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無創痔瘡醫治儀醫治老年嵌頓痔的療效視察
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無創痔瘡醫治儀醫治老年嵌頓痔的療效視察

譚正洋高尚雲,向麗,劉偉英,周文超,丁玲,鄧如丹

(台灣航天病院,台灣新莊410200)

[摘要] 目標 視察無創痔瘡醫治儀醫治老年嵌頓痔的臨床療效。辦法 采取隨機對比的實驗辦法,將80 例老年嵌頓痔患者隨機分爲醫治組和對比組,每組各40 例。醫治組采取無創痔瘡醫治儀綜合物理醫治,對比組馬應龍麝噴鼻痔瘡膏外塗和塞肛。兩組均醫治3天後比擬醫治後果。成果 肛門痛苦悲傷VAS評分、異物感和墜脹感評分、痔核巨細變更評分的組內比擬,兩組辦法均有醫治感化(P<0.01),兩組醫治後3天療效的組間比擬,醫治組優于對比組(P<0.01)。醫治組醫治3天,顯效16例,有用21例,總有用率92.5%;對比組醫治3天,顯效3例,有用26例,總有用率72.5%。兩組療效比擬差別有統計學意義(P<0.01)結論 無創痔瘡醫治儀綜合物理醫治可疾速改良痔核腫痛和嵌頓症狀,辦法輕便,無顯著反作用,是一種醫治老年嵌頓痔好辦法。

[癥結詞] 無創痔瘡醫治儀;老年;嵌頓痔;混雜痔 

Clinical observation on Curative Effect of Incarcerated Hemorrhoids in elderly patients with non traumatic hemorrhoids

Tan zheng-yang,Gao Gui-yun,Xiangli, et al.Department of Anorectal, Hunan aerospace hospitalchangsha,410205

Abstract: Objective To observe the clinical efficacy of noninvasive therapy for the treatment of hemorrhoids in elderly Incarcerated Hemorrhoids. Methods A randomized clinical trial, 80 patients with incarcerated hemorrhoids were randomly divided into treatment group and control group, 40 cases in each group. The treatment group were treated by noninvasive hemorrhoids treatment instrument comprehensive physical treatment, control group musk Hemorrhoids Ointment and anus. Two groups were treated for 3 days, the therapeutic effects were compared. Results Anal pain VAS score, foreign body sensation and tenesmus score, comparison group score changes the size of hemorrhoids, two groups were treatment method (P<0.01), the two groups after 3 days treatment between the two groups, the treatment group than the control group (P<0.01). The treatment group was 3 days, 16 cases were markedly effective, effective in 21 cases, the total efficiency of 92.5%; the control group after 3 days of treatment, 3 cases were cured, 26 cases were effective, the total efficiency of the 72.5%. Effect of the two groups had significant difference (P<0.01). Conclusion Noninvasive comprehensive physical therapy instrument for the treatment of hemorrhoids hemorrhoids can quickly improve the symptoms of swelling and incarceration, the method is simple, no obvious side effects that is a good method for elderly Incarcerated Hemorrhoids.

 Key words: non invasive hemorrhoids treatment instrument; old age; Incarcerated Hemorrhoids; mixed hemorrhoids

 

痔瘡是臨床老年人病發率較高的疾病之一。老年人痔瘡病發特色是病發時光長,痔瘡數量較多,重復脫出、便血。因慢性病程,老年人日常平凡多不看重醫治。故老年人多以手術難度大的環狀混雜痔並嵌頓來救治。針對老年患者,采取一種苦楚小、症狀改良快非手術療法,很有需要。我科2015 9-201712月采取無創痔瘡醫治儀醫治老年嵌頓痔患者80 例,獲得滿足療效,現報導以下。

1 臨床材料

1.1 診斷尺度 按《痔臨床診治指南(2006) 》混雜痔及度內痔的診斷尺度[1]。歸入尺度:(1)混雜痔及Ⅳ度內痔嵌頓腫痛的患者。(2)均簽訂知情贊成書,自願或贊成非手術醫治,並贊成醫治。消除尺度:(1)歸並中風急性期、心功效衰竭、呼吸衰竭、腎功效衰竭等嚴重疾病;(2)歸並肛周膿腫、肛裂、肛管惡性腫瘤、直腸脫垂等疾病,或痔瘡已嵌頓壞逝世或構成膿腫。(3)請求手術及其它醫治。

1.2 臨床材料  選擇上述時代收治的老年嵌頓痔患者80例,依照隨機數字表法分爲2 : 醫治組40例,男22例,女18; 年紀(70.76±8.52) 歲。對比組40例,男21例,女19; 年紀( 71.12±8. 80) 歲。2組普通材料比擬差別無統計學意義( P 均>0. 05) ,具有可比性。

1.3 醫治辦法  兩組均住院或門診醫治,留意掌握血壓、血糖在正常規模。

1.3.1對比組 予以手段複位後,用馬應龍麝噴鼻痔瘡膏外塗痔核外面和塞肛,日夕各1次。持續用藥3天後視察療效。

1.3.2醫治組  予以手段複位後,采取XCZL-020 型無創痔瘡醫治儀(台灣朗普醫學科技有限公司臨盆)。將馬應龍麝噴鼻痔瘡膏塗到肛門及外痔核外面,將醫治探頭用衛生套包裹並塗下馬應龍麝噴鼻痔瘡膏以靶向透藥,徐徐拔出肛門。開機後,按單項調理將激光、熱敷、磁旋數值分離調至204515。然後開端醫治,操作人員全程關照,並依據患者溫馨度,恰當調理溫度、旋磁強度及激光數值巨細。每次醫治15分鍾,12次,距離時光3小時以上,3天爲1個療程,顯著腫大者可以醫治2個療程

1.4 視察辦法 視察記載兩組醫治前及醫治3天後重要症狀和體征變更。痛苦悲傷評分采取VAS 評分標尺,患者依據本身的痛覺自行剖斷後告知大夫痛苦悲傷地點的地位,由大夫在標尺長進行標注。痛苦悲傷水平以10 爲標尺,10 爲極端痛苦悲傷,0爲不痛。肛門異物感和墜脹感評分[2],依據水平分爲重度、中度、輕度、正常,分離記43

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2020年澳门六开彩历史开奖记录