探讨小切口负压引流加冲洗治疗肛周脓肿的护理体会.docVIP

精品论文 参考文献 探讨小切口负压引流加冲洗治疗肛周脓肿的护理体会 五常市人民医院 150200 【摘 要】目的 研究分析小切口负压引流加冲洗治疗肛周脓肿的护理效果。方法 此次研究的对象是选择80例肛周脓肿患者。将其临床资料进行回顾性分析，并按照抽签方法随机地均分为对照组与观察组，各为40例。对照组采用常规护理，观察组则采用小切口负压引流加冲洗治疗护理。比较两组一次治愈率、愈合时间、肛瘘发生率及VAS疼痛评分情况。结果对照组一次治愈率、愈合时间、肛瘘发生率及VAS疼痛评分分别为67.50%、（32.01plusmn;5.69）d、25.00%及（6.10plusmn;1.28）分，观察组分别为100.00%、（24.22plusmn;3.87）d、5.00%及（3.87plusmn;1.02）分，两组上述指标差异均具有统计学意义（P＜0.05~0.01）。结论小切口负压引流加冲洗治疗肛周脓肿，配以科学、合理的护理干预可显著提高临床疗效、减轻术后疼痛及减少肛瘘发生率，应在临床上进行推广及应用。 【关键词】小切口负压引流；冲洗；肛周脓肿；护理效果 Abstract：Objective To study the nursing effect of small incision negative pressure drainage and irrigation in the treatment of anus week abscess.Methods 80 cases of patients with anal abscess were selected.The clinical data were retrospectively analyzed，and randomly divided into control group and observation group randomly，each group was 40 cases.The control group was treated with routine nursing，while the observation group was treated with small incision negative pressure drainage and irrigation.A comparison of two groups of cure rate，healing time，anal fistula incidence and VAS pain score.Results in the control group cure rate，healing time，anal fistula occurred rate and the VAS pain score was 67.50% respectively，（32.01 + 5.69 d），25.00% and（6.10 + 1.28），the observation group were 100.00%，（24.22 + 3.87）d，5.00% and 3.87 + 1.02 points，the differences of the parameters between the two groups has statistical significance（P lt; 0.05 ~ 0.01）.Conclusion the small incision drainage and irrigation in the treatment of perianal abscess with scientific and reasonable nursing intervention can significantly improve clinical curative effect，reduce postoperative pain and reduce the incidence of anal fistula，should be in clinical promotion and application. Key words：small incision negative pressure drainage；irrigation；anus week abscess；nursing effect 肛周脓肿是肛肠外科治疗困难的一种疾病，在实际治疗过程中，存在着功能与临床治愈率不能兼顾的矛盾[1]。因此，如何提高手术的临床疗效以及维护肛门的正常功能与形态，避免出现畸形肛以及失禁等并发症，缓解术后疼痛以及尽量缩短治疗疗程等方面的问题日益受到医务工作者的高度重视与普遍关注。本研究主要采用了小切口负压引流加冲洗