探讨无张力疝修补术联合全程护理干预在老年腹股沟疝中的应用价值。

选取2016年4月至2018年3月在西南医科大学附属医院接受治疗的腹股沟疝患者74例，按随机数字表法平均分为观察组和对照组，每组37例。2组患者均行无张力疝修补术，对照组给予常规护理，观察组采用全程护理干预。比较2组患者手术相关临床参数、手术前后不同时间疼痛程度、住院期间护理质量及术后并发症发生情况和疝复发率。

观察组住院时间明显短于对照组（P<0.05），2组术后自主活动时间无明显差异（P>0.05）。2组患者术后2 h至7 d的疼痛视觉模拟评分（visual analogue scale，VAS）呈先升高后降低趋势，且均明显低于术前，术后12 h至7 d观察组VAS评分均明显低于对照组，差异有统计学意义（P<0.05）。观察组病房维护及管理、病情观察及并发症预防、护理操作及技巧评分均明显高于对照组（P<0.05）。观察组并发症发生率明显低于对照组（P<0.05），差异均有统计学意义。术后随访6个月，2组疝复发率比较，差异无统计学意义（P>0.05）。

对行无张力疝修补术的老年腹股沟疝患者实施全程护理干预可最大限度地降低术后疼痛程度及术后并发症发生率，缩短患者住院时间、促进患者恢复。

To study the application value of tension-free hernia repair combined with whole-course nursing intervention in elderly inguinal hernia.

74 cases of elderly patients with inguinal hernia in our hospital from April 2016 to March 2018 were selected and divided into the experiment group and the control group according to random number table method, 37 cases in each group. The patients of the 2 groups underwent tension-free hernia repair, the control group received routine care, the experiment group used whole-course nursing intervention. The clinical parameters of the 2 groups, the pain degree at different time before and after the operation, the quality of care during the hospitalization, the postoperative complications and the recurrence rate of the hernia were compared.

The hospital stays in the experiment group was significantly shorter than that of the control group (P<0.05), there was no significant difference in the time of spontaneous activity between the 2 groups (P>0.05). The VAS scores from 2 hours to 7 days postoperation of the 2 groups first increased and then decreased, and were significantly lower than preoperation (P<0.05), the VAS scores from 12 hours to 7 days in the experiment group was significantly lower than the control group (P<0.05). The scores of maintenance and management of the ward, the observation of illness state and prevention of complications, the nursing operation and skill in the experiment group were significantly higher than those in the control group (P<0.05). The incidence of complications in the experiment group was significantly lower than that of the control group (P<0.05). Followed up for 6 months, there was no significant difference in the recurrence rate between the 2 groups (P>0.05).

Whole-course nursing intervention for elderly patients with inguinal hernia who underwent tension-free hernia repair can minimize the degree of postoperative pain, reduce the incidence of postoperative complications, shorten the length of hospital stays and promote the recovery of patients.