内镜下负压套扎术治疗对内痔患者临床效果及患者疼痛症状的影响

吴江滨

摘要：目的 探讨内镜下负压套扎术治疗对内痔患者临床效果及患者疼痛症状的影响。方法 选取2019年6月-2020年6月我院收治的131例内痔患者作为研究对象，按照抽签法分为对照组（n=65）和研究组（n=66），对照组采用传统痔疮套扎术进行治疗，研究组采用内镜下负压套扎术进行治疗，对两组患者的临床治疗有效率、VAS（视觉模拟评分）评分、临床指标以及临床治疗安全性进行比较。结果 研究组患者的临床治疗有效率高于对照组（P<0.05）;治疗后研究组患者VAS评分明显低于对照组（P<0.05）;研究组患者的手术时间及恢复时间均短于对照组，术中出血量及医疗费用低于对照组（P<0.05）;研究组患者临床治疗安全性高于对照组（P<0.05）。结论 对内痔患者采用内镜下负压套扎术进行治疗，其临床效果较为突出，术后创伤较轻，因此大大减低了患者的疼痛程度及出血量，有利于患者术后的恢复，且临床治疗安全性较高，值得广泛推广应用。

关键词：内镜下负压套扎术;内痔;疼痛症状;治疗效果;安全性

[Abstract] Objective To investigate the clinical effect and pain symptoms of patients with internal hemorrhoids treated by endoscopic negative pressure ligation. Method selection in June 2019 - June 2020， our hospital 131 cases of hemorrhoids patients as the research object， according to the draw method is divided into the control group （n = 65） and group （n = 66）， the control group with traditional hemorrhoids ligation surgery treatment， the team used endoscopic ligation surgery treatment， negative pressure of two groups of patients with clinical treatment efficient and VAS （visual analogue scale） score， clinical indicators to compare the safety and clinical. Results The effective rate of clinical treatment was higher in the study group than in the control group （P < 0.05）. After treatment， VAS score of the study group was significantly lower than that of the control group （P < 0.05）. The operative time and recovery time of patients in the study group were shorter than those in the control group， and the amount of intraoperative blood loss and medical expenses were lower than those in the control group （P < 0.05）. The clinical safety of patients in the study group was higher than that in the control group （P < 0.05）. Conclusion： Endoscopic negative pressure ligation for treatment of internal hemorrhoids patients， its clinical effect is more prominent， postoperative trauma is relatively light， so it greatly reduces the pain degree and bleeding amount of patients， is conducive to the recovery of patients after surgery， and clinical treatment safety is higher， worthy of widespread application.

【 Key words 】 endoscopic negative pressure ligation; Hemorrhoids. Pain symptoms; Therapeutic effect; security

在肛腸科中痔疮是一种十分常见的疾病，该疾病可发生于人类的任何年龄段，且随着人们年龄的逐渐增长，发生率也会随之增高[1]。然而直肠末端上的直肠海绵体出现增生和下移的情况是导致痔疮发生的主要原因[2]。根据临床症状又将痔疮分为：内痔、外痔和混合痔三种[3]。内痔根据具体症状的严重程度有分为四期，若患者出现出血的情况则说明其病情较为严重，患者在排便后肛门会……