探讨体位护理干预对小儿疝囊高位结扎术后非切口疼痛及恢复时间的影响。

选择首都医科大学附属北京朝阳医院疝和腹壁外科自2015年2月至2017年2月行小儿疝囊高位结扎术患儿77例为研究对象，以随机数字表法分为观察组（39例）与对照组（38例），对照组接受常规护理，观察组在常规护理基础上行体位护理干预，对2组患儿术后非切口疼痛情况、恢复情况、护理满意率等进行观察。

观察组患儿术后肛门排气时间、肠鸣音恢复时间、进食时间及住院时间均短于对照组，差异有统计学意义（P<0.05）；观察组患儿术后腹胀痛、背痛、膈痛、肋间痛等非切口疼痛发生率明显低于对照组，差异有统计学意义（P<0.05）；观察组患儿家长护理总满意率（94.87%）明显高于对照组（73.68%），差异有统计学意义（P<0.05）。

体位护理干预可缩短小儿疝囊高位结扎术后恢复时间，也能降低非切口疼痛发生率，有利于改善护患关系，具有一定推广价值。

The aim of this study is to explore the effect of position nursing intervention on non-incisional pain and recovery time after pediatric hernia sac high ligation.

From February 2015 to February 2017, 77 children undergone hernia sac high ligation in Beijing Chaoyang hospital were randomized to routine nursing group (n=38) and additional position nursing intervention group (n=39). The non-incisional pain, recovery time and nursing satisfaction rate postoperatively were observed in this study.

The position nursing intervention was associated with shorter anus exhaust time, bowel sound recovery time, diet recovery time and hospital stay postoperatively (P<0.05). And the incidence of postoperative non-incisional pain such as abdominal pain, back pain, diaphragmodynia and intercostal pain was significantly lower in the trial group (P<0.05). It shows a better total nursing satisfaction rate in the trial group compared to control group (94.87% vs 73.68%, P<0.05).

The position nursing intervention can effectively shorten the recovery time of the hernia sac high ligation in children, and can also reduce the incidence of non-incisional pain, which is beneficial to improve the relationship between nurses and patients, and has certain promotional value.