穴位贴敷配合中药热奄包护理对混合痔术后患者排便及肛门疼痛的应用效果

The application effect of acupoint application combined with traditional Chinese medicine Reyanbao nursing on postoperative defecation and anal pain in patients with mixed hemorrhoids

目的探析穴位贴敷配合中药热奄包护理对混合痔患者术后排便及肛门疼痛的应用效果。方法研究对象为2021年8月至2023年7月于厦门市中医院治疗的80例混合痔患者,按照随机数表法分为两组,每组各40例。参考组给予常规护理干预,观察组在参考组基础上增加穴位贴敷配合中药热奄包护理干预。比较两组护理前后排便情况(排便困难程度、排便时间、排便次数)评分,比较两组术后肛门疼痛情况,比较两组护理前后的生活质量与睡眠质量。结果观察组护理后的排便困难程度评分、排便时间评分与排便次数评分均低于参考组,差异有统计学意义(P<0.05)。观察组术后3、5、7 d的肛门疼痛程度评分明显低于参考组,差异有统计学意义(P<0.05)。观察组护理后的生活质量综合评定问卷评分高于参考组,匹兹堡睡眠质量指数评分低于参考组,差异有统计学意义(P<0.05)。结论穴位贴敷配合中药热奄包护理干预有利于改善患者术后排便困难的问题,缩短排便时间,促进排便,同时有效缓解肛门疼痛,改善其生活质量与睡眠质量。

Objective To explore the application effect of acupoint application combined with traditional Chinese medicine Reyanbao nursing on postoperative defecation and anal pain in patients with mixed hemorrhoids.Methods The study subjects were 80 patients with mixed hemorrhoids who were treated at Xiamen Hospital of TCM from August 2021 to July 2023.They were divided into two groups using a random number table method,with 40 cases in each group.The reference group received routine nursing intervention,while the observation group received acupoint application plus traditional Chinese medicine Reyanbao nursing intervention on the basis of the reference group.The scores of defecation(defecation difficulty,defecation time and defecation times)before and after nursing were compared between the two groups,and the anal pain after operation was compared between the two groups,and the quality of life and sleep before and after nursing were compared between the two groups.Results The scores of defecation difficulty,defecation time,and defecation frequency of the observation group after nursing were all lower than those of the reference group,and the differences were statistically significant(P<0.05).The scores of anal pain of the observation group on the 3rd,5th and 7th day after operation were significantly lower than those of the reference group,with statistically significant difference(P<0.05).The generic quality of life inventory 74 score of patients in the observation group after nursing was higher than that in the reference group,and the Pittsburgh sleep quality index score was lower than that in the reference group,with statistically significant difference(P<0.05).Conclusion Acupoint application combined with traditional Chinese medicine Reyanbao nursing intervention is beneficial for improving postoperative defecation difficulties in patients,shortening defecation time,promoting defecation,effectively relieving anal pain,and improving their quality of life and sleep.