综合疗法治疗产后直肠脱垂45例疗效观察
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摘要
为观察综合疗法治疗产后直肠脱垂的疗效,将产后直肠脱垂患者90例随机分为对照组和观察组,每组45例。对照组采用常规方法治疗,观察组采用综合疗法治疗,比较2组患者的疗效,疼痛消失时间、脱垂还纳时间、水肿消失时间,治疗前后患者生活质量水平以及不良反应情况。结果显示,观察组总有效率为100%,对照组为66.67%,观察组总有效率明显高于对照组(P <0.05)。观察组疼痛消失时间、脱垂还纳时间、水肿消失时间均短于对照组(P <0.05)。在生活质量方面,治疗前2组患者生活质量评分相近(P>0.05),治疗后观察组生活质量评分明显高于对照组(P <0.05)。2组不良反应发生率无显著性差异(P>0.05)。结果表明,综合疗法治疗产后直肠脱垂效果理想。
To observe the effect of comprehensive treatment of rectal prolapse(RP)at postpartum,90 cases were randomly divided into control group(45 cases,routine therapy)and observation one(45 cases,comprehensive treatment);then both groups' effect,the time for pain disappeared,for edema regressed,and for prolapse returned,as well as patients' quality of life before and after treatment;also untoward reaction status were compared.As results,in total effective rate,in the time for above-mentioned 3 items,and in the score on quality of life observation group was respectively and significantly higher(100%vs 66.67%),shorter and superior than control group(all,P <0.05),though before treatment both group's score on quality of life was similar(P >0.05),in untoward reaction incidence there was no statistical difference between the two groups.Results show that comprehensive therapy for RP at postpartum has ideal effect.
To observe the effect of comprehensive treatment of rectal prolapse(RP)at postpartum,90 cases were randomly divided into control group(45 cases,routine therapy)and observation one(45 cases,comprehensive treatment);then both groups' effect,the time for pain disappeared,for edema regressed,and for prolapse returned,as well as patients' quality of life before and after treatment;also untoward reaction status were compared.As results,in total effective rate,in the time for above-mentioned 3 items,and in the score on quality of life observation group was respectively and significantly higher(100%vs 66.67%),shorter and superior than control group(all,P <0.05),though before treatment both group's score on quality of life was similar(P >0.05),in untoward reaction incidence there was no statistical difference between the two groups.Results show that comprehensive therapy for RP at postpartum has ideal effect.
引文
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[2]张继新,张春旭,谢爽,等.成人完全性巨大直肠脱垂Delorme手术治疗1例[J].医学信息,2018,31(19):187-189.
[3]王常生,曹秀芬,张瑶,等.提肛散敷脐结合盆底重建联合吻合器痔上黏膜环切术治疗直肠脱垂的临床观察[J].现代中西医结合杂志,2018,27(28):3129-3132.
[4]肖明,肖勋文,陈盼敏.改良Delorme术治疗Ⅱ度直肠脱垂1例并文献复习[J].江西医药,2018,53(8):830-831.
[5]马祖强,孙艳.经会阴直肠乙状结肠部分切除术治疗直肠脱垂疗效观察[J].中国社区医师,2018,34(23):29,31.
[6]赵庆元.经肛门直肠手术治疗Ⅲ度直肠脱垂患者的临床效果[J].中国民康医学,2018,30(15):55-56.
[7]卢和柏.改良经会阴部脱垂肠管切除术治疗完全性直肠脱垂12例[J].中国实用医药,2018,13(17):77-78.
[8]刘风,周庆红,贾慧敏.产后直肠脱垂的康复治疗[J].广东医学,2018,39(S1):133-135.
[9]Gosselink MP,Joshi H,Adusumilli S,et al.Laparoscopic ventral rectopexy for faecal incontinence:equivalent benefit is seen in internal and external rectal prolapse[J].J Gastrointest Surg,2015,19(3):558-563.