生大黄粉穴位敷贴干预混合痔术后便秘患者的护理效果分析

目的　观察评价分析生大黄粉穴位敷贴治疗混合痔术后便秘患者的临床效果。方法　选择2020年12月至2021年5月期间广东医科大学附属东莞第一医院结直肠外科收治行混合痔手术治疗且术后伴有便秘的患者66例，按治疗方法分为两组。对照组33例中男15例、女18例，年龄（45.27±3.26）岁，给予常规干预方法；观察组33例中男14例、女19例，年龄（45.89±3.42）岁，在对照组基础上给予生大黄粉穴位敷贴。比较两组干预后的临床效果。统计学方法采用独立样本t检验、χ²检验。结果　两组干预7 d后，观察组总有效率为93.93%（31/33），显著高于对照组的75.76%（25/33），差异有统计学意义（χ²=4.243，P=0.039）；观察组首次排便时间、排便持续时间及排便间隔时间均显著短于对照组（t=6.204、5.418、5.109，均P<0.001）；观察组排便重度疼痛比例明显低于对照组［6.06%（2/33）比24.24%（8/33）］，差异有统计学意义（χ²=4.243，P=0.039）。结论　运用生大黄粉穴位敷贴治疗混合痔术后便秘患者疗效肯定，可以有效地在术后尽快实现自主排便的功能，显著地缩短首次排便时间、排便持续时间及排便间隔时间，防止便秘的发生，安全性高，值得临床大力推广应用。

Nursing effect of acupoint application with raw rhubarb powder for patients with constipation after mixed hemorrhoid surgery

Objective　To observe, evaluate, and analyze the clinical effect of acupoint application with raw rhubarb powder in the treatment of patients with constipation after mixed hemorrhoid surgery. Methods　From December 2020 to May 2021, 66 patients with constipation after mixed hemorrhoid surgery in Department of Colorectal Surgery, Dongguan First Hospital Affiliated to Guangdong Medical University were selected and were divided into two groups according to the treatment methods. In the control group, there were 15 males and 18 females, aged (45.27±3.26) years, and they were given conventional intervention; in the observation group, there were 14 males and 19 females, aged (45.89±3.42) years, and they were given acupoint application with raw rhubarb powder on the basis of the control group. The clinical effects of the two groups after the intervention were compared. Independent sample t test and χ² test were used. Results　After 7 days of intervention, the total effective rate of the observation group was 93.93% (31/33), which was significantly higher than 75.76% (25/33) of the control group, with a statistically significant difference (χ²=4.243, P=0.039). The time of first defecation, duration of defecation, and interval of defecation in the observation group were significantly shorter than those in the control group (t=6.204, 5.418, and 5.109; all P<0.001). The proportion of severe defecation pain in the observation group was significantly lower than that in the control group 6.06% (2/33) vs. 24.24% (8/33)], with a statistically significant difference (χ²=4.243, P=0.039). Conclusions　Acupoint application with raw rhubarb powder has positive effect in the treatment of patients with constipation after mixed hemorrhoid surgery, which can effectively achieve the function of spontaneous defecation as soon as possible after surgery, significantly shorten the time of first defecation, duration of defecation, and interval of defecation, and prevent the occurrence of constipation, has high safety, and is worthy of vigorous clinical promotion and application.