摘要
目的研究金氏痔疮膏联合个性化护理治疗痔疮术后排尿排便困难的应用效果。方法选取200例痔疮患者,按照随机数字表法分为对照组和试验组,各100例。2组均给予手术治疗。对照组使用高锰酸钾溶液坐浴治疗,试验组则联合金氏痔疮膏治疗,治疗周期为14 d。2组均给予个性化护理干预,干预时长至患者出院。比较2组治疗前后中医证候积分,术后首次排尿、排便时间,排便所用时间,血清炎性因子水平的变化以及VAS、SDS评分。结果治疗后,与对照组相比,试验组的疼痛、肛门瘙痒、便血、痔核脱出评分显著降低;与对照组相比,试验组的首次排尿、排便时间及排便所用时间均明显缩短;试验组的血清TNF-α、IL-1水平显著降低;试验组的VAS、SDS评分均较低(P<0.05)。结论金氏痔疮膏联合个性化护理干预可显著改善痔疮术后患者的临床症状,降低炎症反应,缓解疼痛感,促进排尿排便,改善心理状态。
Objective To study the effect of Jin’s Zhichuang ointment combined with personalized nursing treatment for postoperative hemorrhoid dysuria.Methods 200 hemorrhoids patients in our hospital were selected and divided into control group and experimental group according to the random number table,with 100 cases in each.Both groups were given surgical treatment.The control group was treated by hip bath with potassium permanganate solution,while the experimental group was treated with Jin’s Zhichuang ointment for 14 days.Both groups were given personalized nursing intervention,which lasted until the patients were discharged from hospital.The scores of TCM symptoms before and after treatment,the time of first postoperative urination,defecation,the time taken to defecate,changes in serum inflammatory factors,VAS and SDS were compared between the two groups.Results After treatment,compared with the control group,the scores of pain,anal itching,hemorrhoid prolapse in the experimental group significantly decreased.Compared with the control group,the time of first urination and defecation and the time taken to defecate in the experimental group significantly shortened,the serum TNF-αIL-1 level in the experimental group was significantly reduced,VAS and SDS scores in the experimental group were lower(P<0.05).Conclusion Jin’s Zhichuang ointment combined with individualized nursing intervention can significantly improve the clinical symptoms of patients after hemorrhoid surgery,reduce inflammatory response,relieve pain,promote urination and defecation,and improve psychological state.
作者
齐俊果
QI Junguo(Department of Proctology,Affiliated Hospital of Datong University,Shanxi Province,Datong 037005,China)
出处
《光明中医》
2020年第13期2089-2091,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
金氏痔疮膏
个性化护理
术后
排尿排便
Jin's Zhichuang ointment
personalized care
post operation
micturition defecation
