醋酸氯己定痔疮栓联合全程护理干预治疗痔疮出血临床疗效

Clinical Effect of Chlorhexidine Acetate Hemorrhoid Suppository Combined with Whole Course Nursing Intervention on Hemorrhoid Bleeding

摘要: 目的：探讨醋酸氯己定痔疮栓联合全程护理干预治疗痔疮出血的临床疗效，及其对痔疮患者生活质量的影响。方法：本研究采用随机抽样法选取2024年6月至2024年12月在吴起县人民医院普外科门诊和安塞区中医医院外科门诊就诊的痔疮患者，作为研究对象。根据患者病情及治疗需要，按照就诊奇偶数次序，将需要药物治疗的患者分为2组，奇数为对照组，偶数为观察者，严格按照医嘱治疗7天后，门诊复诊与随访。本研究采用SPSS 23.0软件统计分析，计数资料组间比较采用χ²检验；计量资料组间比较采用t检验或非参数检验；以P < 0.05为差异具有统计学意义。结果：本研究共纳入80例痔疮患者，对照组与观察组各40例，两组患者在不同人口学资料和疾病相关资料上的差异性分析无统计学意义(P > 0.05)，两组患者具有可比性。观察组与对照组两组患者在治疗与护理后疼痛评分、肛门坠胀感评分均低于治疗前，差异具有统计学意义(P < 0.05)，但是两组患者在治疗与护理后疼痛评分、肛门坠胀感评分无显著差异(P > 0.05)；两组痔疮患者治疗与护理后，治疗组患者痔疮出血疗效总有效率为90.0%，对照组为72.5%，两组比较有显著性差异(P < 0.05)；两组患者干预前生活质量四个维度比较差异无统计学意义，干预后两组患者躯体功能维度评分提高，差异有统计学意义(P < 0.05)，且观察组高于对照组。结论：全程优化护理干预是一种综合性护理方案，涉及痔疮患者整个治疗过程，该护理干预模式充分贯彻全程以患者为中心的护理督导，注重患者执行情况及全程督导健康教育，醋酸氯己定痔疮栓在治疗混合痔上具有较好的有效性和安全性，醋酸氯己定痔疮栓联合全程护理干预治疗痔疮出血更利于提高临床治疗与护理干预效果，改善预后。

Abstract: Objective: To investigate the clinical effect of chlorhexidine acetate hemorrhoid suppository combined with full nursing intervention in the treatment of hemorrhoid bleeding and its influence on the quality of life of hemorrhoid patients. Methods: Random sampling method was used to select hemorrhoids patients in the general surgery outpatient department of Wuqi County People’s Hospital and the surgery outpatient department of Ansai District Hospital of Traditional Chinese Medicine from June 2024 to December 2024 as the research objects. According to the patients’ condition and treatment needs, the patients in need of drug treatment were divided into 2 groups according to the odd and even order of treatment, with an odd number as the control group and an even number as the observer. After 7 days of treatment in strict accordance with the doctor’s advice, the outpatient clinic was revisited and followed up. In this study, SPSS 23.0 software was used for statistical analysis, and comparison among data groups was conducted by χ² test. t test or non-parametric test were used for comparison between measurement data groups. P < 0.05 was considered to be statistically significant. Result: A total of 80 patients with hemorrhoids were included in this study, with 40 patients in each control group and observation group. There was no statistical significance in the analysis of different demographic data and disease-related data between the two groups (P > 0.05), indicating that patients in the two groups were comparable. After treatment and nursing, the pain score and anal pendant distension score in observation group and control group were lower than before treatment, the differences were statistically significant (P < 0.05), but there were no significant differences in pain score and anal pendant distension score between the two groups (P > 0.05). After the treatment and nursing of hemorrhoids in the two groups, the total effective rate of hemorrhoids bleeding in the treatment group was 90.0%, and that in the control group was 72.5%, with significant difference between the two groups (P < 0.05). There was no statistically significant difference in the four dimensions of quality of life between the two groups before intervention, and the score of physical function of the two groups was improved after intervention, with statistical significance (P < 0.05), and the observation group was higher than the control group. Conclusion: The whole-course optimal nursing intervention is a comprehensive nursing plan involving the whole treatment process of hemorrhoids patients. This nursing intervention mode fully carries out the whole-course patient-centered nursing supervision, pays attention to the implementation of patients and the whole-course health education supervision. Chlorhexidine acetate hemorrhoid suppositories have good effectiveness and safety in the treatment of mixed hemorrhoids. Chlorhexidine acetate hemorrhoid suppository combined with whole course nursing intervention in the treatment of hemorrhoid bleeding is more beneficial to improve the clinical treatment and nursing intervention effect, and improve the prognosis.