摘要
目的分析多元化疼痛护理管理在痔疮套扎术后疼痛控制中的应用效果。方法选取本院2022年1—12月收治的100例痔疮患者为研究对象,在区间随机法辅助下分为两组,每组50例。两组患者均接受痔疮套扎术治疗,术后,对照组采用常规护理,研究组在此基础上采用多元化疼痛护理管理。比较两组的疼痛评分、肛缘水肿消退时间、创面愈合时间、术后并发症发生情况及肛门功能。结果术后第2、4、6、8日,研究组的肛缘疼痛评分均低于对照组,组间差异有统计学意义(P<0.05)。研究组的肛缘水肿消退时间、创面愈合时间均短于对照组,组间差异有统计学意义(P<0.05)。研究组的术后并发症发生率为4.00%,低于对照组的18.00%,差异有统计学意义(P<0.05)。护理10 d后,研究组的肛管收缩压、肛管舒张压、肛管静息压均高于对照组,组间差异有统计学意义(P<0.05)。结论多元化疼痛护理管理可减轻痔疮套扎术后患者的疼痛,加速肛缘肿胀消退、创面愈合,预防术后相关并发症的发生,值得临床推广使用。
Objective To analyze the application effect of diversified pain nursing management in pain control after hemorrhoid ligature.Methods 100 patients with hemorrhoids admitted to the hospital from January to December 2022 were selected as the research objects and were divided into two groups with the help of interval random method with 50 patients in each group.Both groups were treated with hemorrhoid ligation.After surgery,the control group was treated with routine nursing,and the study group was treated with diversified pain nursing management on this basis.The pain scores,the time for anal swelling to subside,the time for wound healing,the incidence of postoperative complications and the anal function were compared between the two groups.Results On the 2nd,4th,6th and 8th day after operation,the scores of anal edge pain in the study group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The time of anal swelling regression and wound healing in the study group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 4.00%,lower than 18.00%in the control group,and the difference was statistically significant(P<0.05).10th day after nursing,the systolic pressure,diastolic pressure and resting pressure of anal canal in the study group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Diversified pain nursing management can alleviate the pain of patients after hemorrhoid ligation,accelerate the anal swelling regression and wound healing,and prevent the occurrence of postoperative complications,which is worthy of clinical promotion.
作者
黄丽燕
韩晓丽
蔡桂瑜
邹淑清
HUANG Liyan;HAN Xiaoli;CAI Guiyu;ZOU Shuqing(Department of Surgery,Jiexi County Traditional Chinese Medicine Hospital,Jieyang Guangdong,515431,China)
出处
《反射疗法与康复医学》
2023年第9期182-185,共4页
Reflexology And Rehabilitation Medicine
关键词
多元化疼痛护理管理
痔疮套扎术
术后疼痛
并发症
Diversified pain nursing management
Hemorrhoid ligation
Postoperative pain
Complications
