全程護理在開環(huán)式微創(chuàng)痔吻合術(shù)治療混合痔中的應(yīng)用

李超群

[摘要]目的 探討全程護理在開環(huán)式微創(chuàng)痔吻合術(shù)治療混合痔中的應(yīng)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(huán)式微創(chuàng)痔吻合術(shù)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(guī)護理，觀察組在對照組的基礎(chǔ)上實施全程護理，比較兩組的術(shù)后疼痛情況、并發(fā)癥總發(fā)生率和護理前后的舒適度情況。結(jié)果 觀察組術(shù)后24 h的疼痛評分為（4.47±0.72）分、術(shù)后2 d的疼痛評分為（3.86±0.71）分、術(shù)后5 d的疼痛評分為（3.24±0.71）分、術(shù)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(tǒng)計學(xué)意義（P<0.05）。觀察組并發(fā)癥總發(fā)生率（9.52%）低于對照組（28.57%），差異有統(tǒng)計學(xué)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(tǒng)計學(xué)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(tǒng)計學(xué)意義（P<0.05）。結(jié)論 在開環(huán)式微創(chuàng)痔吻合術(shù)治療混合痔中應(yīng)用全程護理可有效緩解患者的術(shù)后疼痛感，降低并發(fā)癥發(fā)生風(fēng)險，提高舒適度。

[關(guān)鍵詞]全程護理;開環(huán)式微創(chuàng)痔吻合術(shù);混合痔;并發(fā)癥;疼痛;舒適度

[中圖分類號] R473.6 ? ? ? ? ?[文獻標(biāo)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.