[1]游凰菊.快速康复外科护理在腹股沟疝行腹腔镜完全腹膜外补片植入术患者中的应用效果[J].医学信息,2022,35(08):181-183.[doi:10.3969/j.issn.1006-1959.2022.08.048]
 YOU Huang-ju.The Application Effect of Rapid Rehabilitation Surgical Nursing in Patients with Inguinal Hernia Undergoing Laparoscopic Total Extraperitoneal Patch Implantation[J].Medical Information,2022,35(08):181-183.[doi:10.3969/j.issn.1006-1959.2022.08.048]
点击复制

快速康复外科护理在腹股沟疝行腹腔镜完全腹膜外补片植入术患者中的应用效果()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年08期
页码:
181-183
栏目:
护理研究
出版日期:
2022-04-15

文章信息/Info

Title:
The Application Effect of Rapid Rehabilitation Surgical Nursing in Patients with Inguinal Hernia Undergoing Laparoscopic Total Extraperitoneal Patch Implantation
文章编号:
1006-1959(2022)08-0181-03
作者:
游凰菊
(宜丰县中医院供应室,江西 宜丰 336300)
Author(s):
YOU Huang-ju
(Supply Room,Yifeng County Hospital of Traditional Chinese Medicine,Yifeng 336300,Jiangxi,China)
关键词:
腹股沟疝快速康复外科护理腹腔镜完全腹膜外补片植入术
Keywords:
Inguinal herniaRapid rehabilitation surgical nursingLaparoscopic totally extraperitoneal patch implantation
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2022.08.048
文献标志码:
A
摘要:
目的 探讨快速康复外科护理在腹股沟疝行腹腔镜完全腹膜外补片植入术患者中的应用效果。方法 选取2019年1月-2021年1月我院收治的142例腹股沟疝患者作为研究对象,按随机数字表法分为试验组和对照组,每组71例。两组患者均行腹腔镜完全腹膜外补片植入术治疗,对照组予以常规护理,试验组在对照组基础上联合快速康复外科护理,比较两组围术期手术相关指标、疼痛情况、睡眠时间、护理干预期间并发症发生率及满意度。结果 试验组手术时间、术后自主下床活动时间、术后住院时间短于对照组(P<0.05);试验组术后第1、2、3天VAS评分低于对照组,睡眠时间长于对照组(P<0.05);试验组并发症总发生率为1.41%,低于对照组的11.27%(P<0.05);试验组护理总满意率为97.18%,高于对照组的87.32%(P<0.05)。结论 快速康复外科护理可缩短腹股沟疝腹腔镜完全腹膜外补片植入术患者手术时间,加速患者康复进程,同时缓解患者疼痛,并延长患者的睡眠时间,降低其并发症发生率,提升满意度。
Abstract:
Objective To explore the application effect of rapid rehabilitation surgical nursing in patients with inguinal hernia undergoing laparoscopic totally extraperitoneal patch implantation.Methods A total of 142 patients with inguinal hernia admitted to our hospital from January 2019 to January 2021 were randomly divided into experimental group and control group, with 71 cases in each group. Two groups of patients were treated with laparoscopic totally extraperitoneal patch implantation, the control group was given routine nursing, and the experimental group was given rapid rehabilitation surgery nursing on the basis of the control group. The perioperative operation-related indicators, pain, sleep time, incidence of complications and satisfaction during nursing intervention were compared between the two groups.Results The operation time, postoperative independent ambulation time and postoperative hospital stay in the experimental group were shorter than those in the control group (P<0.05). The VAS score of the experimental group was lower than that of the control group, and the sleep time was longer than that of the control group at 1, 2 and 3 days after operation (P<0.05). The total incidence of complications in the experimental group was 1.41%, which was lower than 11.27% in the control group (P<0.05). The total nursing satisfaction rate in the experimental group was 97.18%, which was higher than 87.32% in the control group (P<0.05).Conclusion Rapid rehabilitation surgical nursing can shorten the operation time of patients with inguinal hernia undergoing laparoscopic totally extraperitoneal patch implantation, accelerate the rehabilitation process, relieve the pain, prolong the sleep time, reduce the incidence of complications and improve satisfaction.

参考文献/References:

[1]张永刚,杨瑞明,刘永奋.不同方式无张力疝修补术治疗腹股沟疝气的临床疗效及复发情况比较[J].检验医学与临床,2017,14(12):1811-1813.[2]王辉,孙杰,陈先志,等.腹腔镜下经腹腹膜前疝修补术与疝环充填式无张力疝修补术治疗腹股沟疝的疗效比较[J].中国临床保健杂志,2018,21(2):135-138.[3]戴国清.完全腹膜外腹腔镜补片植入术治疗腹股沟复发疝临床疗效观察[J].临床和实验医学杂志,2015,14(3):239-241.[4]李科菀.40例腹腔镜下完全腹膜外补片植入术(TEP)治疗腹股沟疝护理效果观察[J].中医临床研究,2017,9(6):123-124.[5]曹毅男,徐佳.腹腔镜完全腹膜外无张力疝修补术的围手术期护理[J].腹腔镜外科杂志,2015,20(8):597,605.[6]解莹.围术期护理干预对腹腔镜腹膜前补片植入法腹股沟疝修补术的效果[J].国际护理学杂志,2016,35(21):3015-3017.[7]中华医学会外科学分会疝与腹壁外科学组,中国医师协会外科医师分会疝和腹壁外科医师委员会.成人腹股沟疝诊断和治疗指南(2018年版)[J].中华外科杂志,2018,56(7):495-498.[8]谭炎平,范凯橼,叶秋彤,等.个性化护理对无张力疝修补术治疗腹股沟疝老年患者术后恢复及生活质量的影响[J].包头医学院学报,2021,37(3):90-93.[9]张春宇,刘葳.4C护理模式在腹股沟疝日间手术术后并发症患者中的应用[J].中华疝和腹壁外科杂志(电子版),2019,13(6):565-567.[10]胡媛媛,杨丽,李霞.手术室综合护理对传统开腹手术治疗腹股沟疝患者焦虑及生理应激的影响[J].中华疝和腹壁外科杂志(电子版),2021,15(4):434-437.[11]黄秀珍.快速康复外科护理对腹股沟疝患者术后疼痛程度及胃肠功能恢复的影响分析[J].现代诊断与治疗,2021,32(11):1837-1838.[12]李美林,何晓睿,高艳,等.快速康复外科理念在腹腔镜小儿疝囊高位结扎术围手术期护理中的应用效果[J].安徽医学,2016,37(10):1294-1296.[13]谢绮斓,朱三玲,孙杰.快速康复外科护理在腹股沟疝患者无张力疝修补术中的应用[J].海南医学,2018,29(23):3399-3401.[14]黄秀菊,卢榜裕,黄俊,等.免除沙袋压迫对腔镜下完全腹膜外腹股沟疝修补术后的效果观察[J].微创医学,2017,12(2):283-284.[15]玉温儿,白洁.快速康复护理在腹腔镜腹股沟疝修补术围手术期的应用[J].云南医药,2017,38(3):305-306.[16]刘丹,周庆红.快速康复外科护理对无张力腹股沟疝修补术患者术后恢复及护理满意度的影响[J].河北医学,2016,22(6):1033-1035.[17]王兆锦,林志娟,倪庆.加速康复外科理念在腹股沟疝无张力修补术的应用效果[J].中国性科学,2020,29(7):25-29.[18]韩晓霞,孙晓丽,史玉娟.快速康复外科护理应用于无张力腹股沟疝修补术患者的效果观察[J].现代诊断与治疗,2019,30(18):3293-3295.[19]胡毅平,孙丽丽,陈红,等.精细化护理对腹股沟疝修补术患儿及其父母心理压力和社会支持的影响[J].中国医药导报,2020,17(10):185-188.[20]庄磊雪,张雨晨,戴燕.快速康复外科理念护理措施在日间腹股沟疝修补术的应用[J].华西医学,2016,31(4):607-610.

相似文献/References:

[1]张 帆.无张力修补术与腹腔镜下腹膜前修补术治疗 腹股沟疝的效果比较[J].医学信息,2019,32(17):109.[doi:10.3969/j.issn.1006-1959.2019.17.035]
 ZHANG Fan.Comparison of Tension-free Repair and Laparoscopic Preperitoneal Repair for Inguinal Hernia[J].Medical Information,2019,32(08):109.[doi:10.3969/j.issn.1006-1959.2019.17.035]
[2]付艳伟,张 睿.腹腔镜下全腹膜外与经正中线切口腹膜前腹股沟疝修补术的疗效比较[J].医学信息,2020,33(24):119.[doi:10.3969/j.issn.1006-1959.2020.24.033]
 FU Yan-wei,ZHANG Rui.Comparison of the Curative Effect of Laparoscopic Total Extraperitoneal and Preperitoneal Inguinal Hernia Repair Through Midline Incision[J].Medical Information,2020,33(08):119.[doi:10.3969/j.issn.1006-1959.2020.24.033]
[3]王东君.血清T-AOC、GH表达对疝环充填式无张力疝修补术治疗青年腹股沟疝的预后影响[J].医学信息,2021,34(07):99.[doi:10.3969/j.issn.1006-1959.2021.07.027]
 WANG Dong-jun.The Influence of Serum T-AOC and GH Expression on the Prognosis of Inguinal Hernia in Young Patients Treated with Hernia Ring Plug Tension-free Hernia Repair[J].Medical Information,2021,34(08):99.[doi:10.3969/j.issn.1006-1959.2021.07.027]
[4]汪 煜,胡明玉.三种腹股沟疝手术的临床疗效及短期并发症比较[J].医学信息,2021,34(12):111.[doi:10.3969/j.issn.1006-1959.2021.12.028]
 WANG Yu,HU Ming-yu.Comparison of Clinical Curative Effect and Short-term Complications of Three Kinds of Inguinal Hernia Surgery[J].Medical Information,2021,34(08):111.[doi:10.3969/j.issn.1006-1959.2021.12.028]
[5]周贤伟.腹腔镜下完全腹膜外疝修补术治疗成人腹股沟疝的效果[J].医学信息,2021,34(14):130.[doi:10.3969/j.issn.1006-1959.2021.14.035]
 ZHOU Xian-wei.The Effect of Laparoscopic Total Extraperitoneal Hernia Repair in the Treatment of Adult Inguinal Hernia[J].Medical Information,2021,34(08):130.[doi:10.3969/j.issn.1006-1959.2021.14.035]
[6]徐晓华.责任制护理在腹股沟疝手术室护理中的应用及对患者QOL评分的影响[J].医学信息,2021,34(23):187.[doi:10.3969/j.issn.1006-1959.2021.23.057]
 XU Xiao-hua.Application of Responsibility Nursing in Inguinal Hernia Operation Room Nursing and its Effect on QOL Score[J].Medical Information,2021,34(08):187.[doi:10.3969/j.issn.1006-1959.2021.23.057]
[7]刘月红.精细化围术期护理对腹股沟疝日间手术患儿的积极作用及其对并发症的影响[J].医学信息,2022,35(09):181.[doi:10.3969/j.issn.1006-1959.2022.09.047]
 LIU Yue-hong.Positive Effect of Meticulous Perioperative Nursing on Children Undergoing Day Surgery for Inguinal Hernia and its Effect on Complications[J].Medical Information,2022,35(08):181.[doi:10.3969/j.issn.1006-1959.2022.09.047]
[8]卢 静.术前呼吸训练联合快速康复外科护理对肺叶切除术患者肺功能恢复的影响[J].医学信息,2023,36(13):166.[doi:10.3969/j.issn.1006-1959.2023.13.037]
 LU Jing.Effect of Preoperative Respiratory Training Combined with Rapid Rehabilitation Surgical Nursing on Pulmonary Function Recovery in Patients Undergoing Lobectomy[J].Medical Information,2023,36(08):166.[doi:10.3969/j.issn.1006-1959.2023.13.037]
[9]周伶俐,欧阳平.快速康复外科护理对踝关节骨折手术患者踝关节功能及并发症的影响[J].医学信息,2023,36(17):168.[doi:10.3969/j.issn.1006-1959.2023.17.036]
 ZHOU Ling-li,OUYANG Ping.Effect of Rapid Rehabilitation Surgical Nursing on Ankle Function and Complications in Patients with Surgery of Ankle Joint Fracture[J].Medical Information,2023,36(08):168.[doi:10.3969/j.issn.1006-1959.2023.17.036]
[10]储 君,黄景昊,杨 剑,等.腹腔镜下经腹腔腹膜前疝修补术与开放手术对腹股沟疝患者术后疼痛、切口满意度的影响[J].医学信息,2023,36(18):132.[doi:10.3969/j.issn.1006-1959.2023.18.025]
 CHU Jun,HUANG Jing-hao,YANG Jian,et al.Effects of Transabdominal Preperitoneal Prosthesis and Open Surgery on Postoperative Pain and Incision Satisfaction in Patients with Inguinal Hernia[J].Medical Information,2023,36(08):132.[doi:10.3969/j.issn.1006-1959.2023.18.025]

更新日期/Last Update: 1900-01-01