快速康复外科理念在小儿腹腔镜腹股沟疝修补术患儿围手术期的护理效果  

Perioperative Nursing Effect of the Concept of Rapid Rehabilitation Surgery in Children with Laparoscopic Inguinal Hernia Repair

作　　者：李华芳 林燕珠 温月婷 LI Huafang;LIN Yanzhu;WEN Yueting(Department of Pediatric Surgery,Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,China)

机构地区：[1]福建医科大学附属漳州市医院小儿外科,福建漳州363000

出　　处：《中国医药指南》2021年第32期27-29,共3页Guide of China Medicine

摘　　要：目的探讨快速康复外科理念在小儿腹腔镜腹股沟疝修补术患儿围手术期的护理效果。方法选择2020年7月至2021年7月来我院小儿外科因腹股沟疝住院且行腹腔镜腹股沟疝修补术的患儿230例,根据护理方法的不同分为对照组及试验组,每组各115例。对照组采用综合护理方法,试验组采用快速康复外科理念的护理方法,比较两组患儿围手术期护理效果情况。结果两组患儿的下床活动时间、术后进食时间、出现肠鸣音时间、排气时间、住院时间比较,P均<0.05,差异具有统计学意义。两组患儿术后疼痛程度比较,试验组患儿疼痛程度低于对照组(Z=2.867,P=0.004),差异具有统计学意义。对照组患者护理满意度为94.35%,试验组患者护理满意度为98.70%,试验组患者护理满意率高于对照组(χ^(2)=6.717,P=0.010),差异具有统计学意义。两组患者的护理满意程度比较,P<0.05,差异具有统计学意义。对照组患儿术后并发症发生率为11.30%,试验组患儿术后并发症发生率为1.74%,试验组患儿术后并发症发生率低于对照组(χ^(2)=8.629,P=0.003),差异具有统计学意义。两组患儿术后应激反应发生率比较,试验组患儿术后应激反应发生率低于对照组(P<0.05),差异具有统计学意义。两组患儿复发发生率比较,P>0.05,差异无统计学意义。结论将快速康复外科理念应用于小儿腹腔镜腹股沟疝修补术可较综合护理措施改善围手术期的生理指标,降低患儿围手术期应激反应及并发症的发生率,使患儿能够迅速恢复健康,利于临床推广应用。Objective To explore the perioperative nursing effect of rapid rehabilitation surgery in children undergoing laparoscopic inguinal hernia repair.Methods The 230 children hospitalized for inguinal hernia and undergoing laparoscopic inguinal hernia repair in pediatric surgery of our hospital from July 2020 to July 2021 were selected.They were divided into control group and observation group according to different nursing methods,with 115 cases in each group.The control group adopted the comprehensive nursing method and the observation group adopted the nursing method of rapid rehabilitation surgery.The perioperative nursing effects of the two groups were compared.Results There were significant differences in ambulation time,postoperative eating time,bowel sound time,exhaust time and hospital stay between the two groups(P<0.05).The postoperative pain degree of children in the two groups was compared,The pain degree of children in the observation group was lower than that in the control group(Z=2.867,P=0.004),the difference was statistically significant.The nursing satisfaction of patients in the control group was 94.35%,and that of patients in the observation group was 98.70%,he nursing satisfaction rate of patients in the observation group was higher than that in the control group(χ^(2)=6.717,P=0.010),the difference was statistically significant.There was significant difference in nursing satisfaction between the two groups(P<0.05).The incidence of postoperative complications was 11.30%in the control group and 1.74%in the observation group.The incidence of postoperative complications was compared between the two groups,the incidence of postoperative complications in the observation group was lower than that in the control group(χ^(2)=8.629,P=0.003),the difference was statistically significant.Comparison of the incidence of postoperative stress reaction between the two groups,and the incidence of postoperative stress reaction in the observation group was lower than that in the control group(P<0.05).There was no si

关 键 词：快速康复外科理念 小儿腹股沟疝 腹腔镜腹股沟疝修补术 围手术期 护理效果 

分 类 号：R473.72[医药卫生—护理学] R656.21[医药卫生—临床医学]