中医特色护理技术干预混合痔术后疼痛临床研究
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R657.1+8

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Clinical Study on the Intervention of Characteristic Nursing Technique of Chinese Medicine for the Postoperative Pain of Mixed Hemorrhoids
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    摘要:

    目的:观察在常规术后治疗与护理基础上加用中药熏洗结合针刺、耳穴贴压的综合特色护理技术干预混合痔吻合器痔上黏膜环切术(PPH)术后疼痛的效果。方法:将110例PPH术后患者随机分为对照组和观察组各55例。2组术后患者均行常规补液、抗炎、止血等对症处理,术后第1天起常规每天清洁换药,应用吲哚美辛栓术后纳肛,肛泰软膏适量外涂肛周,口服氨酚双氢可待因片,高锰酸钾坐浴,并予疼痛护理、饮食指导、排便指导等护理措施。观察组加予中药熏洗、针刺、耳穴贴压等中医护理技术。2组疗程均为5天。采用视觉模拟评分法(VAS)分别于术后12 h、1天、2天、3天和5天评价疼痛情况,记录术后5天的氨酚双氢可待因片用量;术后1天、3天、5天评定创面水肿、渗液、便血和尿潴留的症状积分。结果:术后1天、3天、5天,2组VAS评分均较术后12 h下降(P<0.01),观察组术后1天、3天、5天的VAS评分均低于对照组(P<0.01)。术后3天、5天,2组症状积分均较术后1天下降(P<0.01),观察组术后3天、5天的症状积分均低于对照组(P<0.01)。术后5天的氨酚双氢可待因片使用量观察组为(8.62±2.11)片,少于对照组的(12.37±2.53)片(P<0.01)。结论:在常规术后治疗与护理的基础上加用中医综合特色护理技术,能更为有效地减轻混合痔PPH术后疼痛,减少镇痛药物的使用,减少术后其他并发症的发生,从而有利于患者的恢复。

    Abstract:

    Objective: To observe the impression of comprehensive characteristic nursing technique of the additional application of Chinese herbal fumigation and washing combined with acupuncture and auricular point sticking on the basis of the routine postoperative treatment and nursing and its effect on the postoperative pain of mixed hemorrhoids procedure for prolapse and hemorrhoids(PPH).Methods:Divided 110 cases of postoperative patients with PPH into the control group and the observation group randomly,with 55 cases in each group.The postoperative patients in both groups were given the routine expectant treatment including fluid infusion,anti-inflammation and hemostasis.From the 1stday after the operation,gave the routine daily clean and dressing change,postoperative application of indomethacin suppositories in anus,external application of a proper amount of Gangtai ointment on the perianal region,oral administration of paracetamol and dihydrocodeine tablets,potassium permanganate hip bath and nursing measures including pain nursing,diet guidance and defecation guidance.The observation group was additionally given Chinese medicine nursing techniques including Chinese herbal fumigation and washing,acupuncture and auricular point sticking.The course of treatment in both groups was five days.Evaluated the pain respectively at 12 hours and on 1st,2rd, 3rdand 5thday after surgery by Visual Analogue Scale(VAS)and recorded the dosage of paracetamol and dihydrocodeine tablets on the 5thday after the operation;evaluated the symptom scores of wound edema,exudation,hematochezia and urinary retention on the 1st,3rdand 5thday after surgery.Results:On the 1st,3rdand 5thday after the operation,the VAS scores in the two groups were decreased when compared with those at 12 hours after surgery and the VAS scores on the 1st,3rdand 5thday after the operation in the observation group were lower than those in the control group(P<0.01).On the 3rdand 5thday after the operation,the symptom scores in the two groups were decreased when compared with those on the 1st day after the operation(P< 0.01),the symptom scores on the 3rdand 5thday after the operation in the observation group were lower than those in the control group(P<0.01).The dosage of paracetamol and dihydrocodeine tablets with in five days after the operation was(8.62±2.11)in the observation group,being less than that of(12.37± 2.53)in the control group(P < 0.01).Conclusion:The additional application of characteristic nursing technique of Chinese medicine on the basis of routine postoperative treatment and nursing can more effectively relieve the postoperative pain of mixed hemorrhoids PPH,reduce the use of analgesic drug and reduce other postoperative complications,so as to benefit the recovery of patients.

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王红艳,陈乐意.中医特色护理技术干预混合痔术后疼痛临床研究[J].新中医,2020,52(2):158-161

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  • 在线发布日期: 2020-01-14
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