少肛门坠胀时间，显著减轻PPH术后带给患者的不适感。 　　[关键词] 提肛运动；痔吻合器痔上黏膜环切术；肛门坠胀；改善效果 　　[中图分类号] R657.18 [文献标识码] A [文章编号] 1673-7210（2015）06（b）-0080-04 　　Improved effect of anus movement on anus bulge after procedure for prolapse and hemorrhoids 　　GONG Daiping 　　Department of Anorectal， the Peoples Hospital of Dazu District， Chongqing 402360， China 　　[Abstract] Objective To study the improved effect of anus movement on anus bulge after procedure for prolapse and hemorrhoids （PPH）. Methods 140 cases of patients with mixed hemorrhoid in Dazu District Peoples Hospital from April 2013 to June 2013 were collected， and they were divided into observation group and control group according to random number table method， 70 cases in each group. Patients of the two groups were given PPH surgery treatment in the second day after admission， followed all operating norms， and referenced surgical indication strictly， the interference factors of unfit for surgery were eliminated. The control group was given routine anti-infection treatment and postoperative care. Patients of the observation group was given the treatment on the basis of the conventional intervention at the 3rd day postoperative was carried anus movement. The patients postoperative anus bulge disappear time were recorded， postoperative anus bulge duration， the degree of the a