提肛运动训练辅助治疗对混合痔术后皮瓣水肿患者的情况分析

Analysis of the effect of anal lifting exercise training on flap edema after mixed hemorrhoids operation

目的:探究混合痔术后皮瓣水肿患者应用提肛运动训练辅助治疗对炎症介质水平及肛缘水肿的影响。方法:选取我科2019年12月至2021年3月期间105例混合痔术后皮瓣水肿患者作为研究对象,均给予地奥司明片等基础治疗,对照组52例给予康复新液治疗,观察组53例增加提肛运动训练辅助治疗,1 m后,采用数字评分法(Numerical rating scale,NRS)评分评估两组患者疼痛水平,对比两组患者治疗效果包括肛门疼痛消失时间、切缘水肿消失时间、分泌物消失时间、创面愈合率、创面愈合时间、白细胞介素-6(Interleukin-6,IL-6)、肿瘤坏死因子α(Tumor necrosis factor-α,TNF-α)水平变化等,及对比两组不良反应总发生率。结果:干预1 m后,观察组患者肛缘水肿消失时间、分泌物消失时间及疼痛消失时间均少于对照组(P<0.05),干预1 m后,NRS评分低于对照组(P<0.05);干预1 m后,观察组TNF-α及IL-6水平均低于对照组(P<0.05);干预1 m后,观察组患者创面愈合时间少于对照组(P<0.05);干预1 m后,观察组患者不良反应总发生率9.43%低于对照组36.54%(P<0.05)。结论:提肛运动辅助治疗对混合痔术后患者进行干预效果明显,能够有效改善患者切缘水肿情况,有助于缩短创面愈合时间,且不良反应较少。

Objective:To explore the effect of anal lifting exercise training on the level of inflammatory mediators and anal edema in patients with flap edema after mixed hemorrhoids surgery.Method:A total of 105 cases of flap edema after mixed hemorrhoids surgery in our department from December 2019 to March 2021 were selected as research objects,all of which were given basic treatment such as Diosmin tablets,52 cases in the control group were treated with Kangfuxin solution,and 53 cases in the observation group were added with anal lifting exercise training.Numerical rating scale(NRS)was used to evaluate the pain level of the two groups,and the disappearance time of anal pain;disappearance time of incisal edge edema,disappearance time of secretions,wound healing rate,wound healing time,Interleukin-6,etc.(IL-6)and Tumor necrosis factor-α(TNF-α)levels were used to compare the therapeutic efficacy of the two groups,and also compared the total incidence of adverse reactions between the two groups.Results:After 1 month of intervention,the disappearance time of anal edema,secretion and pain in the observation group was less than that in the control group(P<0.05),and the NRS score was lower than that in the control group(P<0.05).After one month of intervention,the levels of TNF-α and IL-6 in observation group were lower than those in control group(P<0.05).After 1 month of intervention,the wound healing time of observation group was less than that of control group(P<0.05).After one month of intervention,the total incidence of adverse reactions in observation group was 9.43%lower than that in control group 36.54%(P<0.05).Conclusion:Anal lifting exercise assisted therapy has obvious intervention effect on patients after mixed hemorrhoids surgery,which can effectively improve patients'incisal edema and help shorten the wound healing time,with fewer adverse reactions.