低温冷疗法治疗围产期急性痔病的效果分析  

Efficacy Analysis of Hypothermic Frigotherapy in the Treatment of Acute Hemorrhoids at Peripartum

作　　者：胡予婷 范颖芳 HU Yu-ting;FAN Ying-fang(Dept,of Gynecology&Obstetrics,the Peoples Hospital of Qingyang City,Qingyang,Gansu 745000)

机构地区：[1]甘肃省庆阳市人民医院妇产科,甘肃庆阳745000

出　　处：《中国肛肠病杂志》2020年第2期15-17,共3页Chinese Journal of Coloproctology

摘　　要：为探讨低温冷疗法治疗围产期急性痔病的临床效果,将2016年10月至2018年10月收治的84例围产期急性痔病患者随机分为对照组和观察组,每组42例。对照组用温热的1∶5000高锰酸钾溶液坐浴,观察组予以低温冷疗法治疗。比较2组患者治疗前及治疗后不同时间疼痛、水肿缓解情况,以及临床总体疗效。结果显示,2组治疗前疼痛评分、水肿程度比较差异均无统计学意义,P>0.05;治疗后1h、6h、第2天、第3天、第5天,观察组疼痛评分、水肿程度均明显低于对照组,P<0.05。观察组治疗总有效率明显高于对照组,P<0.05。2组均未出现因治疗所致的异常宫缩现象。结果表明,低温冷疗可以有效缓解围术期急性痔病患者肛门疼痛、水肿症状,效果优于高锰酸钾溶液坐浴,而且安全性高。This study was to investigate the efficacy of hypothermic frigotherapy(HTFT)for treating acute hemorrhoids at peripartum,enrolled 84 cases met above condition treated in author’s department(2016-10-2018-10)and randomly divided them into control group[42 cases,received sitz bath with thermo-PP solution(1∶5000)]and observation group(42 cases,HTFT);then,compared both groups’clinical effect,as well pain and edema status before and after treatment at different time-points.As results,before treatment in the score on pain,and in edema degree there was no statistical difference between the two groups(P>0.05);but after treatment at 1,6 h,and on the 2 nd,3 rd and 5 th day above 2 items of observation group were significantly lower than that of control group(P<0.05);in total effective rate observation group was significantly higher than control group(P<0.05);no abnormal uterine contraction induced by the treatment were found in both groups.Results show that HTFT can effectively relieve symptoms such as pain and edema of acute hemorrhoids at peripartum,has better efficacy than PP solution for sitz bath,and higher safety.

关 键 词：急性痔病 围产期 低温冷疗 疼痛 水肿 疗效 

分 类 号：R714.7[医药卫生—妇产科学]