疝穿戴装置在腹腔镜腹股沟疝日间手术中的应用  

Application of hernia wearable device in laparoscopic inguinal hernia day surgery

作　　者：刘付恒 曾兵 陈双[1,2,3] 甘文昌 元志龙[1,2,3] 周太成 李英儒 Liu Fuheng;Zeng Bing;Chen Shuang;Gan Wenchang;Yuan Zhilong;Zhou Taicheng;Li Yingru(Department of Hernia and Abdominal Wall Surgery,The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,China;Guangdong Key Laboratory of Colorectal and Pelvic Floor Diseases Research,Guangzhou 510655,China;Huangpu Biomedical Innovation Research Institute,The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,China)

机构地区：[1]中山大学附属第六医院疝与腹壁外科,广州510655 [2]广东省结直肠盆底疾病研究重点实验室,广州510655 [3]广州市黄埔区中六生物医学创新研究院,510655

出　　处：《中华疝和腹壁外科杂志(电子版)》2025年第1期40-45,共6页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：国家自然科学基金(81973858,82172790);广东省消化系统疾病临床医学研究中心项目(2020B1111170004);广东省自然科学基金(2019A1515011200);广东省医学科学技术研究基金(A2021061);广州市基础与应用基础计划(SL2023A04J01589)。

摘　　要：目的探讨疝穿戴装置在腹腔镜腹股沟疝日间手术中的应用价值。方法采用回顾性队列研究方法。收集2021年3月至2023年3月中山大学附属第六医院疝与腹壁外科收治的180例腹股沟疝日间手术患者的临床资料。根据患者穿戴疝穿戴装置的意愿进行分组,114例术后穿戴新型疝穿戴装置设为观察组,66例术区按常规术后护理设为对照组。于术后1 d、7 d、1个月、6个月,通过门诊及电话方式进行随访,观察两组术后生活质量、疼痛及并发症情况。结果180例患者中男性174例,女性6例;年龄18.0~80.0岁,中位年龄52.0岁。术后生活质量:观察组患者在术后7 d和1个月的生活质量评分(CCS)明显低于对照组,差异有统计学意义(z=-2.348、-3.302,P=0.019、0.001)。术后疼痛:观察组患者在术后7 d和1个月的疼痛视觉模拟评分(VAS)低于对照组,差异均有统计学意义(z=-2.073、-2.606,P=0.033、0.005);CCS评分与VAS-H呈正相关。术后焦虑情况:术后7 d时,观察组患者焦虑评分(GAD-7)显著低于对照组,差异有统计学意义(t=-3.165,P=0.002)。术后并发症及复发:观察组在术后6个月内的血清肿发生率为6.1%(7/114),低于对照组的9.1%(6/66),差异有统计学意义(χ2=4.239,P=0.039);2组在术后6个月内均未观察到疝复发。结论疝穿戴装置的使用能够显著提高腹股沟疝日间手术患者术后的生活质量,降低术后疼痛程度和焦虑程度,减少血清肿的发生率。Objective To investigate the application value of hernia wearable device in laparoscopic inguinal hernia day surgery.Methods A retrospective cohort study was conducted,including 180 patients who underwent inguinal hernia day surgery in the Hernia and Abdominal Wall Surgery Department of The Sixth Affiliated Hospital of Sun Yat-sen University from March 2021 to March 2023.Patients were divided into groups based on their willingness to wear a hernia support device postoperatively.A total of 114 patients who wore the device were assigned to the observation group,while 66 patients who received standard postoperative care were assigned to the control group.Follow-up assessments were conducted on postoperative day 1,day 7,1 month,and 6 months via outpatient visits and telephone interviews.The postoperative quality of life,pain levels,and complications were compared between the two groups.Results Among the 180 patients,174 were male and 6 were female,with an age range of 18.0 to 80.0 years and a median age of 52.0 years.Regarding postoperative quality of life,the Carolina Comfort Scale(CCS)scores in the observation group at postoperative day 7 and 1 month were significantly lower than those in the control group(z=-2.348 and-3.302,P=0.019 and 0.001,respectively),indicating an improved quality of life.Similarly,the Visual Analog Scale(VAS)scores for pain were significantly lower in the observation group at both postoperative day 7 and 1 month(z=-2.073 and-2.606,P=0.033 and 0.005,respectively),and a positive correlation was noted between the CCS scores and VAS-H.Furthermore,on postoperative day 7,the Generalized Anxiety Disorder-7(GAD-7)scores in the observation group were significantly lower than those in the control group(t=-3.165,P=0.002),demonstrating reduced anxiety levels.In terms of complications,the incidence of seroma within 6 months was 6.1%(7/114)in the observation group,which was significantly lower than the 9.1%(6/66)observed in the control group(χ2=4.239,P=0.039).No cases of hernia recurrence were noted in e

关 键 词：疝 腹股沟 腹腔镜 疝修补术 术后生活质量 日间手术 疝穿戴装置 

分 类 号：R47[医药卫生—护理学]