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目的：探讨生长激素在肛肠外科急症中的应用价值，寻求处理肛肠外科急症安全、理想的治疗方法，减少并发症，提高生活质量。方法：分析肛肠外科急症术后应用ＴＰＮ＋生长激素（ｒｈＧＨ）和术后常规ＴＰＮ，检测两组病人术前、术后前白蛋白及免疫球蛋白和术后并发症。结果：术前、术后前白蛋白ＴＰＮ＋ｒｈＧＨ组Ｐ＜０．０１，ＴＰＮ组Ｐ＜０．０５。术前、术后免疫球蛋白ＴＰＮ＋ｒｈＧＨ组无改变，ＴＰＮ组ＩｇＧ，ＩｇＭＰ＜０．００１，ＩｇＡ＜０．０５，均有不同程度的下降。并发症ＴＰＮ＋ｒｈＧＨ组与ＴＰＮ组Ｐ＜０．０５。结论：ｒｈＧＨ＋ＴＰＮ可以迅速纠正负氮平衡，提高机体免疫应答能力，提高首次手术治愈的机会，相当部分病人可免受再次手术及造瘘所带来的痛苦。
OBJECTIVE: To investigate the value of somatotropin in the emergency of anorectal surgery and to seek the safe and ideal treatment for anorectal surgery, reduce the complications and improve the quality of life. Methods: The preoperative and postoperative albumin, immunoglobulin and postoperative complications of TPN + growth hormone (rhGH) and postoperative TPN were analyzed after the emergency of anorectal surgery. Results: Preoperative and postoperative albumin TPN + rhGH group P <0.01, TPN group P <0.05. Preoperative and postoperative immunoglobulin TPN + rhGH group no change, TPN group IgG, IgMP <0.001, IgA <0.05, with varying degrees of decline. Complications TPN + rhGH group and TPN group P <0.05. Conclusion: rhGH + TPN can quickly correct the negative nitrogen balance, enhance the immune response ability of the body and improve the chance of the first operation to be cured. A considerable number of patients are free from the pain caused by reoperation and fistula.