混合痔外剥内扎术联合痔疮膏改善痔疮患者创面愈合及睡眠质量的研究  

Study on the Improvement of Wound Healing and Sleep Quality of Hemorrhoid Patients with Mixed Hemorrhoid External Stripping and Internal Ligation Combined with Hemorrhoid Ointment

作　　者：郭锦缎 林春虾 GUO Jinduan;LIN Chunxia(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第7期1432-1435,共4页World Journal of Sleep Medicine

摘　　要：目的:探究在对痔疮患者治疗时按照混合痔外剥内扎术联合痔疮膏治疗对患者创面愈合以及睡眠质量的影响。方法:选取2022年4月至2023年10月厦门大学附属第一医院收治的痔疮患者86例作为研究对象,按照随机数字表法分为对照组和观察组,每组43例。对照组给予混合痔外剥内扎术治疗,观察组给予混合痔外剥内扎术联合痔疮膏治疗。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,比较2组患者的创面愈合情况,包括2组创面愈合时间、水肿缓解时间,并比较2组患者夜间持续睡眠时间、醒来次数。结果:干预后,观察组创面愈合时间、水肿缓解时间均显著短于对照组,差异均有统计学意义(均P<0.05);干预后,观察组PSQI评分显著低于对照组,差异均有统计学意义(均P<0.05);干预后,治疗后3、5、7 d评分,观察组肉芽生长积分评分显著低于对照组,差异均有统计学意义(均P<0.05);干预后,观察组夜间持续睡眠时间显著高于对照组,醒来次数显著低于对照组,差异均有统计学意义(均P<0.05)。结论:在对痔疮患者治疗时,按照混合痔外剥内扎术联合痔疮膏进行治疗,可以加快创面愈合速度,提升患者睡眠质量,促进肉芽组织生长,有助于患者恢复。Objective:To explore the effect of mixed hemorrhoid external stripping and internal ligation combined with hemorrhoid ointment on wound healing and sleep quality of patients with hemorrhoids.Methods:A total of 86 patients with hemorrhoids admitted to the First Affiliated Hospital of Xiamen University from April 2022 to October 2023 were selected as research objects and divided into control group and observation group according to random number table method,with 43 cases in each group.The control group was treated with mixed hemorrhoid external stripping and internal ligation,and the observation group was treated with mixed hemorrhoid external stripping and internal ligation combined with hemorrhoid ointment.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality before and after the intervention,and the wound healing status of the two groups was compared,including the wound healing time and edema relief time of the two groups,and the night sleep duration and wake times of the two groups were compared.Results:After intervention,the wound healing time and edema remission time of the observation group were significantly shorter than those of the control group,and the differences between the two groups were statistically significant(P<0.05).After intervention,the PSQI score of the observation group was significantly lower than that of the control group,and the difference between the two groups was statistically significant(P<0.05).After the intervention,at 3,5 and 7 days after treatment,the granulation growth score of the observation group was significantly lower than that of the control group,and the differences between the two groups were statistically significant(P<0.05).After intervention,the duration of sleep in the observation group was significantly higher than that in the control group,and the number of waking times was significantly lower than that in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:In the treatment of

关 键 词：痔疮 混合痔外剥内扎术 痔疮膏 创面愈合 睡眠质量 醒来次数 肉芽生长积分 康复进程 

分 类 号：R657.18[医药卫生—外科学] R338.63[医药卫生—临床医学]