痔PPH围手术期的护理体会

Experience on Perioperative Nursing during PPH for Hemorrhoids

为探讨吻合器痔上黏膜环切术（PPH）的术中配合技巧及手术前、后对患者进行护理的方法，对680例行PPH治疗的Ⅲ期、Ⅳ期内痔及以内痔为主的混合痔患者进行术中配合及手术前、后护理。结果显示，680例患者症状全部消失，治疗效果明显，术后无严重并发症。结果表明，护理人员在PPH术中默契的配合及手术前、后良好的护理方法，对患者生理、心t理、疾病康复、减少术后并发症起着重要的作用。

In order to explore the coordinated skills in PPH and an effective nursing method at preoperation and postoperation. Nursing was performed before and after surgery on 680 cases with stage Ⅲ or Ⅳ inter- nal hemorrhoids,and mixed hemorroids （mainly with internal hemorrhoids） who were treated with PPH. i The results showed that all symptoms disappeared;the treatment was effective; no severe complications oc- curred after surgery. It is concluded that well coordination and proper care before and after surgery is of great importance to patients＇ physical and psychology rehabilitation and to the reduction of postoperative complications.