中西医结合护理在肛瘘术后疼痛程度及便秘预防中的应用效果

目的 研究中西医结合护理对肛瘘术后伤口愈合、便秘预防、疼痛程度的作用。方法 选取2015年6月至2018年6月安康市中心医院收治的100例肛瘘切除术后患者为对象，采用随机数字法将其分为对照组和观察组，每组50例。对照组给予常规西医护理，观察组给予中西医结合护理，比较两组术后恢复情况、VAS评分、预防便秘效果及并发症发生率。结果 干预后观察组创面愈合时间、红肿消退时间、脓性分泌物消失时间、便血时间及住院时间均短于对照组（P<0.05）；观察组术后6 h、12 h、24 h、48 h及72 h的VAS评分均显著低于对照组（P<0.05）；干预后观察组预防便秘有效率为92.0%，显著高于对照组的76.0%（P<0.05）；观察组并发症总发生率为8.0%，显著低于对照组的24.0%（P<0.05）。结论 中西医结合护理不仅能够促进肛瘘术后伤口愈合，还可预防便秘，缓解疼痛程度，减少并发症发生率。

Application Effects of Integrated Traditional Chinese and Western Medicine Nursing on Pain Degree and Constipation Prevention after Anal Fistula Operation

Objective To study the effects of integrated traditional Chinese and western medicine nursing on wound healing, constipation prevention and pain degree after anal fistula operation. Methods A total of 100 patients with anal fistula after operation admitted in Ankang Central Hospital from June 2015 to June 2018 were selected as subjects, and they were randomly divided into a control group (n=50) and an observation group (n=50) by random number method. The control group was given routine western medicine nursing, while the observation group was given integrated traditional Chinese and western medicine nursing. Recovery situation, VAS score, efficacy of preventing constipation and incidence of complication were compared between the 2 groups after the operation. Results After the intervention, the wound healing time, swelling subsidence time, purulent secretion disappearance time, hematochezia time and hospitalization time in the observation group were shorter than those in the control group (P<0.05); the VAS scores in the observation group at 6 h, 12 h, 24 h, 48 h and 72 h after the operation were significantly lower than those in the control group (P<0.05); after the intervention, the effective rate of constipation prevention in the observation group was 92.0%, which was significantly higher than 76.0% in the control group (P<0.05); the total incidence of complication in the observation group was 8.0%, which was significantly lower than 24.0% in the control group (P<0.05), Conclusion Integrated traditional Chinese and western medicine nursing can not only promote wound healing after anal fistula operation, but also prevent constipation, relieve pain and reduce the incidence of complication.