系统康复训练对肛瘘术后患者排便功能恢复的效果观察  

Effect observation of systematic rehabilitation training on recovery of defecation function of patients after anal fistula surgery

作　　者：纪惠荣 林晓玲 李娟 何丹 JI Hui-rong;LIN Xiao-ling;LI Juan(Xiamen Haicang Hospital,Xiamen 361000,China)

机构地区：[1]厦门市海沧医院,361000

出　　处：《中国现代药物应用》2023年第22期158-160,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察系统康复训练对肛瘘术后患者排便功能的影响。方法42例接受肛瘘切除术患者,以随机数字表法分为对照组和观察组,每组21例。术后,对照组患者接受常规干预,观察组患者在对照组基础上接受系统康复训练。对比两组患者的术后排便情况(首次排便时间、排便频率),干预前后疼痛程度,干预后排便功能(肛管最大收缩压、直肠静息压、肛管最长收缩时间、肛管静息压)。结果观察组首次排便时间(0.88±0.43)d短于对照组的(1.23±0.54)d,排便频率(6.11±0.87)次/周高于对照组的(4.02±0.62)次/周,差异具有统计学意义(P<0.05)。干预后,观察组视觉模拟评分法(VAS)评分(1.76±0.17)分低于对照组的(2.43±0.32)分,差异具有统计学意义(P<0.05)。干预后,观察组肛管最大收缩压(16.19±1.88)kPa、直肠静息压(2.85±0.38)kPa、肛管静息压(15.33±2.32)kPa高于对照组的(12.41±1.23)、(2.03±0.32)、(12.77±1.54)kPa,肛管最长收缩时间(38.87±3.65)s长于对照组的(31.92±3.19)s,差异具有统计学意义(P<0.05)。结论对肛瘘术后患者行系统康复训练可有效改善患者术后排便情况,减轻疼痛,促进患者排便功能的恢复,临床应用价值显著。Objective To observe the effect of systematic rehabilitation training on defecation function of patients after anal fistula surgery.Methods A total of 42 patients who underwent anal fistula resection were divided into a control group and an observation group according to the random numerical table,with 21 cases in each group.After surgery,patients in the control group received routine intervention,and patients in the observation group received systematic rehabilitation training based on the control group.Both groups were compared in terms of postoperative defecation conditions(time of first defecation,frequency of defecation),pain degree before and after intervention,and defecation function(anal maximal contraction pressure,rectal resting pressure,anal longest contraction time,anal resting pressure)after intervention.Results The time of first defecation of(0.88±0.43)d in the observation group was shorter than that of(1.23±0.54)d in the control group,and the frequency of defecation of(6.11±0.87)times/week was higher than that of(4.02±0.62)times/week in the control group.The differences were statistically significant(P<0.05).After the intervention,the visual analogue scale(VAS)score of(1.76±0.17)points in the observation group was lower than that of(2.43±0.32)points in the control group,and the difference was statistically significant(P<0.05).After intervention,the observation group had anal maximal contraction pressure of(16.19±1.88)kPa,rectal resting pressure of(2.85±0.38)kPa and anal resting pressure of(15.33±2.32)kPa,which were higher than those of(12.41±1.23),(2.03±0.32)and(12.77±1.54)kPa in the control group;the anal longest contraction time of(38.87±3.65)s in the observation group was longer than that of(31.92±3.19)s in the control group;the difference was statistically significant(P<0.05).Conclusion Systematic rehabilitation training has significant clinical application value for patients after anal fistula surgery,which can effectively improve their postoperative defecation,relieve pain,and p

关 键 词：系统康复训练 肛瘘术后 排便功能 效果 

分 类 号：R473.6[医药卫生—护理学]