基于循证医学中医干预模式对混合痔术后患者疼痛程度及并发症的影响OA
Impact of an evidence-based traditional Chinese medicine intervention model on postoperative pain and complications after surgery for mixed hemorrhoids
目的 观察基于循证医学中医干预模式在混合痔术后患者中的应用效果及对伤口愈合的影响.方法将94 例混合痔术后患者按照随机数字表法分为 2 组.对照组 47 例实施常规干预,观察组 47 例在对照组基础上行基于循证医学中医干预模式,2 组均干预 2 周.观察对比 2 组伤口愈合情况(上皮生长时间、脓苔脱落时间、水肿消退时间、创口愈合时间)、术后疼痛视觉模拟评分(VAS)、健康调查简表(SF-36)各项评分,并统计 2 组并发症发生情况及满意度.结果 观察组上皮生长、脓苔脱落、水肿消退及创口愈合时间均短于对照组(P<0.05).观察组术后不同时间段疼痛 VAS 评分均低于对照组(P<0.05).观察组并发症发生率低于对照组(P<0.05).2 组干预后 SF-36 各维度评分均较本组干预前升高(P<0.05),且观察组干预后均高于对照组(P<0.05).观察组满意度为 95.74%(45/47),对照组 74.47%(35/47),观察组满意度高于对照组(P<0.05).结论 基于循证医学中医干预模式可减轻混合痔术后患者疼痛程度,降低并发症发生率,促进伤口愈合,改善患者生活质量,提高患者满意度.
Objective To evaluate the effectiveness of an evidence-based traditional Chinese medicine(TCM)inter-vention model on patients following surgery for mixed hemorrhoids,and its influence on wound healing.Methods Ninety-four patients who had undergone surgery for mixed hemorrhoids were randomized by random-number table into two equal groups(n=47 each).The control group received routine postoperative care,while the observation group received the same routine care plus an evidence-based TCM intervention model.Both groups received interventions for 2 weeks.Outcomes included wound-healing metrics(epithelialization time,slough/eschar detachment time,edema resolution time,and overall wound healing time),pain assessed by the visual analogue scale(VAS)at multiple postoperative time points,36-item Short Form Health Survey(SF-36)scores,complication rates,and patient satisfaction.Results Compared with the control group,the observation group demonstra-ted significantly faster wound healing,with shorter epithelialization time,slough/eschar detachment time,edema resolution time,and total wound healing time(P<0.05).Postoperative VAS scores at all measured time points were significantly lower in the ob-servation group than in the control group(P<0.05).The observation group experienced a lower incidence of complications than the control group(P<0.05).Both groups showed significant improvements in all SF-36 domains after intervention compared with baseline(P<0.05),and post-intervention SF-36 scores were higher in the observation group than in the control group(P<0.05).Patient satisfaction was 95.74%(45/47)in the observation group versus 74.47%(35/47)in the control group,with the observation group showing higher satisfaction(P<0.05).Conclusion Implementing an evidence-based TCM intervention model alongside routine care significantly reduces postoperative pain and complication rates,accelerates wound healing,enhances quality of life,and increases patient satisfaction in individuals after surgery for mixed hemorrhoids.
夏燕;庞玮;许凤琴
徐州医科大学附属连云港医院肛肠科,江苏 连云港 222000徐州医科大学附属连云港医院肛肠科,江苏 连云港 222000徐州医科大学附属连云港医院护理部,江苏 连云港 222000
医药卫生
混合痔术后疼痛中医干预模式
Mixed hemorrhoidsPostoperative painTraditional Chinese medicine intervention model
《河北中医》 2026 (5)
717-721,5
连云港市中医药科技发展计划项目(编号:YB202215)
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