Nursing cooperation and nursing analysis of foam sclerosing agent in the treatment of internal hemorrhoids under painless enteroscopy
无痛肠镜下泡沫硬化剂治疗内痔的护理配合及护理分析

摘要

目的 分析在无痛肠镜下以泡沫硬化剂对内痔进行治疗的护理配合及其效果。方法 以2022年3月至2023年3月间于广西中医药大学附属瑞康医院收治的110例内痔患者治疗情况进行回顾性分析。结果 在110例患者中，手术结束后有4例患者出现渗血情况，渗血程度为轻微，在3分钟后自行停止,2例患者有明显渗血情况，需要辅助人工按压进行止血；术后24小时后，99例患者无明显痛感肛门周边无明显不适，有7例患者出现轻微疼痛感，但对日常无影响，4例患者疼痛感较为强烈，需要辅以服用止疼药物；在对患者术后3个月进行随访可知，105例患者无便血情况，4例有轻微便血，1例反复便血，出血频率较高。结论 泡沫硬化剂注射治疗内痔具有疼痛轻、创口小、复发率低等优势，具有较为明显的临床治疗优势，在治疗过程中辅以相关的护理配合，可加强治疗效果。

Abstract

Objective To analyze the nursing coordination and effect of foam sclerotherapy for internal hemorrhoids under anesthesia colonoscopy.
Methods The treatment situations of 110 internal hemorrhoid patients admitted to Guangxi University of Chinese Medicine Affiliated Ruikang Hospital from March 2022 to March 2023 were retrospectively analyzed.
Results Of the 110 patients, 4 had postoperative bleeding, with mild bleeding that stopped on its own within 3 minutes, and 2 had obvious bleeding that required assisted manual pressure to stop the bleeding. After 24 hours, 99 patients had no obvious pain around the anus and no obvious discomfort, while 7 had mild pain that had no effect on their daily lives, and 4 had pain that was more intense and required the use of pain-relief medication. After a 3-month follow-up, 105 patients had no bleeding, 4 had mild bleeding, 1 had recurrent bleeding, and the bleeding frequency was high.
Conclusion   Foam sclerotherapy for internal hemorrhoids under anesthesia colonoscopy has the advantages of light pain, small wound, and low recurrence rate, and has obvious clinical therapeutic advantages. By providing relevant nursing coordination during the treatment process, the treatment effect can be enhanced.