优化配比润滑止痛剂联合坐浴在缓解肛肠疾病术后排便中的应用效果(1)
【摘 要】目的：探究优化配比润滑止痛剂联合坐浴在缓解肛肠疾病术后排便中的应用效果。方法：选取在我院进行肛肠疾病手术的160例患者，将其分为常规组及研究组，对全部患者均进行抗感染治疗及坐浴护理，并在其基础上给予研究组患者优化配比润滑止痛剂，比较患者干预前后疼痛及水肿程度，并比较各临床症状消失时间及创面愈合时间。结果：研究组患者干预有效率为93.75%，显著优于常规组的76.25%(P<0.05)，且两组患者在进行干预前，其疼痛及水肿程度无显著差异(P>0.05)，仅干预后，研究组疼痛及水肿评分分别降低至(1.62±1.52)分及(1.48±0.62)分，显著低于常规组及治疗前(P<0.05)，同时研究组疼痛、水肿、出血相应症状消失时间及创面愈合时间均显著短于常规组(P<0.05)。结论：对肛肠疾病术后患者采用优化配比润滑止痛剂联合坐浴进行干预，能够显著降低患者疼痛及水肿程度，对提高患者在日常生活中，尤其是排便时感受具有重要意义。
【关键词】润滑止痛剂；坐浴；肛肠疾病；疼痛
【中图分类号】R322.4+5
【文献标志码】B 【文章编号】1005-0019(2018)08-048-01
Abstract Objective：to explore the effect of optimizing the ratio of lubricant and analgesic combined with hip bath in relieving postoperative defecation after anorectal diseases. Methods： 160 cases of anorectal diseases in our hospital were selected and divided into the routine group and the study group. All the patients were treated with anti infection treatment and sitting bath nursing. On the basis of it， the patients in the study group were given optimal proportioning of lubricating analgesics， the pain and swelling degree before and after the intervention were compared， and the clinical symptoms were compared. Time and wound healing time. Results：The effective rate of patients in the study group was 93.75%， significantly better than that of the conventional group (P < 0.05)， and there was no significant difference in pain and edema (P > 0.05) in the two groups before intervention (P > 0.05). The pain and edema scores in the study group were decreased to (1.62 + 1.52) and (1.48 + 0.62)， respectively， and significantly lower than those in the study group. In the routine group and before the treatment (P < 0.05)， the pain， edema， the disappearance time of the corresponding symptoms of bleeding and the healing time of the wound were significantly shorter in the study group than in the conventional group (P < 0.05). Conclusion： The use of optimal ratio lubricating analgesics and sitting bath for patients with anorectal diseases can significantly reduce the pain and edema of the patients. It is of great significance to improve the patient's feelings during the daily life， especially the defecation.
Key words：Lubricating analgesic；A hip bath；Anorectal diseases；pain
作為临床最为常见的疾病大类，肛肠疾病主要包括环状混合痔、肛瘘及肛周脓肿等，临床常规以开放性手术治疗为主，但由于肛门及直肠等部位具有较为特殊的组织结构，且其生理功能较为复杂，导致术后患者恢复时间较长，并出现疼痛、水肿及感染等并发症，对患者术后生活质量具有严重影响[1]，常规采用熏洗坐浴疗法对患者相应症状进行干预，该方法通过将药剂煮沸，并通过热量对患者局部进行熏蒸及洗涤，以提高患者对药物成分的吸收程度，促进患者症状得到改善，但临床经验表明，该治疗方法作用时间较慢，患者术后生活质量仍不理想，为此，我院特配制优化润滑止痛剂以改善患者相应症状，为探究其效果，本次研究选取2015年1月1日至2017年12月31在我院进行肛肠疾病手术的160例患者进行对比研究，现报告如下。, 百拇医药(孟增红)
【关键词】润滑止痛剂；坐浴；肛肠疾病；疼痛
【中图分类号】R322.4+5
【文献标志码】B 【文章编号】1005-0019(2018)08-048-01
Abstract Objective：to explore the effect of optimizing the ratio of lubricant and analgesic combined with hip bath in relieving postoperative defecation after anorectal diseases. Methods： 160 cases of anorectal diseases in our hospital were selected and divided into the routine group and the study group. All the patients were treated with anti infection treatment and sitting bath nursing. On the basis of it， the patients in the study group were given optimal proportioning of lubricating analgesics， the pain and swelling degree before and after the intervention were compared， and the clinical symptoms were compared. Time and wound healing time. Results：The effective rate of patients in the study group was 93.75%， significantly better than that of the conventional group (P < 0.05)， and there was no significant difference in pain and edema (P > 0.05) in the two groups before intervention (P > 0.05). The pain and edema scores in the study group were decreased to (1.62 + 1.52) and (1.48 + 0.62)， respectively， and significantly lower than those in the study group. In the routine group and before the treatment (P < 0.05)， the pain， edema， the disappearance time of the corresponding symptoms of bleeding and the healing time of the wound were significantly shorter in the study group than in the conventional group (P < 0.05). Conclusion： The use of optimal ratio lubricating analgesics and sitting bath for patients with anorectal diseases can significantly reduce the pain and edema of the patients. It is of great significance to improve the patient's feelings during the daily life， especially the defecation.
Key words：Lubricating analgesic；A hip bath；Anorectal diseases；pain
作為临床最为常见的疾病大类，肛肠疾病主要包括环状混合痔、肛瘘及肛周脓肿等，临床常规以开放性手术治疗为主，但由于肛门及直肠等部位具有较为特殊的组织结构，且其生理功能较为复杂，导致术后患者恢复时间较长，并出现疼痛、水肿及感染等并发症，对患者术后生活质量具有严重影响[1]，常规采用熏洗坐浴疗法对患者相应症状进行干预，该方法通过将药剂煮沸，并通过热量对患者局部进行熏蒸及洗涤，以提高患者对药物成分的吸收程度，促进患者症状得到改善，但临床经验表明，该治疗方法作用时间较慢，患者术后生活质量仍不理想，为此，我院特配制优化润滑止痛剂以改善患者相应症状，为探究其效果，本次研究选取2015年1月1日至2017年12月31在我院进行肛肠疾病手术的160例患者进行对比研究，现报告如下。, 百拇医药(孟增红)