外洗中药方对痔疮术后护理效果的影响.docVIP

外洗中药方对痔疮术后护理效果的影响 　　doi：10.3969/j.issn.1007-614x.2014.20.97 　　摘 要 目的：观察外洗中药方熏洗坐浴对痔疮术后护理效果的影响。方法：2012年10月-2013年10月收治痔疮患者90例，随机分成治疗组和对照组，治疗组采用外洗中药方熏洗坐浴，对照组采用1：5 000高锰酸钾坐浴，两组于术后均采用视觉模拟疼痛评分法（VAS）对术后疼痛程度进行评估，同时观察患者水肿、出血、康复时间、满意度等情况进行比较。结果：两组间术后疼痛、水肿、出血、康复时间、患者满意度比较差异均有统计学意义（P0.01）。结论：外洗中药方熏蒸坐浴治疗痔疮术后能有效减轻其术后疼痛、水肿、出血症状，缩短创面愈合时间，提高患者满意度。 　　关键词 外洗中药方 熏洗坐浴 痔疮术后 护理 　　Influence of external wash traditional Chinese medicine on the effect of nursing after hemorrhoids operation 　　Wei Jinqiu 　　The Peoples Hospital of Mashan County，Nanning City，Guangxi 530600 　　Abstract Objective：To explore the influence of outside wash traditional Chinese medicine on the effect of nursing after hemorrhoids operation.Methods：90 cases with hemorrhoids were selected from October 2012 to October 2013.They were randomly divided into the treatment group and the control group.The treatment group were treated with external wash traditional Chinese medicine for fumigating and washing.The control group were treated with 1：5000 potassium permanganate for bath.After the operation，we evaluated the degree of pain using a visual analogue pain score（VAS）.At the same time，we observed edema，hemorrhage，recovery time，satisfaction and so on，and we compared the results.Results：The differences in postoperative pain，edema，bleeding，recovery time，patient satisfaction of the two groups were statistically significant（P001）.Conclusion：The application of external wash traditional Chinese medicine in the treatment of hemorrhoids can effectively reduce postoperative pain，edema，bleeding，shorten the time of wound healing，and improve patient satisfaction. 　　Key words External wash traditional Chinese medicine；Fumigating and washing；After hemorrhoids operation；Nursing 　　痔疮在临床上是较为常见的肛肠科疾病，其发病机制主要为直肠末端黏膜下与肛管皮肤下静脉丛发生屈曲与扩张，从而形成柔软的静脉团，引起疼痛、红肿、发炎、出血、脱垂等临床症状。手术是重要的治疗方法之一，但因其部位特殊，术后疼痛、水肿、出血给患者带来很大危害，必须积极防治。研究表明，采用中药液熏洗坐浴治疗痔疮术后患者有利于伤口愈合，对消除局部肿痛也有明显优势[1]。2012年10月-2013年10月收治痔疮患者90例，术后行中药熏洗坐浴，疗效满意，现报告如下。 　　资料与方法 　　2012年10月-2013年10