痔瘘术后继发性出血的相关因素分析及护理对策

Analysis and Nursing Strategies of the Relative Factors of Secondary Bleeding Following the Operation for Hemorrhoids and Fistula

回顾分析痔瘘术后继发性出血病例129例。结果显示，术前伴有基础疾病、排便不畅，术中局部应用硬化剂，术后饮食不当、过度活动、不良排便习惯与痔瘘术后继发性出血密切相关。提出术前应完善各项检查，治疗基础疾病，完善肠道准备；术后注意休息，指导合理的饮食与排便，加强坐浴与换药，警惕出血先兆症状等护理对策。采用新的护理对策后，痔瘘术后继发性出血发生率明显下降，Ⅰ度出血由19．6％降至5．7％，Ⅲ度出血由0．8％降至0。

This study analysed retrospectively the 129 cases, who subjected from secondary bleeding after the operation for hemorrhoids and fistula. The obtained results showed that the relative factors includ preoperative associated basic diseases and no-smooth defecation,intra-operative locally administration of sclerosing agent,and postoperative unsuitable diet, excessive activities and bad defecation habit,etc are closely associated with secondary bleeding. Thus, author puts forward following nursing measurement：at preoperation completely performing various examinations,correcting basic diseases and completely taking intestinal preparation;after operation to pay attention to rest, to introduce rational diet and defecation, to strengthen sitz bath and dressing change,and to notice the premonitory to bleeding. After performing the new nursing strategies the incidence of postoperative secondary bleeding decreased significantly, Ⅰ grade bleeding from 19.6% to 5.7%, Ⅲ grade bleeding from 0.8% to 0.