Incarcerated Mixed Hemorrhoids
Conditions
Keywords
Pain Management, Preoperative Analgesia, Traditional Chinese Medicine (TCM) Fumigation, Wrist-Ankle Acupuncture (WAA), Dynamic Pain Management
Brief summary
This study aims to investigate whether the dynamic pain assessment and management system can alleviate postoperative pain in patients with incarcerated mixed hemorrhoids and reduce the incidence of complications. A total of 64 eligible patients were enrolled and randomly divided into two groups, with the specific grouping and intervention methods as follows: ① Control Group: Routine drug analgesia and conventional nursing education were adopted. ② Study Group: Patients were managed with the dynamic pain assessment and management system, which included preoperative administration of analgesic drugs, postoperative traditional Chinese medicine (TCM) fumigation, wrist-ankle acupuncture for pain relief, and personalized nursing education. The study evaluated the effect of the dynamic pain assessment and management system on postoperative analgesia by comparing the Numerical Rating Scale (NRS) scores for pain, recording the Visual Analogue Scale (VAS) scores for quality of life, and analyzing the incidence of complications among patients in different groups. The primary hypothesis of the study is that, compared with routine pain management methods, the dynamic pain assessment and management system can significantly reduce postoperative pain in patients, improve their quality of life, and decrease the incidence of complications (such as bleeding and urinary retention).
Interventions
OTHERDynamic Pain Assessment and Management System
Personalized nursing education was adopted. These measures include the use of preoperative analgesic drugs, postoperative Traditional Chinese Medicine (TCM) fumigation, and wrist-ankle acupuncture for pain relief.
DRUGRoutine drug analgesia
adopted routine drug analgesia and conventional nursing education
Sponsors
The Affiliated Hospital of Putian University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Aged between 18 and 75 years old * Diagnosed with grade III-IV incarcerated mixed hemorrhoids according to the Goligher classification * Undergoing standard hemorrhoidectomy * Receiving simple intraspinal anesthesia
Exclusion criteria
* Pregnant or lactating patients * Patients receiving immunotherapy or with coagulation dysfunction * Patients who need to use various analgesic drugs daily * Complicated with other anorectal diseases (such as perianal abscess, anal fistula, anal incontinence) * Complicated with other systemic diseases (cardiac insufficiency; hepatic or renal insufficiency; diabetes mellitus; coagulation disorders; peptic ulcer, etc.) * Incomplete perioperative clinical data * Unable to cooperate with follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Numerical Rating Scale (NRS) | Baseline, Day 1, 3, 5, 7, and Day 14±2 | The NRS uses a linear numerical range of "0 to 10" to represent pain intensity. Patients select the corresponding number based on their own perception, where a score of 0 indicates no pain at all, and a score of 10 represents the most severe pain you can imagine. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence Rate of Complications | within 30 days after surgery | Measurements include the incidence rate of complications such as postoperative hemorrhage and urinary retention |
| Length of Hospital Stay | from the end of surgery to discharge (a maximum of 7 days) | with hours as the unit, and standardized discharge criteria are adopted. |
Countries
China
Contacts
CONTACTChenxing Jian
Outcome results
None listed