膝胸卧位红光照射联合肛提运动对产后痔急性发作的疗效

Red light irradiation in knee-chest position combined with anal sphincter muscle strengthening exercises for women developing acute postpartum hemorrhoids

目的探讨膝胸卧位红光照射联合肛提运动对产后痔急性发作的改善效果。方法将68例经阴道分娩并发产后痔急性发作的产妇按入院时间分为对照组36例、观察组32例。两组产妇产后给予相同的产褥期知识宣教、母婴护理指导等常规护理措施,在此基础上,对照组采用屈膝侧卧位配合红光照射,观察组给予膝胸卧位红光照射联合肛提运动。观察两组产后24 h和产后5 d痔疼痛程度、肛周水肿程度、治疗效果、治疗过程舒适度。结果干预后两组疼痛评分、肛周水肿程度、治疗效果比较,差异有统计学意义(均P<0.01);两组治疗过程舒适程度差异无统计学意义(P>0.05)。结论产后痔急性发作的产妇应用膝胸卧位红光照射配合肛提运动能有效减轻产妇疼痛及肛周水肿程度,治疗效果较好。

Objective To investigate the effect of red light irradiation in knee-chest position combined with anal sphincter muscle strengthening exercises on women developing acute postpartum hemorrhoids.Methods A total of 68 women developing acute postpartum hemorrhoids immediately following vaginal delivery were recruited and divided into 2 groups based on chronological order of admission time.All the women were given the postpartum knowledge education,maternal and infant care guidance and other routine nursing measures.In addition,the control group(n=36)received red light irradiation in lateral position,while the intervention group received red light irradiation in knee chest position and took anal sphincter muscle strengthening exercises.Pain score of hemorrhoids,the degree of perianal swelling,the effect of treatment and comfort level of treatment process were observed in the two groups at 24 h and 5 d after vaginal delivery.Results After five days of treatment,there were significant differences in pain score,degree of perianal swelling and treatment effect between the two groups(P<0.01 for all),while the comfort level of treatment process had no significant difference between the two groups(P>0.05).Conclusion Red light irradiation in knee-chest position combined with anal sphincter muscle strengthening exercises for women developing acute postpartum hemorrhoids can effectively reduce maternal pain,reduce the degree of perianal swelling,and improve treatment effect.