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Application effect of specialized pain intervention in patients with perianal abscess surgery |
LIU Liping1 XU Xiangjun1 KONG Zhenzhi2 QI Ru1 GAO Lin1 |
1.Department of Anorectal Surgery, Affiliated Hospital of Jining Medical College, Shandong Province, Jining 272000, China;
2.Department of Gastrointestinal Oncology, Affiliated Hospital of Jining Medical College, Shandong Province, Jining 272000, China |
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Abstract Objective To explore the application effect of specialized pain intervention in patients with perianal abscess surgery. Methods A total of 100 patients with perianal abscess who received one-time radical surgery in Affiliated Hospital of Jining Medical College from August 2021 to February 2022 were selected. They were divided into control group and observation group, with 50 cases in each group by random number table method. The control group received routine nursing, and the observation group received specialized pain intervention on the basis of routine nursing. The degree of postoperative pain, complications, wound healing, and recovery time of the two groups were observed. Results The comparison of visual analog scale (VAS) scores at each postoperative time point between the two groups, the differences was statistically significant (P<0.05), and the VAS scores at each postoperative time point in the observation group were lower than those in the control group, the differences was statistically significant (P<0.05); the total incidence of postoperative urinary retention, constipation, anal pain, and other complications in the observation group was lower than that in the control group, the differences were statistically significant (P<0.05); the wound healing scores of the two groups at each postoperative time point, the differences was statistically significant (P<0.05), and the wound healing scores of the observation group were lower than those of the control group at each postoperative time point, the differences were statistically significant (P<0.05). The mean time of wound healing and hospitalization in the observation group was shorter than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Specialized pain intervention strategy applied in the surgical treatment of perianal abscess patients can help patients better relieve the degree of postoperative pain, reduce postoperative complications, promote postoperative wound healing faster, and effectively shorten the postoperative rehabilitation time of patients.
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[1] 马剑海.生肌膏换药、祛毒汤熏洗配合中药汤剂内服治疗肛周脓肿术后伤口愈合的效果观察[J].中国医药科学,2021,11(5):11-14.
[2] 张文星,王荣,牟永旭.基于数据挖掘分析中药熏洗治疗肛周脓肿术后疼痛用药规律[J].中国医院药学杂志,2021, 41(3):299-302.
[3] 李青,宋金忠,李华,等.马应龙麝香痔疮膏对肛周脓肿患者术后创面愈合的影响[J].中成药,2019,41(10):2547-2549.
[4] 汤灵娇,何羽,姚齐贤.复方黄柏液对肛周脓肿术后创面愈合的临床研究[J].中国临床药理学杂志,2021,37(6):668-670.
[5] 孙松朋,任东林,张书信,等.疫情期间常见肛肠疾病处理专家建议[J].中国全科医学,2020,23(30):3767-3774.
[6] 郭震华,那彦群.实用泌尿外科学[M].北京:人民卫生出版社,2013:267-267.
[7] 韩林,孙登群.肛周脓肿诊治的相关临床进展[J].中外医学研究,2020,18(32):180-182.
[8] 严广斌.视觉模拟评分法[J].中华关节外科杂志(电子版),2014,8(2):273.
[9] 兰明银.普通外科手术并发症防治学[M].武汉:华中科技大学出版社,2010:358-359.
[10] 许玲华,江晓梅,鲍素敏,等.细菌纤维素敷料制备及对手术伤口的促愈合作用[J].中国组织工程研究,2018, 22(26):4150-4155.
[11] 吉哲,羌艳.清热祛毒方熏洗促进肛周脓肿一次性根治术后创面愈合临床研究[J].中国中医药信息杂志,2019, 26(6):28-32.
[12] 何隆甫,向德志,温月花,等.多切口开窗旷置引流术治疗复杂性肛周脓肿的价值[J].中国医药科学,2019,9(17):224-226.
[13] 张俊峰,蔡莹莹,郑可欣,等.术后急性疼痛患者自控镇痛管理相关指南的系统评价[J].中华护理杂志,2021, 56(12):1868-1875.
[14] 申乐,黄宇光.术后疼痛管理的发展与变革[J].中国科学:生命科学,2021,51(8):957-962.
[15] 朱红云.大切口负压引流加冲洗联合围术期护理治疗肛周脓肿的临床效果[J].中国全科医学,2019,22(S1):231-234.
[16] 胡银瑶,胡响当,彭天书,等.引流扩创术联合复方芩柏颗粒剂坐浴对艾滋病合并肛周脓肿患者的疗效观察[J].中国艾滋病性病,2021,27(7):748-750.
[17] 吴巍巍,刘淑梅,贺婷婷,等.虚拟现实技术在烧伤疼痛干预中的研究进展[J].中华烧伤杂志,2020,36(7):620-622.
[18] 杨雪蓝,张咏梅,彭峥嵘,等.扁桃体手术病人疼痛干预措施的最佳证据总结[J].护理研究,2021,35(23):4157-4162.
[19] 赵珊,韩叶芬,李砺,等.芳香疗法对病人疼痛干预作用的研究进展[J].护理研究,2019,33(21):3702-3705.
[20] 朱海新.疼痛护理对提高重症癌症患者生活质量的探讨[J].中华肿瘤防治杂志,2018,25(S1):293-294.
[21] 余小燕,刘于,黄毅.小丑照护对患儿焦虑疼痛干预效果的meta分析[J].护理学报,2022,29(4):21-26.
[22] 魏建梅,王志剑,夏梅,等.系统化疼痛护理管理模式在临床疼痛护理实践中的应用[J].中国疼痛医学杂志,2019, 25(7):531-536.
[23] 刘颖,宁宁.正念干预在慢性疼痛护理中的应用进展[J].护理研究,2019,33(15):2647-2650.
[24] 葛爱萍.疼痛护理干预对减轻骨肿瘤手术术后疼痛感及提高患者术后锻炼依从性的研究[J].中华肿瘤防治杂志,2020,27(S1):275-277.
[25] 庞冉,赵蕊,吴筱筱,等.主动脉夹层病人疼痛护理研究进展[J].护理研究,2019,33(7):1183-1186.
[26] 孙风展,黄辉,马晓军,等.股神经阻滞在膝关节手术后镇痛中的应用进展[J].疑难病杂志,2020,19(12):1284-1287.
[27] 陈礼平,文小军,陈胜贤,等.高位十字切扎术对环状混合痔患者术后疼痛和恢复的影响[J].中国医药科学,2021, 11(18):179-182. |
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