乳果糖口服液在合并有便秘患者痔上黏膜环切钉合术后的应用  

Application of Lactulose Oral Solution in the patients after operation of PPH with constipation

作　　者：叶辉[1] 刘韦成[2] 江从庆[2] 钱群[2] 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结直肠肛门外科,434020 [2]武汉大学中南医院结直肠肛门外科,430071

出　　处：《实用医学杂志》2016年第12期1966-1968,共3页The Journal of Practical Medicine

基　　金：国家自然科学基金资助项目(编号:81500505)

摘　　要：目的:观察合并有便秘患者痔上黏膜环切钉合术(PPH)后应用乳果糖口服液对术后并发症及患者满意率的影响,为减少PPH术后并发症的发生寻找更多的干预措施。方法:对120例同时合并有便秘的痔患者随机分为两组:试验组60例,对照组60例。对各组患者术后30 d之内出血、肛门部水肿、大便嵌顿及患者满意率情况进行观察比较。结果:对照组术后出血23例,发生率为38.3%;肛门部水肿20例,发生率为33.3%;大便嵌顿8例,发生率为13.3%;满意49例,满意率为81.7%。试验组术后出血12例,发生率为20%;肛门部水肿8例,发生率为13.3%;大便嵌顿1例,发生率为1.7%;满意58例,满意率为96.7%。两组术后30 d之内出血、肛门部水肿、大便嵌顿、患者满意率比较差异均具有统计学意义(P<0.05)。结论:乳果糖口服液可减少合并有便秘患者PPH术后的并发症,增加患者满意率。对合并有便秘患者,PPH术后常规口服乳果糖口服液具有一定的临床价值。Objective To observe the Lactulose Oral Solution＇s influence in PPH postoperative complications and patients′ satisfactory rate for constipation and to find more intervention measures for reducing the complications. Methods A hundred and twenty cases of hemorrhoids with constipation were randomly divided into the two groups： the experimental group, the control group in 60 cases in each group. All patients’ postoperative bleeding, anal edema, stool impaction and satisfaction were observed and compared within 30 days. Results In the control group, the postoperative bleeding’ cases were of 23, anal edema’s were of 20 and stool impaction‘s were of 8. The incidence was 38.3%, 33.3% and 13.3% severally. The satisfactory patients were of 49 and the degree of satisfaction was of 81.7%. In the experimental group, the postoperative bleeding’ cases were of 12, anal edema’s were of 8 and stool impaction＇s was of 1. The incidence was 20%, 13.3% and 1.7% respectively. The cases who were satisfactory were of 58 and the degree of satisfaction was 96.7%. The postoperative bleeding , anal edema , stool impaction and satisfaction were different statistically in the two groups above （P 〈 0.05）. Conclusion It can reduce PPH postoperative complications and increase patients′satisfaction by using Lactulose Oral Solution in patients with constipation and it will have a certain clinical value if these patients take this oral solution routinely.

关 键 词：便秘 痔上黏膜环切钉合术 乳果糖口服液 并发症 满意率 

分 类 号：R657.18[医药卫生—外科学]