| Objective:By implementing different nursing and treatment programs for mixed hemorrhoids patients during perioperative period,collecting subjective evaluation of patients during hospitalization and clinical indicators of postoperative complications,this paper discusses the practical significance and clinical effect of perioperative application of mixed hemorrhoids patients undergoing external peeling and internal ligation combined with the ERAS with the characteristics of anorectal departmentMethods:Solsticel July 2019 solstice 31 December 2019 solsticethe patients receiving external stripping and internal ligation of mixed hemorrhoids at selected time in the north ten ward of department of traditional Chinese medicine hospital of Jiangsu Province were collected as the research objects.60 patients were randomly divided into the control group and the experimental group,the control group was the general treatment group during the perioperative period,and the experimental group was the ERAS group.The postoperative curative effect,hospital stay,hospital expenses,operation time,postoperative pain,postoperative urination,postoperative bleeding,postoperative wound edge edema,wound drainage,first exhaust and first defecation time,defecation status,nursing satisfaction,as well as anal incision infection and anal stricture of patients in the two groups were observed and recorded.Results SPSS 26.0 software was used for statistical analysis.The quantitative data were described by means of mean±standard deviation.The two groups of samples were compared by independent sample t test.The test level was defined as 0.05,and p<0.05 showed a statistically significant differenceResults:Curative effect:all the patients in the two groups were cured,the cure rate was 100%,and there was no significant difference between the two groups(P>0.05);Length of stay:the experimental group and the control group were 5.38±4.12 and 9.77±5.43,respectively.The experimental group was significantly shorter than the control group(P<0.01);Hospitalization expenses:the experimental group and the control group were 9895,77±2896.44 and 13262.1213012.14 yuan,respectively.The experimental group was significantly less than the control group(P<0.01);Operation time:the experimental group and the control group were 29.33±6.55 and 30.12±7.12 minutes,respectively,with no significant difference between the two groups(P>0.05);Postoperative first exhaust time:the experimental group and the control group were 4.23±3.37 hours and 8.11±6.78 hours,respectively.The experimental group was significantly faster than the control group(P<0.01);Postoperative first bowel movement time:the experimental group and the control group were 18.61±12.33 hours and 26.82±13.11 hours,respectively,and the experimental group was significantly faster than the control group(P<0.05);Postoperative pain score:after 6 hours,12 hours,24 hours,48 hours pain score,the experimental group and the control group were 3.16±2.77,4.33±3.34,3.15±3.99,2.13±1.66 and 5.67±3.89,6.14±3.02,6.01±4.37,5.24±2.37.12 hours of postoperative pain score,the test group was significantly lighter than the control group(P<0.05),and postoperative pain score 6 hours,24 hours,48 hours trial group are significantly lighter than the control group(P<0.01);Postoperative bleeding score:the experimental group and the control group were 1.11±1 and 0.97±0.91,respectively,with no significant difference between the two groups(P>0.05);Postoperative post-traumatic edge edema score:the score of post-traumatic edge edema in the test group and the control group were 1.11±1.0 and 0.97±0.91,respectively,with no significant difference between the two groups(P>0.05);Postoperative wound drainage scores were 1.06±0.77 and 0.93±0.79 in the experimental group and the control group,respectively,with no significant difference between the two groups(P>0.05);Postoperative defecation score:the experimental group and the control group were 0.86±0.83 and 1.57±0.9,respectively.The experimental group was significantly lighter than the control group(P<0.01);Postoperative anal distension score:the experimental group and the control group were 1.561±0.83 and 2.11±0.94,respectively,with the experimental group significantly superior to the control group(P<0.05);Postoperative defecation control score:the experimental group and the control group were 0.21±0.09 and 0.23±0.11,respectively,with no significant difference between the two groups(P>0.05);Nursing satisfaction:the experimental group and the control group were 3.54±0.69 and 2.17±1.93,respectively.The experimental group was significantly better than the control group(P<0.01)No wound infection,anal stricture and other complications were found in the two groups.Conclusion:The application of ERAS in perioperative period of mixed hemorrhoid external stripation and internal ligation can accelerate the recovery of patients,reduce or reduce the occurrence of postoperative complications,reduce the pain of patients,increase the satisfaction of nursing quality,shorten the hospitalization time of patients and save medical expenses. |
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