全程護理在開環式微創痔吻合術治療混合痔中的應用

李超群

[摘要]目的 探討全程護理在開環式微創痔吻合術治療混合痔中的應用效果。方法 選取2017年6月～2019年6月我院收治的84例混合痔患者作為研究對象，均行開環式微創痔吻合術治療，采用紅藍雙色球法將其分成兩組，每組各42例。對照組實施常規護理，觀察組在對照組的基礎上實施全程護理，比較兩組的術后疼痛情況、并發癥總發生率和護理前后的舒適度情況。結果 觀察組術后24 h的疼痛評分為（4.47±0.72）分、術后2 d的疼痛評分為（3.86±0.71）分、術后5 d的疼痛評分為（3.24±0.71）分、術后7 d的疼痛評分為（2.69±0.57）分，低于對照組的（5.29±0.65）、（4.73±0.69）、（3.92±0.69）、（3.42±0.61）分，差異均有統計學意義（P<0.05）。觀察組并發癥總發生率（9.52%）低于對照組（28.57%），差異有統計學意義（P<0.05）;護理前觀察組的舒適度評分為（69.31±10.48）分，與對照組的（69.84±11.67）分比較，差異無統計學意義（P>0.05）;護理后觀察組的舒適度評分為（91.28±5.57）分，高于對照組的（83.37±6.49）分，差異有統計學意義（P<0.05）。結論 在開環式微創痔吻合術治療混合痔中應用全程護理可有效緩解患者的術后疼痛感，降低并發癥發生風險，提高舒適度。

[關鍵詞]全程護理;開環式微創痔吻合術;混合痔;并發癥;疼痛;舒適度

[中圖分類號] R473.6 ? ? ? ? ?[文獻標識碼] A ? ? ? ? ?[文章編號] 1674-4721（2020）8（c）-0229-03

[Abstract] Objective To explore the application effect of whole-course nursing in the mixed hemorrhoids treated with open-loop minimal invasion hemorrhoid anastomosis. Methods A total of 84 patients with mixed hemorrhoids admitted to our hospital from June 2017 to June 2019 were selected as research subjects. Those patients were all treated with open-loop minimal invasion hemorrhoid anastomosis. They were divided into two groups using balls in red and blue color， 42 cases in each group. The control group received routine nursing， and the observation group received whole-course nursing on that basis. The status of postoperative pain， the total incidence of complications， and the comfort level before and after nursing were compared between the two groups. Results The pain score of 24 hours after surgery in the observation group was （4.47±0.72） points， the pain score of 2 days after surgery was （3.86±0.71） points， the pain score of 5 days after surgery was （3.24±0.71） points and the pain score of 7 days after surgery was （2.69±0.57） points， lower than those of the control group， which were （5.29±0.65）， （4.73±0.69）， （3.92±0.69）， （3.42±0.69） and （3.42±0.61） points， respectively （P<0.05）. The total incidence of complications in the observation group was 9.52%， lower than that of the control group accounting for 28.57% （P<0.05）. Before nursing， the comfort score was （69.31±10.48） points in the observation group， compared with （69.84±11.67） points in the control group， showing no significant difference （P>0.05）. The comfort score after nursing was （91.28±5.57） points in the observation group， higher than that of the control group， which was （83.37±6.49） points （P<0.05）. Conclusion The application of whole-course nursing after open-loop minimal invasion hemorrhoid anastomosis on patients with mixed hemorrhoids can effectively relieve patients′ postoperative pain， reduce the incidence of complications， and improve patients′ comfort level.