提肛运动结合个性化疼痛护理在混合痔患者中的应用效果

Effect of Anal Sphincter Lifting Exercise Combined with Personalized Pain Management in Patients with Mixed Hemorrhoids

目的:探究提肛运动结合个性化疼痛护理在混合痔患者中的应用效果。方法:选取2022年1—12月于贵阳市清镇市中医医院行手术治疗的混合痔患者80例作为研究对象,按随机数字表法分为对照组与观察组,各40例。对照组行常规护理,观察组在对照组基础上行提肛运动结合个性化疼痛护理。比较两组术后康复与疼痛情况。结果:观察组术后住院时间、便后出血时间、切口愈合时间均短于对照组,差异有统计学意义(P<0.05);术前,两组疼痛数字评分法(NRS)评分比较,差异无统计学意义(P>0.05);术后3、7 d NRS评分均降低,且术后7 d NRS评分低于术后3 d,差异有统计学意义(P<0.05);观察组术后3、7 d NRS评分低于对照组,差异有统计学意义(P<0.001)。结论:对混合痔患者采用提肛运动结合个性化疼痛护理,能缩短患者术后康复时间,减轻患者疼痛程度。

Objective:To investigate the application effect of anal Sphincter lifting exercise combined with personalized pain care in patients with mixed hemorrhoids.Methods:80 patients with mixed hemorrhoids who underwent surgical treatment at Qingzhen Hospital of Traditional Chinese Medicine in Guiyang City from January to December 2022 were selected as study subjects and divided into the control group and the observation group according to the method of randomized numerical table,each of which was 40 cases.In the control group,routine care was performed,and in the observation group anal sphincter lifting exercise combined with personalized pain on basic of the control group management was performed.Postoperative recovery indexes and postoperative pain in the two groups were compared.Results:Postoperative hospitalization time,bleeding time after stool,and incision healing time of observation group were shorter than that of the control group,and the difference was statistically significant(P<0.05);before surgery,the difference of numeric rating scale(NRS)scores between the two groups was not statistically significant(P>0.05);the NRS scores were reduced 3 and 7 days after the operation,and the NRS scores at 7th day after the operation were lower than the 3rd day,and the difference was statistically significant(P<0.05);NRS scores of the observation group were lower than those of the control group 3 and 7 days after the operation and the difference was statistically significant(P<0.001).Conclusion:The use of anal sphincter lifting exercise combined with personalized pain management for patients with mixed hemorrhoids can shorten their postoperative recovery time and reduce the degree of pain.