全程护理在开环式微创痔吻合术治疗混合痔中的应用

李超群

[摘要]目的 探討全程护理在开环式微创痔吻合术治疗混合痔中的应用效果。方法 选取2017年6月～2019年6月我院收治的84例混合痔患者作为研究对象，均行开环式微创痔吻合术治疗，采用红蓝双色球法将其分成两组，每组各42例。对照组实施常规护理，观察组在对照组的基础上实施全程护理，比较两组的术后疼痛情况、并发症总发生率和护理前后的舒适度情况。结果 观察组术后24 h的疼痛评分为（4.47±0.72）分、术后2 d的疼痛评分为（3.86±0.71）分、术后5 d的疼痛评分为（3.24±0.71）分、术后7 d的疼痛评分为（2.69±0.57）分，低于对照组的（5.29±0.65）、（4.73±0.69）、（3.92±0.69）、（3.42±0.61）分，差异均有统计学意义（P<0.05）。观察组并发症总发生率（9.52%）低于对照组（28.57%），差异有统计学意义（P<0.05）;护理前观察组的舒适度评分为（69.31±10.48）分，与对照组的（69.84±11.67）分比较，差异无统计学意义（P>0.05）;护理后观察组的舒适度评分为（91.28±5.57）分，高于对照组的（83.37±6.49）分，差异有统计学意义（P<0.05）。结论 在开环式微创痔吻合术治疗混合痔中应用全程护理可有效缓解患者的术后疼痛感，降低并发症发生风险，提高舒适度。

[关键词]全程护理;开环式微创痔吻合术;混合痔;并发症;疼痛;舒适度

[中图分类号] R473.6          [文献标识码] A          [文章编号] 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.