肛瘘挂线术后中药熏洗护理的疗效观察

Clinical observation of herbal fumigation nursing after incision-thread-drawing procedure

目的 观察和分析肛瘘挂线术后中药熏洗护理的疗效。方法 选取2014年1月~2015年4月我院收治的72例单纯性肛瘘患者,将其随机分成对照组和实验组,每组36例。两组均采取瘘管挂线引流术,对照组应用常规治疗,实验组在对照组基础上加用中药熏洗治疗。比较两组患者的治疗效果,并观察两组术后疼痛持续时间、恢复时间（橡皮筋脱落时间）等。结果 实验组术后疼痛持续时间、恢复时间（橡皮筋脱落时间）分别为（4.3±2.1）、（7.3±4.1）d,显著短于对照组的（8.4±2.5）、（10.2±3.9）d（P〈0.05）。实验组的并发症发生率和复发率显著低于对照组,两组差异有统计学意义（P〈0.05）。结论 临床上对单纯性肛瘘挂线引流术患者采用中药熏洗护理的效果显著,能减轻患者的术后疼痛,缩短恢复时间,利于患者临床症状改善及预后改善,可作为护理的有效方法。

Objective To observe and analysis the effect of herbal fumigation nursing after incision-thread-drawing procedure. Methods 72 patients with simple anal fistula in our hospital from January 2014 to April 2015 were selected.They divided into control group and treatment group in random,36 cases in each group.Two groups were used fistula hanging line drainage.The control group was used routine therapy.On the basis of control group,the treatment group was given further therapy of herbal fumigation.Therapy effect was compared between two groups.Clinical therapy effect,the duration of postoperative pain and recovery time（the time of rubber band fall off） was observed and compared. Results The duration of postoperative pain and recovery time（the time of rubber band fall off） in treatment group was respectively（4.3±2.1）,（7.3±4.1） d,which were significantly shorter than those the control group [（8.4 ±2.5）,（10.2±3.9） d]（P〈0.05）.The complication incidence rate and recurrence rate in the treatment group were significantly lower than those of the control group,the difference was significant（P〈0.05）. Conclusion Using herbal fumigation nursing has significant effect in simple anal fistula patients with incision-thread-drawing procedure.It can alleviate postoperative pain of patients,cut down the recovery time,be beneficial to improve clinical symptoms of patients and improve prognosis.It can be used as an effective method for nursing.