重度痔病病人PPH术后生活质量调查

Survey of postoperative quality of life in severe hemorrhoids patients after undergoing PPH surgery

[目的]了解重度痔病病人吻合器痔上黏膜环切吻合术(PPH)术后的生活质量,探讨对策,以改善和提高重度痔病病人PPH术后的生活质量。[方法]将200例Ⅲ度～Ⅳ度的环状混合痔病人随机分为PPH结合痔切除术组(PPH组)和开放式外剥内扎术组(传统组),每组100例。然后在每组抽取60例符合试验诊断标准的重度痔病病人,按临床住院先后顺序编号,利用美国36项健康观察概况表(SF-36)进行评估,记录PPH手术病人治疗前后的生存质量得分。[结果]术后调查显示:PPH组手术后1周、手术后1月、手术后3个月的生活质量明显优秀于传统组(P<0.05)。[结论]PPH术可以使病人痛苦小、恢复快、不影响肛门功能,对术后生活质量有很大提高。

Objective：To know about the quality of life of severe hemor rhoids patients after undergoing PPH surgery and probe into the coun termeasures, so as to improve and enhance the quality of life of them. Methods：A total of 200 cases of patients with grade Ⅲ-Ⅳdegree of circumferential mixed hemorrhoids were were randomly divided into PPH combined with hemorrhoidectomy group （PPH group） and open outer peel and internal ligation group（traditional group）, 100 cases in each. Then 60 cases of severe hemorrhoids were taken from every group who met the test diagnostic criteria, and were numbered according to clinical hospital order by using American 36 Health Watch Overview Form（SF 36） to assess and record the quality of life score of the patients before and after PPH surgery. Results：The postoperative survey showed that the quality of life of patients in PPH group were much better than that of traditional group in 1 week,lmonth and 3months after operation（P^0. 05）. Conclusion.PPH surgery can make the patient get less pain, quicker re covery, does not affect anal function and improve the postoperative quali ty of life of severe hemorrhoids patients greatly.