肠道微生态制剂对痔吻合器术后并发症的影响

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Abstract Objective To investigate the effect of intestinal microecological preparation on complications after hemorrhoid stapler operation. Methods Seventy patients underwent procedure for prolapse hemorrhoids (PPH) in the Anorectal Department of Guanganmen Hospital, China Academy of Chinese Medical Sciences from June 2017 to June 2018 were selected, patients were divided into observation group (n = 35) and control group (n = 35) by random number table method. Routine preoperative preparation was performed in the control group, and the observation group were given oral and retention enema of Bifidobacterium Triad and Subtilis Triad on the basis of the control group. Visual analogue scale (VAS) was used to compare the postoperative pain degree of the two groups, as well as the relief time of bleeding, anal distension and anastomotic inflammation degree of the two groups. Results VAS scores of the two groups on the first day after surgery showed no statistically significant difference (P ＞ 0.05). VAS score of observation group was lower than that of control group on the 7th day after the operation, and the difference was statistically significant (P ＜ 0.05). The incidence of postoperative bleeding and anal distension in the observation group was compared with that in the control group, and the difference was not statistically significant (P ＞ 0.05). Patients in the observation group had shorter time to relieve anal distention than those in the control group, and the difference was statistically significant (P ＜ 0.05). On the 7th day after the operation, the incidence of mild anastomotic inflammation was lower in the observation group than in the control group, with statistically significant difference (P ＜ 0.05). The anastomosis condition of observation group was better than that of control group on the 7th day and the 1st month after the operation, and the differences were statistically significant (P ＜ 0.05). No anastomotic leakage occurred in both groups within 1 month after operation. Conclusion The application of preoperative microecological preparation may reduce the postoperative pain of PPH, relieve the anal distension quickly, and decrease the incidence of anastomotic inflammation.

Key words： Intestinal microflora Hemorrhoid stapler operation Anastomotic inflammation Postoperative complications

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	LI E1 XU Jia2 HE Yinghua1

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LI E1 XU Jia2 HE Yinghua1. Effect of intestinal microecological preparation on complications after hemorrhoid stapler operation[J]. 中国医药导报, 2019, 16(22): 90-93.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I22/90

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