Effect of Pressure and Nonpressure Dressings on Postoperative Complications in Patients With Mixed Hemorrhoids: A Single-blind Controlled Study

IF 1.6 4区 医学 Q2 NURSING
Ping Xue , Qin Zhang , Jueying Xiang , Huan Yang , Dan Wang , Qinghua Jia , Ling Chen , Yiling Liu , Jing Wu
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引用次数: 0

Abstract

Purpose

To compare the clinical effects of nonpressure and pressure dressings on the postoperative complications of modified Milligan-Morgan hemorrhoidectomy.

Design

Randomized controlled trial.

Methods

A total of 186 patients with grade II to III mixed hemorrhoids who had been excluded from cardiovascular and cerebrovascular diseases and anorectal surgery were included and randomly assigned to the nonpressure dressings group and the pressure dressings group by random number table. The incidence of acute urinary retention and medical adhesive-related skin injury, pain, hemostatic effect, anal distension, anal edema, use of analgesics, length of hospital stay, and hospitalization costs were compared between the two groups. The Consolidated Standards of Reporting Trials checklist for randomized controlled trials was used in this study.

Findings

The incidence of acute urinary retention in both men and women was significantly lower in the nonpressure dressing group (relative risk [RR] = 0.20, 95% confidence interval [CI] [0.13, 0.37], P = .002); (RR = 0.47, 95% CI [0.22, 0.76], P = .015). The postoperative pain at 6 hours/18 hours/25 hours was significantly lower in the nonpressure dressing group (P < .001, P = .004 < 0.05, P = .009). The anal distension at 6 hours and the number of patients who used analgesics were significantly lower in the nonpressure dressing group (P < .001). The incidence of medical adhesive-related skin injuries was significantly lower in the nonpressure dressing group (RR = 0.061, 95% CI [0.020, 0.189], P < .001). No primary bleeding was observed in both groups. However, there were no significant differences between both groups in terms of anal edema scores, length of stay, or hospitalization expenses. No adverse events were reported in either group during the study period.

Conclusions

Nonpressure dressings can effectively reduce the incidence of acute urinary retention and medical adhesion-related skin injury after surgery for grade III to IV mixed hemorrhoids. They can also safely relieve pain and distension.
加压和非加压敷料对混合痔患者术后并发症的影响:单盲对照研究
目的:比较无压敷料和加压敷料对改良米利根-摩根痔切除术术后并发症的临床效果:随机对照试验:方法:纳入186例Ⅱ~Ⅲ度混合痔患者,排除心脑血管疾病和肛门直肠手术,通过随机数字表随机分配到无压敷料组和加压敷料组。比较了两组急性尿潴留和医用粘合剂相关皮肤损伤、疼痛、止血效果、肛门坠胀、肛门水肿、止痛药使用、住院时间和住院费用的发生率。本研究采用了随机对照试验综合报告标准核对表:不加压敷料组男性和女性急性尿潴留的发生率均显著低于加压敷料组(相对风险 [RR] = 0.20,95% 置信区间 [CI] [0.13, 0.37],P = .002);(RR = 0.47,95% CI [0.22, 0.76],P = .015)。无压力敷料组术后 6 小时/18 小时/25 小时的疼痛明显降低(P 结论:无压力敷料可有效减轻术后疼痛:无压敷料可有效降低 III 至 IV 级混合痔术后急性尿潴留和医源性粘连相关皮肤损伤的发生率。它们还能安全地缓解疼痛和胀痛。
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来源期刊
CiteScore
2.20
自引率
17.60%
发文量
279
审稿时长
90 days
期刊介绍: The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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