芍倍注射液辅助痔上黏膜错位套扎术治疗中重度痔疮临床观察  

Clinical Observation of Shaobei Injection Combined with EPH in Treatment for Patients with Moderate and Severe Degree Hemorrhoid

作　　者：张春泽[1] 付文政[1] 贾岩峰[1] 

机构地区：[1]天津市人民医院肛肠外科,天津300121

出　　处：《中国中西医结合外科杂志》2015年第3期261-264,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：天津市中医药管理局中医;中西医结合专项课题(13130)

摘　　要：目的：评价芍倍注射液辅助痔上黏膜环形错位套扎吻合术（EPH）治疗中重度痔疮的临床疗效。方法：将我院收治的72例中重度（Ⅲ~Ⅳ）痔患者随机分为两组,治疗组39例行芍倍注射液辅助EPH治疗,对照组33例行EPH治疗。观察比较两组患者手术时间、术后并发症及治愈率的差异。结果：治疗组与对照组的手术时间分别为（15±5）min和（13±4）min,差异无统计学意义（t=1.74,P〉0.05）;治愈率分别为治愈率为97.4%和96.7%,差异亦无统计学意义（t=0.71,P〉0.05）。治疗组和对照组出血量分别为（10±3）m L和（14±2）m L,差异有统计学意义（t=5.90,P〈0.05）;治疗组无并发症发生,对照组有6例出现并发症,二者比较差异有统计学意义（P=0.013）。结论：芍倍注射液辅助EPH是治疗中重度痔疮的一种安全有效方法,具有操作简单,费用低,术后恢复快,并发症少及可重复操作等优点,值得临床推广。Objective：To evaluate the clinical efficacy and safety of the east rubber band ligation and coincide of dislocation for prolapse and hemorrhoid（EPH） with Shaobei injection in the treatment for patients withmoderate and severe degree hemorrhoid.Methodsseventy-two patients with moderate and severe degreehemorrhoid（Ⅲ~Ⅳ） were divided into two groups： the treatment group（39 cases, EPH combination with Shaobeiinjection group） and the control group（33 cases, EPH group）. The operation time, perioperative bleeding, the curative rate and postoperative complication were examined.ResultsThe operation time of treatment group andcontrol group was（15 ± 5） min and（13 ± 4） min respectively. The cure rate was respectively 97.4% and 96.7%,without difference statistically significant（P 0.05）. The amount of bleeding was（10±3） m L and（14±2） m L re-spectively in the treatment group and the control group. The difference was statistically significant. No complica-tion was found, but 6 cases with complications were found in the treatment group, with statistically significant dif-ference between them（P=0.013）.ConclusionEPH combined with Shaobei injection shows a safe and effec-tive method in the treatment of moderate and severe degree hemorrhoid（Ⅲ~Ⅳ）. This combination is shown byshortening operation time,reducing bleeding and less postoperative complications, lowering cost,and quickening recovery, thus it can be popularized.

关 键 词：芍倍注射 痔疮 痔上黏膜环形错位套扎吻合术 

分 类 号：R657.18[医药卫生—外科学]