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中药封包腹部热敷预防痔术后便秘及改善焦虑的疗效观察 被引量:8

TCM-packing Hot Compress at Abdomen for Preventing Postoperative Constipation of Hemorrhoids Patients and for Improving their Anxiety Situation:Efficacy Observation
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摘要 为探讨中药封包热敷腹部预防痔术后便秘及改善患者焦虑状态的效果,将行手术治疗的100例痔患者随机分为观察组和对照组,各50例。2组患者术后均予痔康片口服,除此之外,手术当天开始,观察组予中药封包热敷腹部,对照组予毛巾热敷腹部。对比2组患者术后不同时间排便情况及术后焦虑评分。结果显示,治疗后,2组除在粪便性状、排便频率方面比较差异无统计学意义(P>0.05)外;在排便困难、排便时间、肛门坠胀感、腹胀方面,观察组评分均明显低于对照组,P<0.05。观察组术后焦虑评分明显低于对照组,P<0.05。结果表明,中药封包热敷腹部可促进胃肠道功能恢复,缓解排便困难,缩短排便时间,减轻肛门坠胀感及腹胀,有效预防痔术后便秘,而且可减轻患者焦虑不安感,临床应用价值高。 This study was to explore the efficacy of TCM-packing hot compress at abdomen for preventing postoperative constipation of hemorrhoids patients and for improving their anxiety situation,randomly di- vided 100 patients with hemorrhoids to be subject to surgery into observation group and control one,50 ca- ses for each group,which since the same day of surgery the former was given TCM packing hot compress at abdomen,the latter was given hot towel compress at abdomen;after surgery the patients of both groups all orally administered Zhikang Pian(a drug tablet for hemorrhids) ;then compared both group's defecation status at postoperative different points, and the score on postoperative anxiety situation between the two groups.As results,after surgery in faeces characters, defecation frequency there was no statistical difference between the two groups( P 〉0.0,5);but in the status on dysehesia, bowel movement time,tenesmus of anus and burbulence the score of the former was all significantly lower than that of the latter( P 〈0.05), and in postoperative anxiety situation the score of the former did so( P 〈0.05).Results show that TCM- packing hot compress at abdomen can promote gastro-intestinal function recovering, relieve dyschesia, shorten bowel movement time, relieve anal tenesmus, and burbulence, so that effectively preventing postop erative constipation, thus alleviating patient's anxiety and uneasy feeling, its clinical application value is high.
作者 梁小霞 冯群虎 梁海彬 颜小香 胡建文 LIANG Xiao-xia;FENG Qun-hu;LIANG Hai-bin;YAN Xiao-xiang;HU Jian-wen(Dept. of Coloproctolog y , Baoan TCM Hospital (Group), Shenzhen , Guangdong 518100)
出处 《中国肛肠病杂志》 2018年第2期49-51,共3页 Chinese Journal of Coloproctology
关键词 术后 中药封包 热敷 便秘 焦虑 Hemorrhoid Postoperation TCM-packing Hot compress Constipation Anxiety
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