便秘对痔上黏膜环切钉合术术后并发症的影响  

Effects of constipation on postoperative complications of procedure for prolapse and hemorrhoids

作　　者：叶辉[1] 龚治林[1] 周启昌[1] 于杰[1] 黄淑娟[1] 郗昌磊 曹龙磊 

机构地区：[1]华中科技大学同济医学院附属荆州医院肛肠外科,荆州434020

出　　处：《国际外科学杂志》2015年第8期520-522,共3页International Journal of Surgery

摘　　要：目的 观察便秘对痔上黏膜环切钉合术术后患者并发症的影响,为减少痔上黏膜环切钉合术术后并发症的发生提供临床证据.方法 对160例痔患者根据有无便秘分成两组：实验组80例,为合并有便秘的患者;对照组80例,为不合并有便秘的痔患者.对两组患者术后30 d之内有无出血、肛门部水肿、大便嵌顿及患者满意情况进行观察,使用SPSS 13.0进行比较分析.结果 实验组术后出血发病率为37.5％（30/80）;肛门部水肿发病率为31.3％ （25/80）;大便嵌顿发病率为8.6％（7/80）;满意率为88.6％（71/80）.对照组术后出血发病率为18.6％ （15/80）;肛门部水肿发病率为15％ （12/80）;大便嵌顿发病率为1.3％（1/80）;满意率为97.5％（78/80）.两组之间术后出血、肛门部水肿、大便嵌顿及患者满意率比较均有统计学差异（P＜0.05）.结论 便秘会使PPH术后并发症增加,降低患者术后满意率.Objective In order to provide clinical evidence of reducing postoperative complications of procedure for prolapse and hemorrhoids and observe the effects of constipation on postoperative complications of procedure for prolapse and hemorrhoids.Methods One hundred and sixty cases of hemorrhoid were divided into two groups according to whether suffering from constipation：there were eihgty cases who were suffered from constipation in the experimental group and eighty cases who were not suffered from constipation in the control group.All patients＆#39; postoperative bleeding,anal edema,stool impaction and satisfaction were observed within 30 days and these data were compared and analysed by using SPSS 13.0 software.Results In the experimental group,the postoperative bleeding incidence was 37.5 % （30/80）,the anal edema incidence was 31.3 % （25/80）,the stool impaction inci dence was 8.6% （7/80）,and the patients＇; satisfaction rate was 88.6% （71/80）.In the control group,the postoperative bleeding incidence was 18.6% （15/80）,the anal edema＆#39;s incidence was 15.0% （12/80）,the stool impaction incidence was 1.3% （1/80）,and the patients＆#39; satisfaction rate was 97.5% （78/80）.All the indexes above were different statistically in the two groups （P 〈 0.05）.Conclusion constipation could increase complications and reduce the degree of satisfaction after procedure for prolapse and hemorrhoids.

关 键 词：痔上黏膜环切钉合术 便秘 手术后并发症 病人满意率 发病率 

分 类 号：R657.18[医药卫生—外科学]