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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (01) : 90 -92. doi: 10.3877/cma.j.issn.1674-392X.2019.01.025

所属专题： 文献；

护理园地

临床护理路径在腹股沟疝无张力修补术中的应用效果
符冰1,†(), 严敏2, 王艳良2   
  1. 1. 571700　海南，儋州市人民医院手术室
    2. 571700　海南，儋州市人民医院普外科
  • 收稿日期:2018-10-17 出版日期:2019-02-18
  • 通信作者: 符冰

Application effect of clinical nursing pathway in tension-free repair of inguinal hernia

Bing Fu1,†(), Min Yan2, Yanliang Wang2   

  1. 1. Operating Room, Danzhou People's Hospital, Hainan Danzhou 571700, China
    2. Department of General Surgery, Danzhou People's Hospital, Hainan Danzhou 571700, China
  • Received:2018-10-17 Published:2019-02-18
  • Corresponding author: Bing Fu
  • About author:
    Corresponding author: Fu Bing, Email:
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符冰, 严敏, 王艳良. 临床护理路径在腹股沟疝无张力修补术中的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2019, 13(01): 90-92.

Bing Fu, Min Yan, Yanliang Wang. Application effect of clinical nursing pathway in tension-free repair of inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(01): 90-92.

目的

探讨临床护理路径在腹股沟疝无张力修补术中的应用效果。

方法

选取2016年2月至2017年7月，儋州市人民医院行腹股沟疝无张力修补术的144例腹股沟疝患者为研究对象，根据围术期护理方法的不同进行分组，分为研究组及对照组，各72例。研究组采取临床护理路径，对照组采取常规护理。比较2组术后疼痛状况及相关临床指标，观察2组术后并发症及疾病复发情况。

结果

研究组住院时间及术后卧床时间等均较对照组显著缩短，住院总费用较对照组减少，差异均均有统计学意义（P<0.05）。自术前至出院前1 d 2组VAS评分均显著下降，差异有统计学意义（P<0.01），且除术前外各时间点研究组均显著低于对照组，差异有统计学意义（P<0.05）。术后研究组并发症发生率及复发率均显著低于对照组，差异有统计学意义（P<0.05）。

结论

在腹股沟疝无张力修补术中依据临床护理路径进行护理可有效减轻患者疼痛感，降低术后并发症及复发风险，有利于患者康复，因此值得推广。

关键词: 疝，腹股沟, 疝修补术, 临床护理路径, 应用效果
Objective

To explore the application effect of clinical nursing pathway in tension-free repair of inguinal hernia.

Methods

144 patients with inguinal hernia who underwent tension-free repair in Danzhou People's Hospital from February 2016 to July 2017 were selected as the study subjects, they were divided into the study group and the control group according to the different perioperative nursing methods, 72 cases in each group. The study group adopted clinical nursing pathway, while the control group received routine nursing. The postoperative pain status and related clinical indicators were compared between the 2 groups, and the postoperative complications and disease recurrence were observed.

Results

Hospitalization time and postoperative bed rest time in the study group were significantly shorter than those in the control group, and total hospitalization costs were lower than those in the control group (P<0.05). The VAS scores of the 2 groups decreased significantly from preoperative to 1 day before discharge (P<0.01), and the VAS scores of the study group were significantly lower than those of the control group at all time points except preoperative (P<0.05). The incidence and recurrence rate of complications in the study group were significantly lower than those in the control group (P<0.05).

Conclusion

Nursing in tension-free repair of inguinal hernia according to clinical nursing pathway can effectively reduce the pain, postoperative complications and the risk of recurrence. It is beneficial to the recovery of patients, an is worth popularizing.

Key words: Hernia, inguinal, Herniorrhaphy, Clinical nursing pathway, Application effect
表1 2组临床指标比较（±s）
组别 例数 住院时间(d) 术后卧床时间(h) 住院总费用(元)
研究组 72 5.63±1.05* 4.51±1.36* 5 422.56±698.07*
对照组 72 8.30±1.37 6.52±1.95 7 423.20±648.15
表2 2组手术前后疼痛视觉模拟评分比较（分，±s）
组别 例数 术前 术后1 d 术后3 d 出院前1 d F值 P值
研究组 72 5.78±1.81 4.52±0.83* 3.43±1.49* 2.65±1.21* 22.457 0.003
对照组 72 5.84±1.92 4.85±0.76 4.60±1.32 3.92±1.27 30.156 0.008
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