细化围术期护理对白血病合并混合痔行外痔剔除 + 内痔铜离子电化学治疗后并发症的临床研究——细化围术期护理的临床研究

Clinical Study on Complications after Removal of External Hemorrhoids + Electrochemical Treatment of Internal Hemorrhoids with Copper Ion in Leukemia Complicated with Mixed Hemorrhoids of Refine Perioperative Nursing—The Clinical Study of Perioperative Nursing

摘要: 目的：探讨细化围术期护理对白血病合并混合痔患者，行外痔剔除 + 内痔铜离子电化学治疗后并发症的影响，寻找有利于患者的护理方法。方法：选择我院白血病合并混合痔行外痔剔除 + 内痔铜离子电化学治疗后的患者100例，随机性分为常规护理和细化围术期护理两组，每组各50例患者。记录患者的性别、年龄、肛缘水肿、肛门狭窄、排便困难、出血、肛门失禁情况，并进行皮尔逊卡方检验，斯皮尔曼相关性分析和单因素Logistic回归分析。结果：皮尔逊卡方检验结果显示，肛缘水肿(P = 0.007)、肛门狭窄(P = 0.005)、排便困难(P = 0.001)、出血(P = 0.017)和肛门失禁(P = 0.037)与护理方式显著相关。斯皮尔曼相关性分析结果显示肛缘水肿(ρ = −0.268, P = 0.007)、肛门狭窄(ρ = −0.280, P = 0.005)、排便困难(ρ = −0.328, P = 0.001)、出血(ρ = −0.240, P = 0.016)和肛门失禁(ρ = −0.208, P = 0.038)与护理方式显著相关。单因素Logistic回归显示肛缘水肿(OR = 0.148, 95%CI: 0.031~0.706, P = 0.017)、肛门狭窄(OR = 0.203, 95%CI: 0.062~0.665, P = 0.008)、排便困难(OR = 0.181, 95%CI: 0.061~0.537, P = 0.002)、出血(OR = 0.247, 95%CI: 0.074~0.823, P = 0.023)和肛门失禁(OR = 0.255, 95%CI: 0.066~0.992, P = 0.049)与患者是否接受细化围术期护理有明显的相关性。结论：细化围术期护理组的病人相比常规护理组术后并发症明显减少，细化围术期护理有利于白血病合并混合痔患者，行外痔剔除 + 内痔铜离子电化学治疗后的恢复。

Abstract: Purpose: To investigate the correlation between refining perioperative nursing and complications of patients with leukemia complicated with mixed hemorrhoids after removal of external hemor-rhoids + electrochemical treatment of internal hemorrhoids with copper ion, and to find a nursing method beneficial to patients. Methods: A total of 100 patients with leukemia complicated with mixed hemorrhoids in our hospital were selected after removal of external hemorrhoids + electro-chemical treatment of internal hemorrhoids with copper ion, randomly divided into routine nursing and refined perioperative nursing groups, 50 patients in each group. Sex, age, anal edema, anal stenosis, defecation difficulties, bleeding and anal incontinence were recorded, and Pearson chi-square test, Spearman correlation analysis, and univariate Logistic analysis were performed. Results: Pearson chi-square test showed that perianal edema (P = 0.007), anal stenosis (P = 0.005), defecation difficulties (P = 0.001), bleeding (P = 0.017) and anal incontinence (P = 0.037) were sig-nificantly correlated with nursing methods. Spearman correlation analysis results show that the edema of anal edge (ρ = −0.268, P = 0.007), anal stenosis (ρ = −0.280, P = 0.005), defecate difficulty (ρ = −0.328, P = 0.001), hemorrhage (ρ = −0.240, P = 0.016) and anal incontinence (ρ = −0.208, P = 0.038) were significantly correlated with nursing methods. Univariate Logistic regression showed anal edema (OR = 0.148, 95%CI: 0.031~0.706, P = 0.017), anal stenosis (OR = 0.203, 95%CI: 0.062~0.665, P = 0.008), defecation difficulties (OR = 0.181, 95%CI: 0.061~0.537, P = 0.002), bleeding (OR = 0.247, 95%CI: 0.074~0.823, P = 0.023) and anal incontinence (OR = 0.255, 95%CI: 0.066~0.992, P = 0.049) were significantly correlated with whether patients received refined peri-operative nursing. Conclusion: Patients in the refined perioperative nursing group had significantly fewer postoperative complications than those in the conventional nursing group. Refinement peri-operative nursing was beneficial to the recovery of patients with leukemia complicated with mixed hemorrhoids after removal of external hemorrhoids + electrochemical treatment of internal hem-orrhoids with copper ion.