首页|期刊导航|中外医学研究|安氏疗法和传统外剥内扎术治疗环状混合痔的效果对比

安氏疗法和传统外剥内扎术治疗环状混合痔的效果对比OA

Comparison of the Effect of Angelson Therapy and Traditional External Stripping and Internal Ligation in the Treatment of Annular Mixed Hemorrhoids

中文摘要英文摘要

目的:探讨安氏疗法和传统外剥内扎术治疗环状混合痔的效果对比.方法:选取2020年1月—2022年12月于北京市第一中西医结合医院就诊的300例环状混合痔手术治疗患者,按信封随机法分成试验组(150例)、对照组(150例).对照组施行传统外剥内扎术(MM),试验组施行安氏疗法,对比两组疗效、临床指标、疼痛感及相关并发症等.结果:试验组治疗后总有效率为 100.00%,与对照组的 99.33%对比,差异无统计学意义(P>0.05).试验组术中出血量少于对照组,手术操作时间、住院时间与创面愈合时间短于对照组,差异有统计学意义(P<0.05).试验组术后 1 d、6 d的视觉模拟评分法(VAS)评分明显低于对照组,差异有统计学意义(P<0.05).试验组并发症总发生率为 2.00%,低于对照组 6.67%,差异有统计学意义(P<0.05).结论:安氏疗法和传统MM治疗环状混合痔均可取得很好疗效,但安氏疗法可以明显缩短住院时间与创面愈合时间,缓解其术后疼痛感,且并发症明显减少.

Objective:To compare the effect of Angelson therapy and traditional external stripping and internal ligation in the treatment of annular mixed hemorrhoids.Method:A total of 300 patients treated with annular mixed hemorrhoids surgery in Beijing First Hospital of Integrated Chinese and Western Medicine from January 2020 to December 2022 were selected and divided into experimental group(150 cases)and control group(150 cases)according to envelope random method.The control group received Milligan-Morgan(MM),and the experimental group received Angelson therapy.The efficacy,clinical indexes,pain sensation and related complications of the two groups were compared.Result:The total effective rate after treatment of the experimental group was 100.00%,compared with 99.33%of the control group,the differences was not statistically significant(P>0.05).The amount of blood loss in the experimental group was less than that in the control group,and the operation time,hospital stay and wound healing time in the experimental group were shorter than those in the control group,the differences were statistically significant(P<0.05).The visual analogue scale(VAS)score of the experimental group was significantly lower than that of the control group on 1 d and 6 d after surgery,and the differences were statistically significant(P<0.05).The total complication rate of experimental group was 2.00%,which was lower than 6.67%of control group,and the difference was statistically significant(P<0.05).Conclusion:Both Angelson therapy and traditional MM surgery can achieve certain therapeutic effects in the treatment of circular mixed hemorrhoids.However,Angelson therapy can shorten the duration of hospitalization and wound healing,alleviate the pain,and reduce complications.

龚海峰;郝治

北京市第一中西医结合医院 北京 100026

传统外剥内扎术安氏疗法疼痛感环状混合痔

Milligan-MorganAngelson therapyPain sensationCircular mixed hemorrhoids

《中外医学研究》 2024 (016)

42-45 / 4

10.14033/j.cnki.cfmr.2024.16.011

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