A nursing case report of postoperative pain in a patient with sacrococcygeal pilonidal sinus disease

Yuxia DONG; Yongchun WEI; Yali WANG; Shasha QIN; Jing JIANG; Haiyan E; Ling TANG

doi:10.12209/CAIM202310140005

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A nursing case report of postoperative pain in a patient with sacrococcygeal pilonidal sinus disease

更新时间：2023-11-22

- A nursing case report of postoperative pain in a patient with sacrococcygeal pilonidal sinus disease
  增强出版
- Clinical Archives of Integrative Medicine (2023)
- 作者机构：
  
  1.北京中医药大学东方医院肛肠科，北京 100078
  2.北京中医药大学东方医院护理部，北京 100078
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202310140005
  CLC：
- Published Online：22 November 2023，
  
  Received：14 October 2023，
- 稿件说明：
移动端阅览
YUXIA DONG, YONGCHUN WEI, YALI WANG, et al. A nursing case report of postoperative pain in a patient with sacrococcygeal pilonidal sinus disease. [DB/OL].Clinical archives of integrative medicine, 2023.
DOI：

YUXIA DONG, YONGCHUN WEI, YALI WANG, et al. A nursing case report of postoperative pain in a patient with sacrococcygeal pilonidal sinus disease. [DB/OL].Clinical archives of integrative medicine, 2023. DOI： 10.12209/CAIM202310140005.

摘要

目的

本文总结1例耳穴揿针治疗骶尾部藏毛窦患者术后伤口疼痛的护理体会。

方法

根据VAS疼痛评分标准、焦虑自评量表进行评估，运用中医辩证施护，给予耳穴揿针治疗。

结果

通过实施耳穴揿针治疗，明显改善患者骶尾部伤口疼痛的症状，减轻了患者的痛苦。

结论

耳穴揿针治疗藏毛窦术后疼痛的患者，减轻焦虑症，治疗效果明显，不良反应少，易被患者接受。

Abstract

Objective

To summarize the nursing experience of a patient with postoperative wound pain in the sacrococcygeal pilonidal sinus treated with auricular intradermal needling.

Methods

The patients were evaluated by visual analogue scale （VAS） and self-rating anxiety scale （SAS）， and treated by auricular intradermal needling with dialectical nursing of traditional Chinese medicine.

Results

The symptoms of sacrococcygeal wound pain were significantly improved by auricular intradermal needling.

Conclusions

Auricular intradermal needling can relieve anxiety in patients with postoperative pain of pilonidal sinus， with obvious therapeutic effect and fewer adverse reactions， and is easy to be accepted by patients.

关键词

耳穴揿针骶尾部藏毛窦伤口疼痛中医护理

Keywords

auricular point press needlesacrococcygeal pilonidal sinuspain in the woundTraditional Chinese Medicine nursing

references

JOHNSON E K， VOGEL J D， COWAN M L， et al. The American society of colon and rectal surgeons’ clinical practice guidelines for the management of pilonidal disease［J］. Dis Colon Rectum， 2019， 62（2）： 146-157.

DUMAN K， GıRGıN M， HARLAK A. Prevalence of sacrococcygeal pilonidal disease in Turkey［J］. Asian J Surg， 2017， 40（6）： 434-437.

YILDIZ T， ELMAS B， YUCAK A， et al. Risk factors for pilonidal sinus disease in teenagers［J］. Indian J Pediatr， 2017， 84（2）： 134-138.

周春华，朱玮. 藏毛疾病诊治进展［J］. 浙江医学， 2015， 37（9）： 797-798， 803.

ZHOU C H， ZHU W. Progress in diagnosis and treatment of Tibetan wool disease［J］. Zhejiang Med J， 2015， 37（9）： 797-798， 803.（in Chinese）

杜涛，张振宇，冷株赟，等．美国结直肠外科医师2019版藏毛窦诊治临床实践指南［J］．结直肠肛门外科，2019，25（4）：363-374.

DU T， ZHANG Z Y， LENG Z Y， et al. American Colorectal Surgeons 2019 clinical practice guidelines for the diagnosis and treatment of pilonidal sinus ［J］. Colorectal and Anal Surgery， 2019，25（4）：363-374

冯天峰. 骶尾部慢性藏毛窦11例临床分析［J］. 现代实用医学， 2017， 29（7）： 936-937.

FENG T F. Clinical analysis of 11 cases of chronic pilonidal sinus in sacrococcygeal region［J］. Mod Pract Med， 2017， 29（7）： 936-937.（in Chinese）

程继伟，王洪伟，郑文杰，等. 慢性下腰痛疗效评价方法的应用现状［J］. 中国修复重建外科杂志， 2014， 28（1）： 119-122.

CHENG J W， WANG H W， ZHENG W J， et al. Evaluation of treatment for chronic low back pain［J］. Chin J Reparative Reconstr Surg， 2014， 28（1）： 119-122.（in Chinese）

董玉霞，鄂海燕，秦沙沙，等. 耳穴联合手法治疗混合痔术前并发高血压病1例的护理体会［J］. 中西医结合护理， 2021（9）： 51-54.

DONG Y X， E H Y， QIN S S， et al. Nursing experience of auricular acupoint combined with manipulative therapy for a patient with hypertension before operation of mixed hemorrhoid［J］. Chin J Integr Nurs， 2021（9）： 51-54.（in Chinese）

李家琪，李青峰，李青山. 耳穴诊治与研究［M］. 郑州：河南人民出版社， 2018.

LUEDI M M， SCHOBER P， STAUFFER V K， et al. Gender-specific prevalence of pilonidal sinus disease over time： a systematic review and meta-analysis［J］. ANZ J Surg， 2021， 91（7/8）： 1582-1587.

ŞAHIN A， ŞIMŞEK G， ARSLAN K. Unroofing curettage versus modified limberg flap in pilonidal disease： a retrospective cohort study［J］. Dis Colon \& Rectum， 2021， 65： 1241-1250.

高连刚，邢念国，张金花，等. 袋状缝合抬高臀沟术联合中药外敷对藏毛窦术后创面愈合的影响［J］. 中国肛肠病杂志， 2023， 43（6）： 28-31.

GAO L G， XING N G， ZHANG J H， et al. The influence of bag-like suture & bascom cleft lift procedure combined with externally dressing with TCM on postoperative wound-surface healing of pilonidal sinus［J］. Chin J Coloproctology， 2023， 43（6）： 28-31.（in Chinese）

于锦利，郝鹏，陈顺革，等. 不同的局部转移皮瓣手术方法在骶尾部藏毛窦治疗中的应用［J］. 临床外科杂志， 2019， 27（12）： 1080-1082.

YU J L， HAO P， CHEN S G， et al. Application of different local transfer flap surgery methods in the treatment of sacrococcygeal pilonidal sinus［J］. J Clin Surg， 2019， 27（12）： 1080-1082.（in Chinese）

黄丽，李莹，黎帅，等. 回阳生肌方配合八髎穴悬灸治疗骶尾部藏毛窦术后创面疗效观察［J］. 山西中医， 2021， 37（3）： 42-43.

HUANG L， LI Y， LI S， et al. Observation on the therapeutic effect of Huiyang Shengji recipe combined with suspension moxibustion at Bajiao point on the wound surface after sacrococcygeal pilonidal sinus surgery［J］. Shanxi J Tradit Chin Med， 2021， 37（3）： 42-43.（in Chinese）

张金芳，吴均媛，林秋，等. 中西医结合护理在骶尾部藏毛窦患者围手术期中的应用［J］. 当代护士（中旬刊）， 2021， 28（2）： 43-44.

ZHANG J F， WU J Y， LIN Q， et al. Application of integrated traditional Chinese and western medicine nursing in patients with sacrococcygeal pilonidal sinus during perioperative period［J］. Mod Nurse， 2021， 28（2）： 43-44.（in Chinese）

叶晓声，王荣丽. 揿针耳穴疗法治疗混合痔外剥内扎术后疼痛的效果分析［J］. 中外医学研究， 2020， 18（8）： 30-31.

YE X S， WANG R L. Analysis on the effect of acupuncture ear point therapy on the pain after external stripping and internal ligation of mixed hemorrhoids［J］. Chin Foreign Med Res， 2020， 18（8）： 30-31.（in Chinese）

王伟. 揿针配合雷火灸对混合痔患者术后创面疼痛、水肿的影响［J］. 内蒙古中医药， 2018， 37（12）： 69-70.

WANG W. Effect of pressing acupuncture combined with Leihuo moxibustion on postoperative wound pain and edema in patients with mixed hemorrhoids［J］. Nei Mongol J Tradit Chin Med， 2018， 37（12）： 69-70.（in Chinese）

陈宇秀，林晶，柯敏辉. 埋针联合中药熏洗治疗混合痔术后肛门疼痛30例［J］. 中国民族民间医药， 2017， 26（22）： 89-91.

CHEN Y X， LIN J， KE M H. Treatment of 30 cases of anal pain after mixed hemorrhoids operation by embedding needle and fumigation and washing with Chinese medicine［J］. Chin J Ethnomed Ethnopharmacy， 2017， 26（22）： 89-91.（in Chinese）

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