中药熏洗坐浴结合提肛运动对混合痔术后患者肛门功能和生活质量的影响OA
Effect of Traditional Chinese Medicine Fumigation and Washing and Sit-bath Combined with Anal Lifting Exercise on Anal Function and Quality of Life of Patients after Mixed Hemorrhoid Surgery
目的:探讨中药熏洗坐浴结合提肛运动对混合痔术后患者肛门功能和生活质量的影响.方法:选取 2021 年1 月—2023 年 1 月泗洪县中医院收治的 102 例混合痔术后患者作为研究对象.根据 1︰1 的比例随机将其分为对照组与观察组,各 51 例.对照组给予常规护理,观察组在对照组基础上给予中药熏洗坐浴结合提肛运动.比较两组创面愈合情况,术后 1 d、7 d的肛门功能,护理前后生活质量.结果:观察组创面愈合时间显著短于对照组,术后 7 d创面愈合率显著高于对照组,差异有统计学意义(P<0.05).术后 7 d,观察组Wexner评分、Kirwan评分均显著低于对照组,差异有统计学意义(P<0.05).护理后,观察组生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分均显著高于对照组,差异有统计学意义(P<0.05).结论:中药熏洗坐浴结合提肛运动对混合痔术后患者具有显著的治疗效果,可以有效地促进创面愈合、改善肛门功能,从而提高患者的生活质量.
Objective:To investigate the effect of traditional Chinese medicine fumigation and washing and sit-bath combined with anal lifting exercise on anal function and quality of life of patients after mixed hemorrhoid surgery.Method:A total of 102 patients patients after mixed hemorrhoid surgery treated in Traditional Chinese Medicine Hospital in Sihong County from January 2021 to January 2023 were selected as the study objects.According to the ratio of 1︰1,they were randomly divided into control group and observation group,with 51 cases in each group.The control group was given routine nursing,and the observation group was given traditional Chinese medicine fumigation and washing and sit-bath combined with anal lifting exercise on the basis of the control group.Wound healing,anal function 1 d and 7 d after surgery,and quality of life before and after nursing were compared between the two group.Result:The wound healing time in the observation group was significantly shorter than that in the control group,and the wound healing rate at 7 d after surgery was significantly higher than that in the control group,the differences were statistically significant(P<0.05).After 7 d of surgery,Wexner score and Kirwan score in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,the physiological function,role physical,physical pain,general health,vitality,social function,emotional function and mental health scores of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Traditional Chinese medicine fumigation and washing and sit-bath combined with anal lifting exercise has a significant therapeutic effect on patients after mixed hemorrhoid surgery,which can effectively promote wound healing and improve anal function,thus improving the quality of life of patients.
孙文凤;崔梦茹
泗洪县中医院 江苏 泗洪 223900
中药熏洗提肛运动混合痔创面愈合肛门功能生活质量
Traditional Chinese medicine fumigation and washingAnus lifting exerciseMixed hemorrhoidsWound healingAnal functionQuality of life
《中外医学研究》 2024 (011)
130-133 / 4
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