激光坐浴在混合痔患者术后疗效的临床观察.docVIP

精品论文 参考文献 激光坐浴在混合痔患者术后疗效的临床观察 余嵘 曾俞霖 刘茂芳 　　深圳市龙华新区中心医院肛肠外科 广东深圳 518110 　　【摘 要】目的：探讨混合痔患者内剥外扎手术后激光坐浴护理的临床疗效。方法：将本研究中326例混合痔患者随机分为两组：激光坐浴组163例和普通坐浴组163例，激光坐浴组为术后第1天开始使用激光坐浴+红外线灯照30 min +外涂马应龙麝香痔疮膏，普通坐浴组为术后第1天开始1/5000浓度的高锰酸钾溶液温水坐浴+红外线灯照30min +外涂马应龙麝香痔疮膏，一疗程5天，然后观察伤口愈合情况等情况。结果：一个疗程后激光坐浴组疼痛和水肿等情况明显优于普通坐浴组（Plt;0.005），伤口愈合时间对比亦明显缩短（Plt;0.005）。结论：混合痔内剥外扎手术后激光坐浴有利于促进患者切口愈合，减轻疼痛、水肿及出血发生率。 　　【关键词】混合痔；激光坐浴机；护理 　　【中图分类号】R619 【文献标识码】B 【文章编号】1674-8999（2015）8-0417-02 　　The clinical efficacy of laser sitz bath in mixed hemorrhoid surgery patients 　　Yu Rong 　　(Longhua New District Central Hospital，Shenzhen, Guangdong 518110） 　　【Abstract】Objective：To compare the clinical efficacy in patients with mixed hemorrhoid inside the outer peel thorny bath after laser treatments. Methods：A total of 326 patients suffered mixed hemorrhoid patients were randomly divided into two groups: 163 cases of laser bath and common bath group 163 cases, laser bath group started on postoperative day 1 bath + infrared laser light shining 30 min + coated musk hemorrhoids Ointment, common bath set for the first day after the beginning of 1/5000 concentration of potassium permanganate solution of warm water bath + infrared light shining 30min+coated musk hemorrhoids Ointment, a course of five days, then observe the wound healing.Results：After the bath set a course of laser pain and edema, etc. is better than ordinary bath group (P lt;0.005), wound healing time is also significantly reduced contrast (Plt;0.005).Conclusion：Laser sitz bath help to promote wound healing in patients, reduce pain, swelling and bleeding in the incidence of mixed hemorrhoids. 　　【Key words】mixed hemorrhoid；laser sitz bath chair；nursing 　　混合痔是肛肠外科一种常见病、多发病，主要临床表现为便血及肛门部肿物，可有肛门坠胀、异物感或疼痛，可伴有局部分泌物或瘙痒。手术是较为有效的治疗方法之一[1]。长期以来，外剥内扎术(或称Milligan-Morgan)一直是痔切除的经典方法。由于肛门直肠周围血管、神经极为丰富[2]。患者在行传统外剥内扎术后仍有较长一段时间会有出血、水肿、疼痛甚至感染[3]，影响患者的生活质量。以往痔术后传统的护理主要是1/5000浓度的高锰酸钾溶液温水坐浴+红外线照射+马应龙麝香痔疮膏。经传统的护理方法处理仍有很多患者出现术后伤口疼痛、出血等不适甚至延迟愈合[4,5]。因此，探讨激光坐浴方法对混合痔术