摘要
目的探讨疼痛管理联合超声熏洗对肛门手术后患者创面愈合恢复的效果。方法选取2013年7月—2014年9月收治于上海市青浦区肛肠科行肛门疾病手术的患者120例,随机分为观察组和对照组各60例,两组患者术后第2天均给予超声中药熏洗,观察组在超声熏洗的基础上实施规范化疼痛管理,比较两组患者术后不同时间内疼痛程度、术后7 d内并发症发生情况及创面愈合情况。结果观察组术后6~48 h内的疼痛评分均显著低于对照组,差异有统计学意义（P均〈0.05）。观察组术后水肿、渗液和出血的发生率均低于对照组,且创面愈合时间亦较对照组更短,差异均有统计学意义（P均〈0.05）。结论应用疼痛管理联合超声熏洗可明显缓解肛门手术后患者的疼痛,加速水肿消退,能够有效缩短创面愈合时间,有利于患者的康复。
Objective To investigate the effects of pain management combined with ultrasonic fumigation and washing on wound healing after anal operation. Methods A total of 120 patients who received anal operation in our hospital were selected from July 2013 to September 2014. They were randomly and equally divided into the experimental group and control group. All the patients were treated with ultrasonic fumigation and washing on the second day after anal operation. The experimental group received additional pain management. The degree of pain,occurrence of complications in 7 d,and wound healing between the two groups were compared. Results The degree of postoperative pain during 6 to 48 h in the experimental group was significantly lower than that in the control group（ P 0. 05）. The incidence rates of edema,oozing and bleeding were significant lower,and the wound healing time was significantly shorter in the experimental group than those in the control group（ all P 0. 05）. Conclusion Pain management combined with ultrasonic fumigation and washing can significantly alleviate pains after anal operation,promote edema subsiding and shorten wound healing time. It is benefit for the rehabilitation of patients.
出处
《上海护理》
2015年第2期23-26,共4页
Shanghai Nursing
基金
上海市青浦区科学技术发展基金项目(编号:青科发2013-30)
关键词
肛门手术
疼痛管理
超声熏洗
创面愈合
Anal operation
Pain management
Ultrasonic fumigation and washing
Wound healing
