【摘要】：目的:觀察應(yīng)用RPH(自動痔瘡套扎術(shù))聯(lián)合消痔靈注射治療直腸內(nèi)脫垂(輕、中度)的臨床療效。資料與方法:選取2015年3月至2016年6月遼寧中醫(yī)藥大學附屬第三醫(yī)院(遼寧省肛腸醫(yī)院)收治入院的直腸內(nèi)脫垂(輕、中度)患者60例,應(yīng)用隨機數(shù)字表法將其分為兩組,每組各30例。經(jīng)檢驗兩組患者在性別、年齡、病程及治療前癥狀積分等方面均無明顯差異(P㧐0.05),具有可比性。治療組采用RPH聯(lián)合消痔靈注射的方法,對照組采用消痔靈注射方法,兩組患者術(shù)后均進行常規(guī)對癥處理。觀察兩組臨床療效、治療前后癥狀積分及3個月、6個月后隨訪的治療效果,進行分析評價,所得數(shù)據(jù)運用SPSS17.0統(tǒng)計學軟件分析。結(jié)果:1.治療組30例,總有效率為100.00%;對照組30例,總有效率為93.33%。2.治療后兩組患者的癥狀積分均較前降低(P㩳0.05),治療組癥狀積分的下降程度大于對照組(P㩳0.05)。3.對兩組患者治療后進行療效隨訪,3個月時,治療組復發(fā)率為0,對照組復發(fā)率為7.14%,經(jīng)檢驗兩組復發(fā)率無明顯差異(P㧐0.05);6個月時,治療組復發(fā)率為0;對照組復發(fā)率為19.23%,經(jīng)檢驗兩組復發(fā)率存在明顯差異,且治療組復發(fā)率低于對照組(P㩳0.05)。結(jié)論:1.兩種方法治療直腸內(nèi)脫垂(輕、中度)均有療效,在對患者臨床癥狀改善方面,RPH聯(lián)合消痔靈注射優(yōu)于消痔靈注射法。2.應(yīng)用RPH聯(lián)合消痔靈注射者術(shù)后半年復發(fā)率低于采用消痔靈注射者。3.RPH聯(lián)合消痔靈注射的方法在基于流體力學相關(guān)理論指導下通過對直腸內(nèi)脫垂進行對因治療,消除引發(fā)臨床癥狀的異常變量因素,對形態(tài)學病理性改變進行糾正,其臨床療效明顯,值得臨床推廣應(yīng)用。4.臨床上應(yīng)用自動痔瘡套扎器治療直腸內(nèi)脫垂(輕、中度)的治療方法具有可行性,擴大了RPH術(shù)的適應(yīng)癥。
[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.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R657.18

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