肛门周围脓肿患者术后疼痛管理程序的应用效果观察  

Observation on the Application Effect of Postoperative Pain Management Program in Patients With Perianal Abscess

作　　者：李灵枫 陈娜[1] LI Lingfeng;CHEN Na(Department of Anorectal,Fujian University of Traditional Chinese Medicine Affiliated People's Hospital,Fuzhou Fujian 350004,China)

机构地区：[1]福建中医药大学附属人民医院肛肠科,福建福州350004

出　　处：《中国卫生标准管理》2023年第16期184-188,共5页China Health Standard Management

摘　　要：目的分析术后疼痛管理程序的应用对肛门周围脓肿患者的效果。方法本研究纳入2021年1月—2022年12月福建中医药大学附属人民医院收治的100例肛门周围脓肿术后患者为研究对象,根据患者入院顺序分为对照组和干预组,每组50例。对照组进行常规疼痛管理,干预组在该基础上制订疼痛管理的标准操作规程(standard operating procedure,SOP),并按此实施。采用视觉模拟评分法(visual analogue scale,VAS)比较术后第2天第1次换药时疼痛程度,使用休斯顿疼痛情况调查表(Houston pain outcome instrument,HPOI)评估术后疼痛管理和对其控制的满意度。同时评价患者恢复效果及并发症的相关差异。结果两组换药前VAS评分以及术后0 d水肿评分差异无统计学意义(P>0.05)。在换药过程中,干预组换药开始后5、10、15和20 min测量点的疼痛强度与观察者相比均显著减轻,且术后3、5、7 d的水肿评分均优于对照组,干预组术后HPOI的3个项目评分、伤口愈合时间及住院时间均优于对照组,且并发症发生率更低(P<0.05)。结论SOP可以作为一种有效的疼痛控制工具用于肛周脓肿患者的术后疼痛管理。Objective To analyse the outcome of the application of postoperative pain management program on patients with perianal abscess.Methods This study included 100 patients with perianal abscess treated in the Fujian University of Traditional Chinese Medicine Affiliated People's Hospital from January 2021 to December 2022.According to the order of patient admission,they were divided into control group and intervention group,with 50 subjects in each group.The control group received general pain management care,and the intervention group developed a standard operating procedure(SOP)for pain management based on this and implemented it accordingly.The visual analogue scale(VAS)scale was applied to compare the pain degree during the first dressing change on the second day after surgery,and the Houston pain outcome instrument(HPOI)was used to assess postoperative pain management and satisfaction.Simultaneously evaluate the patient's recovery outcome and related complications.Results No apparent discrepancy in VAS score and edema score in 0 days after surgery between them before dressing change was existed(P>0.05).In the period of dressing change process,the pain degree at the measurement points 5,10,15,and 20 minutes after the start of dressing change in the intervention group was clearly reduced compared to the anothers,edema scores at 3,5,and 7 days after surgery were better than control group.The HPOI scores,time of wound healing,and hospital stay of the intervention group were all better than anothers.Besides,the incidence of complications was lower(P<0.05).Conclusion SOP can serve as an effective pain control tool for postoperative pain management in patients undergoing perianal abscess surgery.

关 键 词：肛门周围脓肿 疼痛管理 标准操作规程 疼痛程度 恢复指标 并发症 

分 类 号：R473[医药卫生—护理学]