RPH联合外剥内扎和聚桂醇治疗混合痔的临床效果研究

Clinical Effect Study of RPH Combined with External Exfoliation and Internal Ligation and Poly(Cinnamyl Alcohol)in Treatment of Mixed Hemorrhoids

目的分析混合痔治疗使用RPH联合外剥内扎和聚桂醇的效果。方法选取2022年1—12月本院收治的混合痔患者30例做样本。采用信封法分为对照组和观察组,每组15例。对照组采用器痔上黏膜环形切除术(PPH)治疗,观察组采用痔疮自动套扎术(RPH)联合外剥内扎和聚桂醇治疗。探究两组手术指标表现、疼痛情况、肛门功能、并发症产生的相应情况。结果观察组手术指标各项数值均低于对照组;术后疼痛评分观察组更低;术前比较两组肛门功能评分低于术后,观察组分值降低更为显著;观察组并发症发生情况低于对照组,上述差异均有统计学意义(P<0.05)。结论对存在混合痔的患者在治疗时选择RPH联合外剥内扎和聚桂醇进行综合性治疗整体治疗,效果更为突出,能够帮助患者有效抑制术后并发症,提升手术效果,降低术后疼痛。

Objective To analyze effect of RPH combined with external peeling and internal ligation and polyoxymethylene alcohol in treatment of mixed hemorrhoids.Methods The paper chose 30 patients with mixed hemorrhoids admitted to our hospital from January 2022 to December 2022as samples,and divided them into two groups randomly.Control groups was treated with procedure for prolapsing hemorrhoids,and observation group with RPH combined with external dissection and internal ligation and paclitaxel.Corresponding situations of surgical indicators,pain,anal function,and complications under different treatment schemes were explored.Results Surgical indicators in observation group were lower than control group(P<0.05).Postoperative pain scores in observation group was lower(P<0.05).Preoperative and postoperative comparison showed decrease in anal function scores between two groups,with more significant decrease in observation group.(P<0.05).Incidence of complications in observation group was lower than control group,above difference was statistically significant(P<0.05).Conclusion Combination of RPH surgery,external exfoliation and internal ligation and poly(cinnamyl alcohol)can achieve significant curative effect in comprehensive treatment of mixed hemorrhoids patients,can help patients suppress postoperative complications effectively,improve surgical outcomes,and reduce postoperative pains,with significant overall performance under the combined treatment plan.