腹腔镜手术治疗小儿腹股沟斜疝的围术期护理分析

吴亚晖1 ，王樱儒2

（1.陕西省咸阳彩虹医院，陕西 咸阳，712000；2.陕西中医药大学第二附属医院，陕西 咸阳，712000）

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摘要：

目的 探讨腹腔镜手术治疗小儿腹股沟斜疝的围手术期护理效果，为小儿腹股沟斜疝治疗提供参考依据。方法 将我院 2015年9月至2016年1月收治的行腹腔镜手术治疗的腹股沟斜疝患儿182例按照随机数字表法分为研究组和对照组，各91例。对照组患儿给予常规护理措施，研究组患儿给予循证护理措施干预，观察两组患儿的不良反应发生率及随访观察复 发率。结果 研究组患儿的不良反应发生率为2.20%，明显低于对照组患儿的16.48%，差异具有统计学意义（P<0.05）；研究组患儿的复发率为1.10%，与对照组的2.20%相比，差异不具有统计学意义（P<0.05）。结论 在行腹腔镜手术治疗小儿腹股沟斜疝的围手术期给予患儿循证护理可有效降低术后并发症发生率和复发率，效果显著，可推广使用。

关键词：小儿腹股沟斜疝；腹腔镜；循证护理

中图分类号：R726.5 文献标志码：A文章编号：2096-1413(2017)26-0184-02

Analysis on perioperative nursing of laparoscopic surgery in the treatment of pediatric inguinal hernia
WU Ya-hui 1, WANG Ying-ru 2
(1. Xianyang Rainbow Hospital, Xianyang 712000; 2. the Second Affiliated Hospital of Shaanxi University of
Chinese Medicine, Xianyang 712000, China)

ABSTRACT: Objective To investigate the effect on perioperative nursing of laparoscopic surgery in the treatment of pediatric inguinal hernia and provide reference basis for the treatment of pediatric inguinal hernia. Methods One hundred and eighty -two cases of children with inguinal hernia treated with laparoscopic surgery in our hospital from September 2015 to January 2016 were selected, which were divided into study group and control group according to the random number table, with 91 cases in each group. Children in the control group were given routine nursing care, while children in the study group were given evidence-based nursing intervention measures. The incidence of adverse reactions and follow-up recurrence rate in the two groups were observed. Results The total adverse reaction rate in study group was 2.20% , which was lower than 16.48% in the control group, the difference was statistically significant (P<0.05). The recurrence rate of the study group was 1.10%, compared with 2.20% of the control group, the difference was not statistically significant (P>0.05). Conclusion In the perioperative nursing of laparoscopic surgery in the treatment of pediatric inguinal hernia, the implemention of evidence-based nursing can effectively reduce the incidence of postoperative complications and recurrence rate, which has significant effect and can be promoted widely.
KEYWORDS: pediatric inguinal hernia; laparoscopic; evidence-based nursing

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