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路径式中医护理对围手术期混合痔患者术后并发症的影响

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目的 分析混合痔患者于围手术期应用路径式中医护理的临床价值,评估其对患者术后并发症发生率产生的影响。方法 研究时间确定于2020 年1 月至2022 年12 月,纳选对象均为收治于江苏省建湖县人民医院且接受手术治疗的混合痔患者,共计90 例。以随机数字表法为分组方式,将入试者划分为对照组(45 例)和观察组(45 例)。对照组所用的护理措施为常规围手术期护理,观察组在围手术期应用路径式中医护理。观察2 组患者的护理效果,评估指标包含术后并发症发生率、疼痛视觉模拟量表(VAS)评分及康复效果。结果 术前,2 组间VAS评分无统计学差异(P>0。05);2 组在术后8h、术后24h及术后48h的VAS评分均较术前降低(P均<0。05),且观察组均低于同一时间的对照组(P均<0。05)。统计2 组间术后水肿、出血、尿潴留及肛缘水肿的总发生率,测定数值显示为观察组偏低(P<0。05)。2 组间创面愈合时间、首次排便时间以及住院治疗时间对比,观察组用时均较短(P均<0。05)。结论 将路径式中医护理应用于混合痔患者的围手术期,在减轻术后疼痛症状、预防并发症方面具有突出效果,且能加速创面愈合,促进患者康复。
The impact of pathway based traditional Chinese medicine nursing on postoperative complications in patients with mixed hemorrhoids during the perioperative period
Objective To analyze the clinical value of pathway based traditional Chinese medicine nursing in patients with mixed hemorrhoids during the perioperative period,and to evaluate its impact on the incidence of postoperative complications in patients.Methods The research period was determined to be from January 2020 to December 2022,and the selected subjects were 90 patients with mixed hemorrhoids who were admitted to Jianhu People's Hospital in Jiangsu Province and underwent surgical treatment.The participants were divided into a control group(45 cases)and an observation group(45 cases)by random number table method.The control group received routine perioperative care,while the observation group received pathway based traditional Chinese medicine nursing during the perioperative period.The nursing effect of the two groups were observed.The evaluate indicators included postoperative complication rate,Visual Analogue Scale(VAS)score for pain,and rehabilitation effect.Results Before surgery,there was no statistically significant difference in VAS scores between the two groups(P>0.05).The VAS scores of both groups at 8 hours,24 hours,and 48 hours after surgery decreased compared to preoperative levels(all P<0.05),and the scores in the observation group were lower than those in the control group at the same time(all P<0.05).The total incidence of postoperative edema,bleeding,urinary retention and anal edge edema in the two groups was statistically analyzed,and the measured values were low in the observation group(P<0.05).The comparison of wound healing time,first defecation time,and hospitalization time between the two groups showed that the observation group had a shorter duration(all P<0.05).Conclusion Applying pathway based traditional Chinese medicine nursing to the perioperative period of mixed hemorrhoid patients has outstanding effects in reducing postoperative pain symptoms,preventing complications,accelerating wound healing,and promoting patient recovery.

mixed hemorrhoidperioperative periodpathway based traditional Chinese medicine nursingpostoperative complicationrehabilitation effect

祁建伟、倪蓉、严丽丽

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江苏省建湖县人民医院,江苏 盐城,224700

混合痔 围手术期 路径式中医护理 术后并发症 康复效果

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(9)