生血通便颗粒联合吻合器痔上黏膜环切术治疗直肠黏膜内脱垂的临床疗效  

Clinical effect of Shengxue Tongbian Granules combined with the procedure for prolapse and hemorrhoids in the treatment of rectal mucosal prolapse

作　　者：雷针 李帅军[2] LEI Zhen;LI Shuaijun(Graduate School,Hunan University of Chinese Medicine,Changsha410208,China;Department of Anorectal,the Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha410005,China)

机构地区：[1]湖南中医药大学研究生院,湖南长沙410208 [2]湖南中医药大学第二附属医院肛肠二科,湖南长沙410005

出　　处：《中国现代医生》2021年第16期150-153,共4页China Modern Doctor

基　　金：湖南省卫生计生委科研基金(20201829)。

摘　　要：目的探讨生血通便颗粒联合吻合器痔上黏膜环切术治疗直肠黏膜内脱垂的的临床疗效。方法选取2019年1—12月就诊于湖南中医药大学第二附属医院的肛肠二科符合纳入标准的直肠黏膜内脱垂老年患者64例。根据术后患者服用药物不同分为两组,每组各32例;治疗组采用吻合器痔上黏膜环切术联合生血通便颗粒;对照组采用吻合器痔上黏膜环切术联合多库脂钠片。比较两组患者临床疗效、便秘症状评估表与便秘患者生活质量自评量表评分。结果治疗后,治疗组治愈率为93.75%,高于对照组的84.37%,差异无统计学意义(P>0.05);治疗组患者排便困难、粪便性状、排便时间、下坠、不尽、胀感、排便频率、腹胀情况均优于对照组,差异有统计学意义(P<0.05);治疗组便秘患者生活质量自评量表总分为(39.81±1.86)分,低于对照组的(65.13±1.31)分,两组比较,差异有统计学意义(P<0.05)。结论在直肠黏膜内脱垂治疗过程中采用生血通便颗粒联合吻合器痔上黏膜环切术可有效提高患者临床疗效。Objective To explore the clinical effect of Shengxue Tongbian Granules combined with the procedure for prolapse and hemorrhoids in the treatment of rectal mucosal prolapse.Methods From January to December 2019,a total of 64 elderly patients with rectal mucosal prolapse who met the inclusion criteria in the Second Anorectal Department of the Second Affiliated Hospital of Hunan University of Chinese Medicine were selected.The patients were divided into two groups according to the different drugs taken after the operation,with 32 cases in each group.The treatment group was treated with Shengxue Tongbian Granules combined with the procedure for prolapse and hemorrhoids.The control group was treated with the procedure for prolapse and hemorrhoids combined with docusate sodium tablets.The clinical efficacy,constipation symptom evaluation form and self-rating quality of life for constipation patients were observed.Results After treatment,the cure rate of the treatment group(93.75%)was higher than that of the control group(84.37%),with no significant difference(P>0.05).The patients in the treatment group had better defecation difficulties,stool characteristics,defecation time,falling,inexhaustible,swelling,defecation frequency,and abdominal distension than the control group,and the difference was statistically significant(P<0.05).The total score of the self-rating quality of life for constipation patients in the treatment group was(39.81±1.86)points,which was lower than that in the control group(65.13±1.31)points,and the difference between the two groups was statistically significant(P<0.05).Conclusion Shengxue Tongbian Granules combined with the procedure for prolapse and hemorrhoids in the treatment of rectal mucosal prolapse can effectively improve the clinical efficacy of patients.

关 键 词：生血通便颗粒 直肠黏膜内脱垂 PPH术 便秘 

分 类 号：R657.1[医药卫生—外科学]