RPH（自动痔疮套扎术）联合消痔灵注射治疗直肠内脱垂的临床疗效观察

发布时间：2018-11-15 19:21

【摘要】：目的:观察应用RPH(自动痔疮套扎术)联合消痔灵注射治疗直肠内脱垂(轻、中度)的临床疗效。资料与方法:选取2015年3月至2016年6月辽宁中医药大学附属第三医院(辽宁省肛肠医院)收治入院的直肠内脱垂(轻、中度)患者60例,应用随机数字表法将其分为两组,每组各30例。经检验两组患者在性别、年龄、病程及治疗前症状积分等方面均无明显差异(P㧐0.05),具有可比性。治疗组采用RPH联合消痔灵注射的方法,对照组采用消痔灵注射方法,两组患者术后均进行常规对症处理。观察两组临床疗效、治疗前后症状积分及3个月、6个月后随访的治疗效果,进行分析评价,所得数据运用SPSS17.0统计学软件分析。结果:1.治疗组30例,总有效率为100.00%;对照组30例,总有效率为93.33%。2.治疗后两组患者的症状积分均较前降低(P㩳0.05),治疗组症状积分的下降程度大于对照组(P㩳0.05)。3.对两组患者治疗后进行疗效随访,3个月时,治疗组复发率为0,对照组复发率为7.14%,经检验两组复发率无明显差异(P㧐0.05);6个月时,治疗组复发率为0;对照组复发率为19.23%,经检验两组复发率存在明显差异,且治疗组复发率低于对照组(P㩳0.05)。结论:1.两种方法治疗直肠内脱垂(轻、中度)均有疗效,在对患者临床症状改善方面,RPH联合消痔灵注射优于消痔灵注射法。2.应用RPH联合消痔灵注射者术后半年复发率低于采用消痔灵注射者。3.RPH联合消痔灵注射的方法在基于流体力学相关理论指导下通过对直肠内脱垂进行对因治疗,消除引发临床症状的异常变量因素,对形态学病理性改变进行纠正,其临床疗效明显,值得临床推广应用。4.临床上应用自动痔疮套扎器治疗直肠内脱垂(轻、中度)的治疗方法具有可行性,扩大了RPH术的适应症。
[Abstract]:Objective: to observe the clinical effect of RPH combined with Xiaozhiling injection in the treatment of intrarectal prolapse (mild and moderate). Materials and methods: from March 2015 to June 2016, 60 patients with intrarectal prolapse (mild and moderate) admitted to the third affiliated Hospital of Liaoning University of traditional Chinese Medicine (Liaoning anorectal Hospital) were divided into two groups by random digital table method. There were 30 cases in each group. There were no significant differences in sex, age, course of disease and symptom score before treatment between the two groups (P0. 05). The treatment group was treated with RPH combined with Xiaozhiling injection and the control group with Xiaozhiling injection. The clinical curative effect, symptom score before and after treatment and follow-up treatment effect after 3 months and 6 months were observed and analyzed and evaluated. The data were analyzed by SPSS17.0 statistical software. The result is 1: 1. The total effective rate was 100.00g in the treatment group and 93.33 in the control group. After treatment, the symptom score of the two groups was lower than that of the former (P0. 05), and the decrease of the symptom score in the treatment group was greater than that in the control group (P0. 05). The recurrence rate was 0 in the treatment group and 7.14 in the control group at 3 months after treatment. There was no significant difference in the recurrence rate between the two groups (P0. 05), the recurrence rate in the treatment group was 0 at 6 months, the recurrence rate in the treatment group was 0 at 6 months. The recurrence rate of the control group was 19.23. There was significant difference between the two groups, and the recurrence rate in the treatment group was lower than that in the control group (P 0.05). Conclusion: 1. Both methods are effective in the treatment of intrarectal prolapse (mild and moderate). RPH combined with Xiaozhiling injection is superior to Xiaozhiling injection in improving the clinical symptoms of patients. 2. The recurrence rate of patients treated with RPH combined with Xiaozhiling injection was lower than that of patients with Xiaozhiling injection. The method of 3.RPH combined with Xiaozhiling injection was treated by internal rectal prolapse under the guidance of the relevant theory of fluid mechanics. Eliminating the abnormal variable factors causing clinical symptoms and correcting morphological pathological changes, the clinical effect is obvious, and it is worth popularizing and applying. 4. It is feasible to use automatic hemorrhoids ligator in the treatment of intrarectal prolapse (mild and moderate), which expands the indication of RPH.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R657.18

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