Evaluation of the effect of comprehensive nursing of traditional Chinese medicine on pain and urinary retention in patients with anal fistula after operation
中医综合护理对肛瘘术后患者疼痛及尿潴留的影响评价

摘要

目的 探讨行手术治疗的肛瘘患者术后使用中医综合护理干预对其疼痛和尿潴留的影响。方法 纳入2023年1月~2024年2月内我院行手术治疗的肛瘘患者76例，使用序号排列法分为对照组（常规术后护理）和观察组（加用中医综合护理）各38例，对比两组术后疼痛情况和尿潴留等排尿困难情况。结果 观察组患者术后各时段疼痛评分（术后6h、12h、24h、48h）均低于对照组，且术后尿潴留等排尿困难情况（导尿、尿潴留、尿路刺激征）发生率显著低于对照组，组间差异均有统计学意义（P＜0.05）。结论 临床对肛瘘术后患者实施护理时使用中医综合护理干预能够显著改善患者术后疼痛，减少术后尿潴留等排尿困难情况的发生，从而促进患者康复进程加快，具有临床应用价值。

Abstract

Objective To explore the effect of postoperative comprehensive nursing intervention of traditional Chinese medicine on pain and urinary retention of anal fistula patients undergoing surgery.
Methods Totally 76 patients with anal fistula who were operated in our hospital from January 2023 to February 2024 were included. They were divided into the control group (routine postoperative nursing) and the observation group (combined with traditional Chinese medicine comprehensive nursing) using the serial number arrangement method, with 38 cases in each group. The postoperative pain and dysuria such as urinary retention were compared between the two groups.
Results The pain scores (6h, 12h, 24h, 48h) of the patients in the observation group were lower than those in the control group at various time points after surgery, and the incidence of postoperative urinary retention and other dysuria (catheterization, urinary retention, urinary tract irritation) was significantly lower than that in the control group, with significant differences between the groups (P<0.05).
Conclusion   The comprehensive nursing intervention of traditional Chinese medicine can significantly improve the postoperative pain of patients with anal fistula, reduce the occurrence of dysuria such as postoperative urinary retention, and accelerate the rehabilitation process of patients. It has clinical application value.