提肛运动在PPH手术患者康复锻炼中的应用效果及其对肛门功能、直肠功能的影响  

Application Efect of Anal Lifting Exercise in Rehabilitation Exercise of Patients Undergoing PPH Operation and Its Infuence on Anal and Rectal Functions

作　　者：王秀景 WANG Xijing(Xinxiang Central Hospital,the Fourth Clinical College of Xinxiang Medical College,General External Three(Anorectal)Department,453000)

机构地区：[1]新乡市中心医院新乡医学院第四临床学院,453000

出　　处：《航空航天医学杂志》2023年第12期1490-1493,共4页Journal of Aerospace medicine

摘　　要：目的 研究提肛运动对吻合器痔上黏膜环切术(PPH)后患者肛门功能、直肠功能的影响。方法 选取2020年10月-2022年10月期间107例行PPH手术患者随机分组,对照组53例给予常规干预措施,观察组54例联合提肛运动,对比两组患者术后肛门功能、直肠功能、并发症发生率。结果 观察组干预后,肛管静息压、肛管最大收缩压水平分别为(48.28±1.82)mmHg、(115.36±4.88)mmHg,均高于对照组(46.75±2.01)mmHg、(110.12±4.25)mmHg(P<0.05);观察组干预后直肠顺应性、直肠最大耐受量分别为(5.28±0.92)ml/kPa、(170.36±10.88)mL,均高于对照组(4.75±1.01)ml/kPa、(160.12±10.25)mL,直肠静息压(4.57±1.15)mmHg低于对照组(6.10±1.20)mmHg(P<0.05);观察组干预后,尿潴留、肛门坠胀、创面水肿发生率分别为5.56%、9.26%、3.70%,均低于对照组18.87%、33.96%、16.98%(P<0.05)。结论 提肛运动能够有效改善PPH术后患者肛门功能、直肠功能,降低PPH术后尿潴留、肛门坠胀、创面水肿的发生率,具有临床推广价值。Objective To investigate the effects of anal lifting on anal function and rectal function in patients with stapler hemorrhoidal mucosa circumferential surgery(PPH).Methods 107 patients who underwent PPH operation from October 2020 to October 2022 were randomly divided into two groups.53 patients in the control group were given conventional intervention measures,and 54 patients in the observation group were given combined anal lifting exercise.Postoperative anal function,rectal function and incidence of complications were compared between the two groups.Results After intervention,the resting pressure and maximum systolic pressure of the anal canal in the observation group were(48.28±1.82)mmHg and(115.36±4.88)mmHg,respectively,higher than those in the control group(46.75±2.01)mmHg and(110.12±4.25)mmHg(P<0.05).The rectal compliance and maximum rectal tolerance in the observation group were(5.28±0.92)ml/kPa and(170.36±10.88)mL,respectively,which were higher than those in the control group(4.75±1.01)ml/kPa and(160.12±10.25)mL,respectively.Rectal resting pressure(4.57±1.15)mmHg was lower than that of control group(6.10±1.20)mmHg(P<0.05).After intervention,the incidence rates of urinary retention,anal distention and wound edema in the observation group were 5.56%,9.26%and 3.70%,respectively,lower than those in the control group,18.87%,33.96%and 16.98%(P<0.05).Conclusions Anal lifting exercise can effectively improve the anal function and rectal function of patients after PPH surgery,and reduce the incidence of urinary retention,anal distension and wound edema after PPH surgery,which has the value of clinical promotion.

关 键 词：提肛运动 肛门功能 尿潴留 直肠功能 

分 类 号：R473.5[医药卫生—护理学]