铜离子电化学疗法治疗痔出血及痔脱出的临床研究

目的　利用铜离子电化学疗法治疗痔出血及痔脱出。方法　 3 73例痔出血患者按查随机数字表的方法随机分为实验组与对照组。实验组 2 0 2例 ,年龄 3 6～ 76岁 ,其中单纯内痔 79例 (一期 2 8例 ,二期 3 3例 ,三期 18例 ) ,混合痔 12 3例 ;对照组 171例 ,其中单纯内痔 64例 (一期 3 2例 ,二期 2 8例 ,三期 4例 ) ,混合痔 10 7例。痔脱出患者 5 6例 ,未设对照组。痔出血患者实验组及痔脱出患者进行铜离子电化学疗法治疗 ,常规肠腔内消毒后 ,将特制的铜针刺入出血及脱出的痔核 ,深约 8～ 15mm ,按照设置好的参数用铜离子电化学治疗仪进行治疗 4min 40s ,以同一方法逐一治疗各个痔核。对照组使用痔疮宁栓及九华膏治疗。结果　痔出血实验组治愈率为 98.0 % ,显效率为 1.5 % ,有效率为 0 .5 % ,无效率为 0。对照组治愈率为 11.1% ,显效率为 2 4.6% ,有效率为 2 8.1% ,无效率为 3 6.3 %。两组比较实验组疗效好于对照组 (U =44 .6,P<0 .0 0 1)。痔脱出治愈率为 48.2 % ,显效率为 3 3 .9% ,有效率为 17.9%。治疗中患者无明显疼痛感 ,治疗后 4h可恢复工作。结论　铜离子电化学疗法治疗痔出血优于痔疮宁栓及九华膏 ,前者可以有效地治疗痔疮出血和痔脱出 ,避免了激光、注射等方法的不安全因素 ,简便、安全 ,不影响正常

Treatment of Bleeding and Prolapse of Hemorrhoids by Copper Ion Electrochemistry

Objective To evaluate treatment of the bleeding and prolapse of hemorrhoids by copper ion electrochemistry. Methods All patients suffered from the bleeding and prolapse of internal hemorrhoids or mixed hemorrhoids were included in this study. There were 202 patients in trial group (79 patients with internal hemorrhoids,123 patients with mixed hemorrhoids). Control group contained 171 cases (64 patients with internal hemorrhoids,107 patients with mixed hemorrhoids). There were 56 patients with prolapse of inner hemorrhoids or mixed hemorrhoids. Copper ion electrochemistry was performed in trial group. Suppository was used in control group. After the rectum was sterilized, the copper needle was inserted into the hemorrhoid with the depth about 8-15 mm. Then we continued the therapy for 4 minutes and 40 seconds. Other hemorrhoids were treated in the same way. Results The cure rate in trial group with hemorrhoidal bleeding was 98.0 % ,special virtual rate was 1.50 % ,virtual rate was 0.5 % , inefficiency rate was 0 ( U =44.6, P < 0.001). The cure rate in control group was 11.1 % ,special virtual rate was 24.6 %,virtual rate was 28.1 % ,inefficiency rate was 36.3 % . The cure rate of prolapse group was 48.2 % ,special virtual rate was 33.9 % ,virtual rate was 17.9 % . The patients didn't feel uncomfortable and recovered 4 hours later after operation. Conclusion This therapy was safe, effective and simple.