坐便式智能熏洗机在肛门术后肛门水肿患者中的应用效果  

Effects of toilet-type smart fumigator on patients with anal edema after anal surgery

作　　者：郭秀君[1] 刘园园[1] 吴琼[1] 朱晓烨 李状双 Guo Xiujun;Liu Yuanyuan;Wu Qiong;Zhu Xiaoye;Li Zhuangshuang(Department of Nursing,Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210000,China;Department of Proctology,Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210000,China;School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210000,China)

机构地区：[1]南京中医药大学附属南京中医院护理部,210000 [2]南京中医药大学附属南京中医院肛肠科,210000 [3]南京中医药大学护理学院,210000

出　　处：《中华现代护理杂志》2020年第20期2800-2803,共4页Chinese Journal of Modern Nursing

基　　金：南京市中医药转化医学项目(ZHCX201804)。

摘　　要：目的探讨坐便式智能熏洗机在肛门术后肛门水肿患者中的应用效果。方法采用便利抽样法,选取2019年4—7月于南京中医药大学附属南京中医院肛肠科进行手术治疗后出现肛门水肿的70例患者为研究对象,将其随机分为观察组和对照组,每组各35例。观察组患者利用坐便式智能熏洗机进行中药熏洗,对照组患者则采用普通坐浴盆进行中药熏洗。在中药熏洗后,两组患者均常规行微波治疗。比较两组患者的疗效、疼痛评分、肛周肿胀程度评分、患者舒适度评分情况。结果干预后,观察组治疗总有效率97.1%(34/35),高于对照组的74.3%(26/35),两组比较差异有统计学意义(P<0.05);干预后,观察组患者VAS评分(2.03±0.86)分,低于对照组患者的(2.46±0.85)分,两组得分比较差异有统计学意义(P<0.05);干预后,观察组患者肛周肿胀程度评分(0.29±0.46)分,低于对照组的(0.57±0.50)分,两组评分比较差异有统计学意义(P<0.05);干预后,观察组舒适度评分(1.94±0.54)分,低于对照组的(2.26±0.56)分,两组得分比较差异有统计学意义(P<0.05)。结论采用坐便式智能熏洗机进行中药熏洗对肛门术后肛门水肿患者的治疗效果优于普通坐浴盆,可有效缓解患者的疼痛、水肿情况,延长患者舒适持续时间,改善预后。Objective To explore the effects of toilet-type smart fumigator on patients with anal edema after anal surgery.Methods To tally 70 patients with anal edema after anal surgery in the Department of Proctology at Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine between April and July 2019 were selected by convenient sampling,and randomly divided into an observation group and a control group,with 35 patients in each group.Patients in the observation group received Traditional Chinese Medicine(TCM)fumigation with a toilet-type smart fumigator,while patients in the control group received TCM fumigation with an ordinary bidet.After TCM fumigation,both groups were routinely treated with microwave.The efficacy,VAS score,perianal swelling score,and patient comfort score of the two groups were compared.Results After intervention,the total effective rate of treatment in the observation group was 97.1%(34/35),higher than that 74.3%(26/35)in the control group,and the difference between the two groups was statistically significant(P<0.05);the VAS score of the observation group was(2.03±0.86),lower than that(2.46±0.85)of the control group,and the difference between the two groups was statistically significant(P<0.05);the perianal swelling score of the observation group was(0.29±0.46),lower than that(0.57±0.50)in the control group,and the difference between the two groups was statistically significant(P<0.05);the comfort score of the observation group was(1.94±0.54),lower than that(2.26±0.56)in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusions The effect of the toilet-type smart fumigator for TCM fumigation on patients with anal edema after anal surgery is better than the ordinary bidet,which can effectively relieve the patient's pain and edema,extend their comfort,and improve their prognosis.

关 键 词：痔疮 肛门水肿 中药熏洗 

分 类 号：R248.2[医药卫生—中医临床基础]