[1]效果及对应激反应的影响董 惠,张建国,刘 霞,等.手术室全程无缝隙护理在无张力疝修补术患者中的应用效果及对应激反应的影响[J].医学信息,2025,38(03):149-152.[doi:10.3969/j.issn.1006-1959.2025.03.030]
　DONG Hui,ZHANG Jianguo,LIU Xia,et al.Application Effect of Whole-course Seamless Nursing in Operating Room in Patients with Tension-free Hernia Repair and its Influence on Stress Response[J].Journal of Medical Information,2025,38(03):149-152.[doi:10.3969/j.issn.1006-1959.2025.03.030]
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手术室全程无缝隙护理在无张力疝修补术患者中的应用效果及对应激反应的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年03期
页码:
149-152
栏目:
护理研究
出版日期:
2025-02-01

文章信息/Info

Title:
Application Effect of Whole-course Seamless Nursing in Operating Room in Patients with Tension-free Hernia Repair and its Influence on Stress Response
文章编号:
1006-1959（2025）03-0149-04
作者:
效果及对应激反应的影响董 惠; 张建国; 刘 霞; 阮 丽
天津市滨海新区中医医院手术室，天津 300453
Author(s):
DONG Hui;  ZHANG Jianguo;  LIU Xia;  RUAN Li
Operating Room, Tianjin Binhai New District Hospital of Traditional Chinese Medicine, Tianjin 300453, China
关键词:
手术室; 全程无缝隙护理; 无张力疝修补术; 应激反应
Keywords:
Operating room;  Whole-course seamless nursing;  Tension-free hernia repair;  Stress response
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2025.03.030
文献标志码:
A
摘要:
目的 分析手术室全程无缝隙护理在无张力疝修补术患者中的应用效果及对应激反应的影响。方法 选取2020年2月-2023年2月在我院行无张力疝修补术的56例患者为研究对象，采用随机数字表法分为对照组和观察组，各组28例。对照组采用常规护理，观察组开展手术室全程无缝隙护理，比较两组临床手术指标（手术时间、术中出血量、麻醉时间）、应激反应指标（心率、血压、肾上腺素）、预后指标（疼痛评分、肛门排气时间、下床活动时间）、并发症发生率。结果 观察组手术时间、术中出血量、麻醉时间均小于对照组（P＜0.05）；两组术后心率、舒张压、收缩压、肾上腺素水平均高于术前，但观察组均低于对照组（P＜0.05）；观察组疼痛评分、肛门排气时间、下床活动时间均小于对照组（P＜0.05）；观察组并发症发生率为7.14%，低于对照组的17.86%（P＜0.05）。结论 手术室全程无缝隙护理在无张力疝修补术患者中具有良好的护理效果，可减小应激反应，保持心率、舒张压、收缩压、肾上腺素基本稳定，缩短手术时间，减少术中出血量，缩短术后排气、下床活动时间，降低疼痛评分，预防并发症的发生。
Abstract:
Objective To analyze the application effect of whole-course seamless nursing in operating room in patients with tension-free hernia repair and its influence on stress response. Methods A total of 56 patients who underwent tension-free hernia repair in our hospital from February 2020 to February 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 28 patients in each group. The control group was given routine nursing, while the observation group was given whole-course seamless nursing in the operating room. The clinical operation indexes (operation time, intraoperative blood loss, anesthesia time), stress response indexes (heart rate, blood pressure, epinephrine), prognostic indexes (pain score, anal exhaust time, ambulation time) and incidence of complications were compared between the two groups. Results The operation time, intraoperative blood loss and anesthesia time of the observation group were less than those of the control group (P<0.05). The levels of heart rate, diastolic blood pressure, systolic blood pressure and epinephrine in the two groups after operation were higher than those before operation, but those in the observation group were lower than those in the control group (P<0.05). The pain score, anal exhaust time and ambulation time in the observation group were lower than those in the control group (P<0.05). The incidence of complications in the observation group was 7.14%, which was lower than 17.86% in the control group (P<0.05). Conclusion The whole-course seamless nursing in the operating room has a good nursing effect in patients with tension-free hernia repair, which can reduce the stress response, maintain the basic stability of heart rate, diastolic blood pressure, systolic blood pressure and epinephrine, shorten the operation time, reduce the amount of intraoperative blood loss, shorten the time of postoperative exhaust and getting out of bed, reduce the pain score, and prevent the occurrence of complications.

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更新日期/Last Update: 1900-01-01