小儿肛周脓肿切开引流术的护理效果分析  

Analysis of the Nursing Effect of Pediatric Perianal Abscess Incision and Drainage

作　　者：顾国英[1] GU Guo-ying(Department of Surgery,Children＇s Hospital of Suzhou University,Suzhou,Jiangsu Province,215003 China)

机构地区：[1]苏州大学附属儿童医院外科门诊,江苏苏州215003

出　　处：《中外医疗》2018年第21期126-128,共3页China & Foreign Medical Treatment

摘　　要：目的探究小儿肛周脓肿切开引流术的护理措施及效果。方法使用随机数字表法将方便选取的2014年3月—2016年12月该院89例行切开引流术肛周脓肿患儿分为实验组(45例,应用预见性护理)、对照组(44例,应用常规护理)。均随访1年,研究对比实验组和常规组患儿的创面愈合时间、并发症发生率、疼痛评分、复发率及患儿家属满意度评分。结果实验组患儿创面愈合时间(10.12±0.61)d相比对照组(15.32±1.32)d明显更短(t=23.942 8,P<0.05),且患儿家属满意度评分(89.24±3.23)分相比对照组(81.30±2.61)分明显更高(t=12.738 5,P<0.05);实验组患儿的并发症发生率(6.67%)、复发率(0.00%)相比对照组(25.00%、13.64%)明显更低(χ2=5.640 9、6.580 0,P<0.05);实验组患儿术后1 d疼痛评分(5.24±0.32)分、术后3 d疼痛评分(3.25±0.65)分相比对照组明显更低(t=21.477 6、15.545 1,P<0.05)。结论对行切开引流术肛周脓肿患儿实施预见性护理的效果更佳。Objective To explore the nursing measures and effects of pediatric perianal abscess incision and drainage.Methods From March 2014 to December 2016, 89 cases of perianal abscesses in the hospital were convenient selected and divided into experimental group（45 cases with predictive care） and control group（44 cases with routine care）. All patients were followed up for one year to study the wound healing time, complication rate, pain score, recurrence rate, and children＇s family satisfaction scores of the experimental group and the conventional group. Results The wound healing time（10.12 ±0.61）d in the experimental group was significantly shorter than that in the control group（15.32±1.32）d（t=23.942 8, P〈0.05）,and the degree of satisfaction of the children＇s family members（89.24±3.23）points were significantly higher than the control group（81.30±2.61）points（t=12.738 5, P〈0.05）; the incidence of complications in the experimental group（6.67%）, recurrence rate（0.00%）, compared with the control group（25.00%, 13.64%） was significantly lower（χ^2=5.640 9, 6.580 0, P〈0.05）; 1 d postoperative pain score in the experimental group（5.24±0.32）points, 3 d postoperative pain score（3.25±0.65）points was significantly lower than the control group（t=21.477 6, 15.545 1, P〈0.05）. Conclusion Preoperative care for children with perianal abscess undergoing incision and drainage is better.

关 键 词：小儿肛周脓肿 切开引流术 护理 

分 类 号：R4[医药卫生—临床医学]