吴茱萸热熨法联合腹部穴位推拿改善对自动痔疮套扎术术后便秘的护理效果
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摘要
目的研究自动痔疮套扎术后患者采取吴茱萸热熨法与腹部穴位推拿的护理效果。方法选择我院2017年6月～2018年2月纳入的86例自动痔疮套扎术术后患者,按照随机数字表法分为研究组与对照组各43例,研究组采取吴茱萸热熨法与腹部穴位推拿,对照组采取常规护理,对比两组护理效果。结果研究组术后便秘发生率9.30%低于对照组23.26%,差异有统计学意义(P <0.05);治疗前两组的躯体功能、心理功能及社会功能评分比较,差异无统计学意义(P> 0.05),治疗后各评分均改善,其中研究组各评分高于对照组,差异有统计学意义(P <0.05);研究组住院时间短于对照组,差异有统计学意义(P <0.05);研究组对护理效果满意度95.35%高于对照组83.72%,差异有统计学意义(P <0.05)。结论自动痔疮套扎术术后患者采取吴茱萸热熨法与腹部穴位推拿效果明显,提高护理质量,降低便秘发生率,促进病情快速恢复,改善生活质量,增加患者对护理效果的满意度。
Objective To study the nursing effect of heat ironing method of TetradiumRuticarpum combined with abdominal acupoint massage on constipation after RPH operation. Methods Eighty-six cases with RPH from June 2017 to February 2018 in our hospital were selected and randomly divided into thestudy group and the controlgroup,with 43 cases in each group.The control group took the regular nursing care,while the study group took heat ironing of TetradiumRuticarpum combined with abdominal acupoint massage treatment.The nursing effects were compared. Results The incidence rate of postoperative constipation in the study group(9.30%) was lower than that in control group(23.26%)(P < 0.05).There was no significant difference in the scores of physical function,psychological function and social function between the two groups before treatment(P > 0.05);After treatment,the scores of the study group were higher than those of the control group(P < 0.05),the length of hospitalization in the study group was shorter than that in the control group(P < 0.05).The satisfaction rate of nursing effect in the study group was 95.35%higher than that in the control group 83.72%,the difference was statistically significant(P < 0.05). Conclusion The effect of rutaecarpa heat ironing and abdominal acupoint massage after RPH is obvious.It can improve the quality of nursing,reduce the incidence of constipation,promote the rapid recovery of the disease,improve the quality of life,and increase the satisfaction of patients with nursing effect.
Objective To study the nursing effect of heat ironing method of TetradiumRuticarpum combined with abdominal acupoint massage on constipation after RPH operation. Methods Eighty-six cases with RPH from June 2017 to February 2018 in our hospital were selected and randomly divided into thestudy group and the controlgroup,with 43 cases in each group.The control group took the regular nursing care,while the study group took heat ironing of TetradiumRuticarpum combined with abdominal acupoint massage treatment.The nursing effects were compared. Results The incidence rate of postoperative constipation in the study group(9.30%) was lower than that in control group(23.26%)(P < 0.05).There was no significant difference in the scores of physical function,psychological function and social function between the two groups before treatment(P > 0.05);After treatment,the scores of the study group were higher than those of the control group(P < 0.05),the length of hospitalization in the study group was shorter than that in the control group(P < 0.05).The satisfaction rate of nursing effect in the study group was 95.35%higher than that in the control group 83.72%,the difference was statistically significant(P < 0.05). Conclusion The effect of rutaecarpa heat ironing and abdominal acupoint massage after RPH is obvious.It can improve the quality of nursing,reduce the incidence of constipation,promote the rapid recovery of the disease,improve the quality of life,and increase the satisfaction of patients with nursing effect.
引文
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[12]魏文娟,郭静,李琳珏,等.护理干预对痔疮患者术后便秘的预防效果分析[J].临床医学研究与实践,2018,3(2):193-194.
[13]邱占琴,罗丽丹.中医辨证施护预防痔疮患者术后便秘的效果观察[J].中国临床护理,2018,10(1):53-55.
[14]杨麦兰,林华芬.护理干预在预防痔疮患者术后并发症中的作用[J].安徽卫生职业技术学院学报,2015,14(6):62-63.
[15]吴培凤.痔疮手术患者的中西医结合护理[J].心理医生,2017,23(35):203.
[16]陈树梅.中医护理路径在肛肠手术患者中的护理效果探讨[J].心理医生,2017,23(15):147-148.
[17]丁艺超.七叶皂苷钠穴位注射联合自动痔疮套扎术对老年痔疮术后肛门疼痛和并发症的影响[J].现代诊断与治疗,2017,28(4):591-593.
[18]邝永龙,李铮宇,彭北生.自动痔疮套扎术联合消痔灵与痔上黏膜环切术治疗内痔并出血的疗效对比[J].中国医药科学,2017,7(11):218-220.
[19]陈初航,邱海敏,朱达康.自动痔疮套扎术治疗痔疮出血患者的临床效果分析[J].中国当代医药,2017,24(19):21-23.
[2]张丽萍.中医护理在痔疮术后康复中的应用[J].心理医生,2017,23(1):233-234.
[3]张凌莉.中医护理应用于痔疮术后便秘患者的临床体会[J].内蒙古中医药,2015,34(11):封3.
[4]Wang,Chen,Li,et al.The management of anorectal malformation with congenital vestibular fistula:a singlestage modified anterior sagittal anorectoplasty[J].Pediatric Surgery International,2015,31(9):809-814.
[5]陈爱霞,高贵峰,窦振侠,等.中医药对老年痔疮术后尿潴留患者排尿时间及治疗效果影响[J].临床军医杂志,2016,44(10):1082-1083.
[6]Yeun,Youngran,Lee,et al.Effect of a double-coated probiotic formulation on functional constipation in the elderly:a randomized,double blind,controlled study[J].Archives of Pharmacal Research,2015,38(7):1345-1350.
[7]胡响当,李帅军,罗敏,等.自动痔疮套扎术(RPH)结合剪口结扎术治疗混合痔的临床研究[J].中国中医急症,2016,25(3):403-404,432.
[8]赵青梅,王新荣.护理干预对痔疮患者术后便秘的预防效果分析[J].实用临床护理学电子杂志,2017,2(10):95,97.
[9]邵淑军.探讨痔疮术后护理及常见并发症的观察与护理方法[J].中国卫生标准管理,2018,9(2):178-179.
[10]Gulseren,Mehmet Onur,Dinc,et al.Randomized controlled trial comparing the effects of vessel sealing device and milligan morgan technique on postoperative pain perception after hemorrhoidectomy[J].Digestive surgery,2015,32(4):258-261.
[11]蔡向红.蜜调通关散肛注治疗痔疮患者术后便秘的疗效观察[J].护理实践与研究,2015,12(11):56-57.
[12]魏文娟,郭静,李琳珏,等.护理干预对痔疮患者术后便秘的预防效果分析[J].临床医学研究与实践,2018,3(2):193-194.
[13]邱占琴,罗丽丹.中医辨证施护预防痔疮患者术后便秘的效果观察[J].中国临床护理,2018,10(1):53-55.
[14]杨麦兰,林华芬.护理干预在预防痔疮患者术后并发症中的作用[J].安徽卫生职业技术学院学报,2015,14(6):62-63.
[15]吴培凤.痔疮手术患者的中西医结合护理[J].心理医生,2017,23(35):203.
[16]陈树梅.中医护理路径在肛肠手术患者中的护理效果探讨[J].心理医生,2017,23(15):147-148.
[17]丁艺超.七叶皂苷钠穴位注射联合自动痔疮套扎术对老年痔疮术后肛门疼痛和并发症的影响[J].现代诊断与治疗,2017,28(4):591-593.
[18]邝永龙,李铮宇,彭北生.自动痔疮套扎术联合消痔灵与痔上黏膜环切术治疗内痔并出血的疗效对比[J].中国医药科学,2017,7(11):218-220.
[19]陈初航,邱海敏,朱达康.自动痔疮套扎术治疗痔疮出血患者的临床效果分析[J].中国当代医药,2017,24(19):21-23.