中药熏洗结合护理干预对肛瘘患者术后疼痛及创面愈合的影响

目的探讨肛瘘患者实施中药熏洗结合护理干预的临床价值。方法选择2018年1-10月于某医院手术治疗的肛瘘患者88例,按随机数表法将分为2组,各44例。对照组实施常规护理干预,观察组在对照组基础上实施中药熏洗。对比分析2组患者术后疼痛情况及创面愈合情况。结果观察组患者术后7 d、11 d、15 d疼痛评分分别为(4.21±0.49)分、(1.93±0.43)分、(1.19±0.29)分,均低于对照组的(5.42±0.50)分、(4.57±0.49)分、(2.29±0.30)分;术后15 d创面面积为(8.26±0.24)cm^2,少于对照组的(11.29±0.83)cm^2;术后3 d、7 d创面渗液评分分别为(1.80±0.29)分、(1.53±0.42)分,均低于对照组的(1.98±0.23)分、(1.88±0.66)分,差异均有统计学意义(P<0.05)。结论中药熏洗结合护理干预可有效改善肛瘘患者术后疼痛情况,加速创面愈合,利于提高患者生活质量。

Effect of traditional Chinese medicine fumigation and washing combined with nursing intervention on postoperative pain and wound healing in patients with anal fistula

Objective To explore the clinical value of traditional Chinese medicine (TCM) fumigation and washing combined with nursing intervention in patients with anal fistula. Methods A total of 88 patients with anal fistula treated in a hospital from January to October 2018 were randomly divided into a control group, and a trial group with 44 cases in each group. The control group was treated with the routine nursing intervention, and the trial group was fumigated and washed with TCM on the basis of the control group. The postoperative pain and wound healing of two groups were investigated and compared. Results The pain scores of the patients in the trial group were (4.21±0.49), (1.93±0.43) and (1.19±0.29) on the 3rd, 7th and 15th day after the operation, which were lower than those in the control group (P<0.05). The wound area of the trial group was (8.26±0.24) cm2 at 15 days after the operation, which was less than that of the control group (P<0.05). The exudate scores of the wounds of the trial group on the 3rd and 7th day after the operation were (1.80±0.29) points and (1.53±0.42) points, which were lower than those of the control group (P<0.05). Conclusion The TCM fumigation and washing combined with nursing intervention can effectively improve the postoperative pain, accelerate wound healing and improve the quality of life of the patients with anal fistula.