PPH对重度痔患者术后疼痛应激及肛肠动力学的影响分析  

Effect of PPH on Postoperative Pain Stress and Anorectal Dynamics in Patients with Severe Hemorrhoids

作　　者：董舒婷 DONG Shu-ting(Department of Colorectal Surgery,Second Hospital of Tianjin Medical University,Tianjin 3oo21l)

机构地区：[1]天津医科大学第二医院肛肠外科,天津300211

出　　处：《中国肛肠病杂志》2025年第3期42-44,共3页Chinese Journal of Coloproctology

摘　　要：目的:分析吻合器痔上黏膜环形切除术(PPH)对重度痔患者术后疼痛应激及肛肠动力学的影响。方法:选取2020年7月至2023年7月,本院收治74例重度痔患者,按随机数字表法分为观察组和对照组,每组37例。观察组实施PPH治疗,对照组实施外剥内扎术治疗。比较2组术后疼痛及肛肠动力学等指标。结果:观察组手术时间、创面愈合时间和住院时间均短于对照组(P<0.05);术中出血量少于对照组(P<0.05);疼痛应激因子水平和肛肠动力学指标均优于对照组(P<0.05)。结论:PPH是治疗重度痔较为理想的术式,有助于改善患者疼痛应激水平和肛肠动力学指标,治疗效果显著,值得临床推广应用。Objective To analyze the effect of procedure for prolapse and hemorrhoids(PPH)on postoperative pain stress and anorectal dynamics in patients with severe hemorrhoids.Methods Total 74 patients with severe hemorrhoids admitted to our hospital from July 2020 to July 2023 were divided into the observation group and the control group according to random number table method,with 37 cases in each group.The observation group was treated with PPH,and the control group was given Milligan-Morgan hemorrhoidectomy(MMH).Postoperative pain and anorectal dynamics were compared between the two groups.Results The operation time,wound healing time and hospital stay in the observation group were shorter than those in the control group(P<0.05).The amount of blood loss during operation was less than that in the control group(P<0.05).The levels of pain stress factors and anorectal dynamics were better than those of the control group(P<0.05).Conclusion PPH is an ideal operation for the treatment of severe hemorrhoids,which can help to improve the levels of pain stress and anorectal dynamics in patients.The therapeutic effect is significant,which is worthy of clinical promotion and application.

关 键 词：重度痔 PPH 疼痛应激 肛肠动力学 

分 类 号：R657.1[医药卫生—外科学]