吻合器痔上黏膜环切术围手术期的护理

目的总结吻合器痔上黏膜环切术（procedureforprolapseandhemorrhoids，PPH）围术期的护理体会。方法对15例重度痔疮患者行PPH的围术期护理情况进行回顾性分析，护理要点包括：术前进行针对性心理护理、肠道准备；术后做好饮食、排便肛门护理以及术后并发症的护理；认真详细地做好出院指导。结果15例患者痔块完全回缩，其中有7例注射止痛；1例出现术后轻微便血，1例术后大出血，再次探查缝合止血；有7例回病房即留置导尿，4例5h左右小便未解留置导尿，24h后拔除尿管均自行排尿。结论PPH是一种安全、有效、术后疼痛少、住院时间短、恢复快的手术，同时重视围术期的护理对增加患者手术信心、提高患者舒适度、减少并发症的发生有重要作用。

Perioperative Care of Procedure for Prolapse and Hemorrhoids

Objective To summarize the perioperative care of the procedure for prolapse and hemorrhoids（PPH）. Methods The perioperative care of 15 cases with severe hemorrhoids undergoing PPH was analyzed retrospectively. The nursing cares in- cluded： preoperative psychological nursing, bowel preparation, postoperative eating guidance, defecation and anus nursing, and nursing care for postoperative complications, careful discharge guidance. Results The prolapsed hemorrhoid of 15 cases recov- ered completely. There were 7 cases needed analgesia by injection analgesic, 1 case with postoperative mild hematochezia, 1 case postoperative hemorrhea and was cured by the secondary detection and suture. The urethral catheterization was performed in 7 cases at the time back to the wards, and in 4 cases at 5h after the operation. After 24 h, the indwelling catheters were extracted in all cases, and they can all self-maturate. Conclusion PPPH is a safe and effective method with less postoperative pain, short in-hos- pital time and quick recovery. The perioperatlve nursing cares can improve the confidence of patients,increase their comfort level and decrease complications.