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目的:观察艾灸联合耳穴埋豆防治混合痔行吻合器痔上黏膜环切术(PPH)后的临床护理效果。方法:选取80例行PPH治疗的混合痔患者作为研究对象,随机分为对照组和观察组各40例,对照组给予常规护理干预,观察组在对照组基础上给予艾灸联合耳穴埋豆治疗,比较2组患者临床护理满意度、腹胀发生率、术后相关指标等内容。结果:干预2个疗程后,观察组护理满意度为92.5%,明显高于对照组80%,差异有统计学意义(P<0.05);观察组的腹胀发生率为7.5%,明显低于对照组的20%,差异有统计学意义(P<0.05);观察组的肛门排气时间、腹胀持续时间、下床活动时间、胀痛评分均低于对照组,差异均有统计学意义(P<0.05)。结论:艾灸联合耳穴埋豆防治混合痔PPH术后腹胀效果确切,可显著降低腹胀发生率,值得在今后临床护理工作中推广使用。
Objective: To observe the effect of moxibustion combined with Auricular Burdock on the prevention and treatment of mixed hemorrhoid hemorrhoidopexy (PPH). Methods: Eighty patients with mixed hemorrhoids treated with PPH were randomly divided into control group and observation group of 40 cases. The control group was given routine nursing intervention. The observation group was given moxibustion combined with ear-burying bean in the control group The satisfaction of clinical nursing, the incidence of bloating and the related indexes after operation were compared between the two groups. Results: After 2 courses of intervention, the nursing satisfaction of the observation group was 92.5%, which was significantly higher than that of the control group (80%) (P <0.05). The incidence of bloating in the observation group was 7.5%, which was significantly lower than that of the control group (P <0.05). The anal exhaust time, duration of abdominal distension, ambulation time and pain score in the observation group were all lower than those in the control group (P <0.05), and the difference was statistically significant (P <0.05). Conclusion: Moxibustion combined with Auricular Buried Beans in preventing and treating mixed hemorrhoids PPH is effective in reducing abdominal distension. It can significantly reduce the incidence of bloating and is worth promoting in the future clinical nursing.