消痔灵注射液联合PPH术治疗脱垂痔伴便秘的效果  

Effect of Xiaozhiling Injection combined with PPH on prolapse hemorrhoids with constipation

作　　者：于丽[1] 葛宁 赵倩[1] 李晶如 YU Li;GE Ning;ZHAO Qian;LI Jingru(Anorectal Ward,Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院肛肠科病房

出　　处：《中国医药导报》2019年第21期185-188,共4页China Medical Herald

摘　　要：目的探讨不同固脱法治疗脱垂痔伴便秘的效果。方法选取2017年3月~2018年3月北京中医药大学东直门医院肛肠科病房收治的108例脱垂痔伴便秘患者作为研究对象,按照随机数字表法将其分为对照组与观察组,每组各54例。对照组患者采用吻合器痔上黏膜环切术(PPH术)进行治疗,观察组在对照组的基础上结合消痔灵注射液进行治疗。比较两组患者的排便次数、住院时间及并发症发生率。两组患者均随访6个月,观察两组的治疗效果。结果观察组总有效率低于对照组,差异有统计学意义(P<0.05);观察组排便次数多于对照组,住院时间短于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论消痔灵注射液联合PPH术可有效治疗脱垂痔伴便秘,提高治疗有效率,值得推广应用。Objective To explore the effect of different solid doff methods in the treatment of prolapse hemorrhoids with constipation.Methods A total of 108 cases of prolapsed hemorrhoids with constipation in Anorectal Ward of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine from March 2017 to March 2018 were selected as the research objects.According to the random number table method,the patients were divided into the control group and the observation group,54 cases in each group.The patients in the control group were treated with procedure for prolapse and hemorrhoids(PPH),while the patients in the observation group were treated with Xiaozhiling Injection on the basis of the control group.The defecation times,hospitalization time and the incidence of complications were compared between the two groups.Patients of two groups were followed up for 6 months and the therapeutic effect was observed.Results The total effective rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The defecation times of the observation group were more than those of the control group,and the hospitalization time of the observation group was shorter than that of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Xiaozhiling Injection combined with PPH can effectively treat prolapsed hemorrhoids with constipation and improve the treatment efficiency,which is worthy of popularization and application.

关 键 词：固脱法 脱垂痔 便秘 辨证 

分 类 号：R657.1[医药卫生—外科学]