快速康复外科理念对混合痔手术患者术后并发症及心理状态的影响

目的:探讨快速康复外科理念对混合痔手术患者术后并发症及心理状态的影响。方法:60例行手术治疗的混合痔患者随机分为观察组和对照组,各30例。对照组采用传统方法治疗;观察组采用快速康复理念进行治疗。比较两组术中出血量、创面愈合时间、住院时间、住院费用、疼痛程度、术后并发症发生率、入院时及术前焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果:观察组术中出血量、术后疼痛VAS评分、创面愈合时间、住院时间、住院费用少于对照组,差异均有统计学意义(P<0.01)。观察组术后肛缘水肿和尿潴留发生率均低于对照组,差异有统计学意义(P<0.01)。两组术前SDS、SAS评分均低于入院时,差异有统计学意义(P<0.01),观察组术前SDS、SAS评分低于对照组,经差异有统计学意义(P<0.01)。结论:快速康复外科理念应用于混合痔围手术期患者中,并发症少,镇痛效果好,利于患者术后康复。

Influence of fast track surgery on postoperative complication and mental status of patients with mixed hemorrhoid surgery

Objective:To investigate the influence of fast track surgery (FTS)on postoperative complication and mental status of patients with mixed hemorrhoid surgery.Methods:A total of 60 patients with mixed hemorrhoid surgery were randomly divided into the observation group and the control group,with 30 cases in each group.The control group received conventional treatment and nursing care,and the observation group was given FTS-based interventions.The blood loss,wound healing time,length of stay,hospitalization cost,degree of pain and incidence of postoperative complication,the self-rating anxiety scale (SAS)on admission and preoperative and self-rating depression scale (SDS)score were compared between the two groups.Results:The observation group had less blood loss, lower VAS score of postoperative pain,shorter time in wound healing time and length of stay,and less hospitalization cost compared with the control group,the difference was statistically significant (P<0.01).The incidence of edema of anal edge and urinary retention in the observation group were lower than the control group,the difference was statistically significant(P<0.01 ).The SDS and SAS were lower before operation compared with those at admission (P<0.01),and were lower in the observation group than those in the control group,the difference was statistically significant(P<0.01 ).Conclusion:The application of FTS can reduce the risk of postoperative complication and improve the analgesic effect in the patients of mixed hemorrhoid,which is conducive to the rehabilitation of patients af-ter surgery.