外切内注消痔灵与外剥内扎术治疗混合痔的效果分析

Analysis on the curative effect of the treatment of mixed hemorrhoids with indentation and hemorrhage

目的探讨外切内注消痔灵与外剥内扎术治疗混合痔的临床疗效。方法选取2014年7月~2016年3月因混合痔于我院住院治疗的82例患者作为研究对象,按随机数字表法分组,对照组41例用外剥内扎术治疗,观察组41例采用外切内注消痔灵,比较两组临床疗效。结果观察组术后伤口愈合时间、疼痛缓解时间、平均住院时间少于对照组,差异有统计学意义(P<0.05);观察组术后12、24及36 h时疼痛评分(VAS评分)更低,差异有统计学意义(P<0.05);对照组总有效率为95.12%,观察组97.56%,差异无统计学意义(P>0.05);观察组术后并发症发生率及复发率分别4.88%及0.00%,低于对照组的24.39%及14.64%,差异有统计学意义(P<0.05)。结论外切内注消痔灵与外剥内扎术治疗混合痔均效果显著,但前者创伤小,可有效降低VAS评分,缩短住院时间,促进伤口愈合,且并发症发生率低,值得推广。

Objective To explore the clinical effect of external incision indocting hemorrhoid and external stripping liga- tion in the treatment of mixed hemorrhoids.Methods From July 2014 to March 2016,82 patients who were treated with mixed hemorrhoids in our hospital were included in the study and grouped according to the random data table.41 cases of the control group were treated with external stripping and ligation.The use of external injection Note Xiao Ling,clinical efficacy were compared.Results The healing time,pain relief time and average hospitalization time were lower in the observation group than that in the control group,the difference was statistically significant （P〈0.05）,The total effective rate was 95.12% in the control group and 97.56% in the observation group.There was no significant difference between the two groups （P〉0.05）.The complication rate and recurrence rate were 4.88% and 0.00%,respectively,which were 24.39% and 14.64% lower than those in the control group,the difference was statistically significant （P〈0.05）.Conclusion The external treatment of hemorrhoids and indigestion and ligation are obvious,but the former is small,can effectively reduce the VAS score,shorten the hospital stay,promote wound healing,and the incidence of complications is low, it is worth promoting.