六合丹联合聚维酮碘稀释液坐浴在血液恶性肿瘤患者肛周感染护理中的效果评价  

Effect evaluation of Liuhe Pills combined with sitz bath in povidone iodine diluent for nursing of perianal infection in patients with hematologic malignancy

作　　者：周莉 罗玉勤 李孟璇 ZHOU Li;LUO Yuqin;LI Mengxuan(Department of Hematology,West China Hospital of Sichuan University,West China School of Nursing of Sichuan University,Chengdu,Sichuan,610041)

机构地区：[1]四川大学华西医院血液内科/四川大学华西护理学院,四川成都610041

出　　处：《实用临床医药杂志》2024年第1期103-107,共5页Journal of Clinical Medicine in Practice

基　　金：四川省成都市四川大学华西护理学科发展专项基金项目(HXHL20034)。

摘　　要：目的观察六合丹湿敷联合聚维酮碘稀释液坐浴在血液恶性肿瘤患者肛周感染护理中的应用效果。方法选择2020年1月—2022年12月在血液内科住院的180例血液恶性肿瘤合并肛周感染患者为研究对象。根据入院的先后顺序,将患者分为对照组(n=90)和试验组(n=90)。对照组在常规肛周清洁护理的基础上进行1∶200聚维酮碘稀释液坐浴,试验组在对照组的基础上给予六合丹外敷。比较2组患者临床疗效、肛周疼痛评分、肛周不良反应。结果试验组治疗总有效率为95.56%,高于对照组的83.33%,差异有统计学意义(P<0.01)。2组患者干预后2、3、7、14 d的肛周疼痛评分比较,差异有统计学意义(P<0.05或P<0.01)。2组患者均未出现严重不良反应;对照组不良反应发生率为14.44%,试验组不良反应发生率为16.67%,2组差异无统计学意义(P>0.05)。结论六合丹联合聚维酮碘稀释液坐浴在血液恶性肿瘤患者肛周感染护理中应用效果显著,可缓解疼痛,促进康复。Objective To observe the effect of Liuhe Pills combined with sitz bath in povidone iodine diluent for nursing of perianal infection in patients with hematologic malignancy.Methods A total of 180 hematologic malignancy patients complicated with perianal infection in the Department of Hematology from January 2020 to December 2022 were selected as research objects.According to the order of hospital admission,they were divided into control group(n=90)and experimental group(n=90).The control group was treated with sitz bath in 1∶200 povidone iodine diluent on the basis of routine perianal cleaning care,while the experimental group was treated with external application of Liuhe Pills on the basis of the control group.The clinical efficacy,perianal pain score and perianal adverse reactions were compared between the two groups.Results After intervention,the total effective rate of the experimental group was 95.56%,which was significantly higher than 83.33% of the control group(P<0.01).There were significant differences in perianal pain scores between two groups at 2,3,7 and 14 days after intervention(P<0.05 or P<0.01).Patients in both groups did not have serious adverse reactions;the incidence of adverse reactions was 14.44% in the control group,which showed no significant difference when compared to 16.67% in the experimental group(P>0.05).Conclusion Application of Liuhe Pills combined with sitz bath in povidone iodine diluent is effective in the nursing of perianal infection in patients with hematologic malignancy,which can alleviate the pain and promote the recovery.

关 键 词：血液恶性肿瘤 肛周感染 六合丹 聚维酮碘稀释液 疼痛评分 

分 类 号：R275[医药卫生—中医皮科] R473[医药卫生—中医学] R632.5