患者入院前排便姿势及排便状况与痔病发病的关系探讨  

Discussion on the Relationship between Postponement Posture as well as Defecation Status and Incidence of Hemorrhoid in Patients before Admission

作　　者：王立柱 肖斌 于贝贝 WANG Lizhu;XIAO Bin;YU Beibei(First School of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan 250014, China;Proctology Department, Xi＇an Hospital of Traditional Chinese Medicine, Shaanxi Province, Xi＇an 710021, China)

机构地区：[1]山东中医药大学第一临床医学院,山东济南250014 [2]西安市中医医院肛肠科,陕西西安710021

出　　处：《中国中医药现代远程教育》2018年第10期56-58,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的通过对住院痔病患者资料的收集研究,探讨排便姿势及排便状况与痔病发生的相关性,以期通过纠正排便姿势来降低痔病的发生率。方法抽取300例入院痔病手术患者,以调查问卷的形式记录这些患者的排便姿势及排便状况,观察并分析其相关性及对痔病发生的影响。结果通过对300例入院痔病患者的调查分析,痔病的严重程度与排便通畅度有明显的相关性(P<0.05),不同的排便姿势与排便耗时、排便通畅度有明显的相关性(P<0.05),且资料显示排便时间大于10 min的痔病患者人数比例明显多于排便时间小于10 min的患者,排便不通畅的痔病患者人数比例明显多于排便通畅的患者,而排便姿势与排便的频次、粪便性状没有相关性(P>0.05)。结论排便姿势通过排便时间及排便的通畅度来影响痔病的发生,换而言之,通过蹲姿排便或者坐姿排便时身体前倾与地面夹角越小,可明显缩短排便时间并改善排便通畅度,以此减少痔病的发生率。改善排便习惯,对痔病的防治及避免术后复发提供一定的科学依据。Objective To investigate the correlation between defecation posture and defecation status and the occurrence of hemorrhoid disease in order to reduce the incidence of hemorrhoids by correcting the defecation posture. Methods 300 patients with hospitalized hemorrhoids were enrolled in this study. The defecation posture and defecation status of these patients were recorded in the form of questionnaires. The correlation and the occurrence of hemorrhoids were observed and analyzed. Results There was a significant correlation between the severity of hemorrhoids and the patency of defecation（ P 〈0.05）. There were significant correlations between defecation and defecation（ P〈 0.05）, and the data showed that the proportion of patients with defecation greater than 10 min is significantly more than the proportion of patients with defecation less than 10 min, defecation is not smooth the proportion of patients with hemorrhoids were significantly more than defecation patients, and defecation posture and the frequency of defecation, fecal traits were not correlated（ P〉 0.05）. Conclusion Defecation posture through the defecation time and defecation fluency affect the occurrence of hemorrhoids, in other words, by squatting defecation or sitting defecation when the body forward and the angle of the smaller angle can significantly shorten the defecation time and improve defecation patency, in order to reduce the incidence of hemorrhoids, improve bowel habits, the prevention and treatment of hemorrhoids and to avoid recurrence after surgery to provide a certain scientific basis.

关 键 词：痔病 排便姿势 排便通畅度 肛直角 

分 类 号：R657.18[医药卫生—外科学]