吴茱萸热奄包联合会阴区挤压在经腹腹膜前腹股沟疝修补术后康复中的应用价值分析  

Analysis of the application value of Wuzhuju Reyanbao therapy combined with perineal compression in the rehabilitation after transabdominal preperitoneal herniorrhaphy

作　　者：游妹妹 李媛 YOU Mei-mei;LI Yuan(Surgery Department,Luoyuan County Traditional Chinese Medicine Hospital,Fuzhou 350600,China)

机构地区：[1]福建省罗源县中医院外科,350600 [2]福建中医药大学附属康复医院综合病区,350000

出　　处：《中国现代药物应用》2024年第23期131-134,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨吴茱萸热奄包联合会阴区挤压在经腹腹膜前腹股沟疝修补术(TAPP)后康复中的应用价值。方法110例行TAPP治疗的患者,通过红蓝双色球法分为传统组和联合组,各55例。传统组给予术后常规护理干预,联合组在传统组基础上加用吴茱萸热奄包联合会阴区挤压干预。比较两组术后康复情况、并发症发生情况、护理满意度及干预前后的生活质量。结果联合组术后首次排气时间、首次进食时间、下床活动时间、住院时间分别为(5.76±1.53)h、(7.38±1.86)h、(6.57±1.69)h、(5.31±0.64)d,均短于传统组的(8.31±2.06)h、(10.21±2.26)h、(9.33±2.11)h、(6.86±1.37)d,视觉模拟评分法(VAS)评分为(2.31±0.43)分低于传统组的(2.86±0.56)分(P<0.05)。相比于传统组(20.00%),联合组的并发症发生率(3.64%)更低(P<0.05)。干预后,两组生理机能、躯体疼痛、精力评分均较干预前有所提升,且联合组提升幅度更大(P<0.05)。相比于传统组(83.64%),联合组的护理总满意率(98.18%)更高(P<0.05)。结论在行TAPP治疗的患者康复中应用吴茱萸热奄包联合会阴区挤压干预,能显著改善患者术后康复情况和生活质量,降低并发症发生率,提升护理满意度。Objective To explore the application value of Wuzhuju Reyanbao therapy combined with perineal compression in the rehabilitation after transabdominal preperitoneal herniorrhaphy(TAPP).Methods 110 patients treated with TAPP were divided into traditional group and combined group by red and blue ball method,each with 55 cases.The traditional group was given conventional nursing intervention after surgery,and the combined group was given Wuzhuju Reyanbao therapy combined with perineal compression on the basis of the traditional group.The postoperative rehabilitation,complications,nursing satisfaction and quality of life before and after intervention were compared between the two groups.Results In the combined group,the postoperative first exhaust time,the first eating time,the ambulation time and the length of hospital stay were(5.76±1.53)h,(7.38±1.86)h,(6.57±1.69)h and(5.31±0.64)d,which were shorter than(8.31±2.06)h,(10.21±2.26)h,(9.33±2.11)h and(6.86±1.37)d in the traditional group;the visual analogue scale(VAS)score of(2.31±0.43)points in the combined group was lower than(2.86±0.56)points in the traditional group(P<0.05).Compared with the traditional group(20.00%),the complication rate in the combined group(3.64%)was lower(P<0.05).After intervention,the scores of physiological function,bodily pain and energy of the two groups were improved compared with those before intervention,and the improvement was greater in the combined group(P<0.05).Compared with the traditional group(83.64%),the total satisfaction rate of nursing in the combined group(98.18%)was higher(P<0.05).Conclusion In the rehabilitation of patients treated with TAPP,the application of Wuzhuju Reyanbao therapy combined with perineal compression can significantly improve the postoperative rehabilitation and quality of life of patients,reduce the incidence of complications,and enhance nursing satisfaction.

关 键 词：吴茱萸热奄包 会阴区挤压 经腹腹膜前腹股沟疝修补术 康复情况 

分 类 号：R473.6[医药卫生—护理学]