手术室细节护理在小儿腹腔镜下腹股沟疝囊高位结扎手术中的应用  

Application of detailed nursing in operating room in high ligation of inguinal hernia sac under laparoscope in children

作　　者：刘娅娟 王少华[1] 蒋丽[2] 代景友 刘伟[3] Liu Yajuan;Wang Shaohua;Jiang Li;Dai Jingyou;Liu Wei(Operating Room,Bozhou People's Hospital,Bozhou 236800,Anhui Province,China;Department of Pediatric Surgery,Bozhou People's Hospital,Bozhou 236800,Anhui Province,China;Department of Anesthesiology,Bozhou People's Hospital,Bozhou 236800,Anhui Province,China)

机构地区：[1]亳州市人民医院手术室,236800 [2]亳州市人民医院小儿外科,236800 [3]亳州市人民医院麻醉科,236800

出　　处：《中华疝和腹壁外科杂志（电子版）》2022年第4期473-476,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：2021年市重点研发计划(自筹经费)项目(bzzc2021024)。

摘　　要：目的分析手术室细节护理在小儿腹腔镜下腹股沟疝囊高位结扎术中的应用效果。方法选取2019年1月至2021年8月在亳州市人民医院就诊的小儿腹腔镜下腹股沟疝囊高位结扎术患儿80例,按照护理方式不同分为2组。常规护理作为A组,细节护理为B组,每组40例。分析比较2组患儿焦虑程度、麻醉时间、手术时间、下床时间、胃肠康复情况及并发症发生情况。结果B组患儿在入等候区及入手术间的焦虑程度明显低于A组(P<0.05);B组患儿的下床时间明显低于A组(P<0.05);B组患儿出现肠鸣音时间、排气时间均明显低于A组(P<0.05);B组患儿的并发症发生率为7.50%,明显低于A组的20.00%(P<0.05)。结论手术室细节护理在患儿腹腔镜下腹股沟疝囊高位结扎手术中应用能够取得较好的护理效果,能够明显的改善患儿的焦虑程度,缩短康复时间,减少并发症的发生。Objective To analyze the application effect of detailed nursing in operating room during laparoscopic high ligation of the inguinal hernia sac in children.Methods A total of 80 cases of children undergoing laparoscopic inguinal hernia repair in our hospital from January 2019 to August 2021 were randomly selected for this study.They were randomly grouped according to different nursing methods in different years.Routine nursing was used as group A,and detailed nursing was used as group B,with 40 cases in each group.The anxiety degree,anesthesia time,operation time,time to get out of bed,gastrointestinal recovery,and complications of the two groups were analyzed and compared.Results The anxiety level of children in group B was significantly lower than that in group A when they entered the waiting area and when they entered the operating room.(P<0.05);The time to get out of bed in group B was significantly lower than that in group A(P<0.05);The time of bowel sounds and the time of venting in group B children were significantly lower than those in group A(P<0.05);The complication rate of children in group B was 7.50%,which was significantly lower than 20.00%of children in group A(P<0.05).Conclusion The application of detailed nursing in the operating room during the laparoscopic high ligation of the inguinal hernia sac in children can achieve better nursing effects,significantly improve the degree of anxiety in children,shorten the recovery time,and reduce the incidence of complications.

关 键 词：手术室细节护理 儿童 疝 腹股沟 并发症 

分 类 号：R473.72[医药卫生—护理学]