硫酸镁甘油湿敷在嵌顿痔水肿防治中的应用.docVIP

硫酸镁甘油湿敷在嵌顿痔水肿防治中的应用 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：硫酸镁甘油湿敷在嵌顿痔水肿防治中的应用 1 1 临床资料 2 2 结 果 4 3 讨 论 4 文2：胰岛素混合液湿敷在糖尿病足溃疡患者换药中的应用效果观察 6 1资料与方法 6 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 10 正文 硫酸镁甘油湿敷在嵌顿痔水肿防治中的应用 文1：硫酸镁甘油湿敷在嵌顿痔水肿防治中的应用 [Abstract] Objective To explore the clinical effect of wet dressing with glycerine magnesium sulfate in preventing and treating oedema of incarcerated hemorrhoid. Methods A total of 72 cases of incarcerated hemorrhoid from 2004 to 2007 were randomly divided into two groups: therapy group was treated with 44% glycerine magnesium sulfate wet dressing perioperatively, while control group with warm sitz bath. Results Scores of oedema of incarcerated hemorrhoid in therapy group and control group at admission was ± and ±, respectively (P), while at 30 min before operation the oedema scores was ± and ±， respectively (P). Eight cases（%） developed anus edge oedema in therapy group, while 17 cases（%）in control group， and there was significant difference(P). Scores of anus pain at postoperative 72 h in therapy group and control group was ± and ±, respectively and there was significant difference(P). There was significant difference between therapy group and control group in length of hospital stay, which was ± days and ± days, respectively. Two cases （%）developed skin tag residual in therapy group and 9 cases（%）in control group and there was significant difference between the two groups(P). Conclusion It was useful to prevent and treat oedema of incarcerated hemorrhoid using 44% glycerine magnesium sulfate wet dressing at perioperative period. [Key words] Glycerine magnesium sulfate; Incarcerated hemorrhoid; Oedema; Therapeutic effect 嵌顿痔是痔瘘科常见急症,其临床表现以内痔嵌顿,肛缘皮肤或外痔水肿、疼痛为特征。2004～2007年,我院收治嵌顿痔37例，用44%硫酸镁甘油手术前后湿敷治疗嵌顿痔的临床观察,并与同期35例常规手术方法对照比较,现将结果报告如下。 1 临床资料 一般资料 本组72例,随机分为两组。治疗组37例,男22例,女15例；年龄23～61岁，平均岁；病程10个月至32年,平均年，嵌顿时间平均3 d。对照组35例,男21例,女14例；年龄26～67岁，平均40岁病程2～28年，平均年；嵌顿时间平均 d 。两组病例均有不同程度的内痔嵌顿,肛缘皮肤或外痔水肿、疼痛,部分病例伴有内痔黏膜糜烂、坏死。其