混合痔术后肛缘水肿的临床观察及病因分析

发布时间：2018-05-01 12:37

本文选题：混合痔术后 + 肛缘水肿　；参考：《山东中医药大学》2015年硕士论文

【摘要】：目的:研究混合痔术后肛缘水肿的发病因素及预防措施。方法:观察分析混合痔术后肛缘水肿的发病情况、水肿程度,及其与痔程度、排便情况、疼痛情况、性别等因素的相关性,并提出预防措施。结果:混合痔术后肛缘水肿是由于手术后局部组织损伤导血液循环、淋巴回流障碍或因代谢产物堆积刺激,血管通透性增加,组织液潴留过多,或手术中引流不畅及术后换药护理不当,诱发局部创口感染、局部炎症反应等原因,引起局部组织增生而致。其发病与性别无明显相关性,与患病程度、排便情况、疼痛情况等多个方面相关。结论:混合痔术后水肿的患病与患病程度、手术方式、术前准备、术后护理及排便情况、疼痛情况等多个方面相关。混合痔痔术后肛缘水肿在预防和治疗方面取得了较大进展,然而无论采用何种治疗方法均为对症处理以改善创缘局部的血液及淋巴循环,并未从根本上杜绝肛缘水肿的发生率,因此要求首先在手术过程中尽量避免水肿形成的诸多因素,如精细操作,干净剥离,通畅引流等才能真正预防水肿的发生,从而减轻患者术后的痛苦。在手术精细操作,完善诸多细节的前提下,应用以中药外用熏洗、术后正确换药,保持大便通常,缓解疼痛、心理疏导等多方面的综合治疗作为临床中预防及治疗痔术后肛缘水肿的主要手段。嘱患者自身在术后调节良好的饮食结构,缓解心理压力保持心情舒畅,养成定时排便的习惯,缩短排便时间,保持大便通畅,则可以减少混合痔术后水肿发生,有利于病情恢复。
[Abstract]:Objective: to study the risk factors and preventive measures of perianal edema after operation of mixed hemorrhoids. Methods: to observe and analyze the incidence, degree of edema and the correlation with hemorrhoids, defecation, pain, sex and other factors after operation of mixed hemorrhoids, and put forward the preventive measures. Results: the perianal edema after operation of mixed hemorrhoids was due to local tissue injury and blood circulation, lymphatic reflux disturbance or stimulation due to accumulation of metabolites, increased vascular permeability and excessive tissue fluid retention. Or the drainage is not smooth and the postoperative dressing change nursing is improper, the local wound infection and local inflammatory reaction are induced, and the local tissue hyperplasia is caused. There is no significant correlation between the incidence and sex, but also with the degree of disease, defecation, pain and other aspects. Conclusion: the incidence of edema after mixed hemorrhoids is related to the degree of disease, the way of operation, preoperative preparation, postoperative nursing and defecation, pain and so on. Great progress has been made in the prevention and treatment of perianal edema after operation of mixed hemorrhoids. However, no matter what treatment method is adopted to improve the local blood and lymphatic circulation in the wound margin, the incidence of perianal edema has not been fundamentally eliminated. Therefore, it is necessary to avoid many factors of edema formation, such as fine operation, clean stripping, unobstructed drainage and so on, in order to prevent the occurrence of edema and alleviate the postoperative pain. On the premise of fine operation of operation and perfection of many details, applying fumigation and washing with traditional Chinese medicine for external use, changing dressing correctly after operation, keeping stool as usual, and relieving pain, Psychological dredging and other comprehensive treatment is the main method to prevent and treat perianal edema after hemorrhoids operation. If patients are told to adjust their diet well after operation, to relieve psychological pressure and keep their mood at ease, to form the habit of regular defecation, to shorten defecation time and to keep defecation unobstructed, the occurrence of edema after mixed hemorrhoids can be reduced. It is good for the recovery of illness.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.18

【相似文献】