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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) ›› 2020, Vol. 14 ›› Issue (06) : 677 -679. doi: 10.3877/cma.j.issn.1674-392X.2020.06.022

所属专题： 文献；

护理论著

连续护理对行正中切口双侧疝修复术高龄患者应用的体会
张伟1, 吴向阳2,†(), 顾银燕3   
  1. 1. 南京医科大学附属南京医院（南京市第一医院）手术室
    2. 南京医科大学附属南京医院普外科
    3. 南京医科大学附属南京医院外科
  • 收稿日期:2019-06-12 出版日期:2020-12-20
  • 通信作者: 吴向阳

Continuous nursing intervention in elderly patients undergoing median incision bilateral hernia repair

Wei Zhang1, Xiangyang Wu2,†(), Yinyan Gu3   

  1. 1. Department of Operating Room, Nanjing Medical University, Nanjing 210006, China
    2. Department of General Surgery, Nanjing Medical University, Nanjing 210006, China
    3. Department of Surgery, Nanjing Hospital, Nanjing Medical University, Nanjing 210006, China
  • Received:2019-06-12 Published:2020-12-20
  • Corresponding author: Xiangyang Wu
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张伟, 吴向阳, 顾银燕. 连续护理对行正中切口双侧疝修复术高龄患者应用的体会[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(06): 677-679.

Wei Zhang, Xiangyang Wu, Yinyan Gu. Continuous nursing intervention in elderly patients undergoing median incision bilateral hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(06): 677-679.

目的

总结连续护理干预在高龄患者行正中切口双侧疝修复术中的应用体会。

方法

回顾性分析2016年1～10月于南京医科大学附属南京医院行正中切口腹膜前间隙无张力疝修补术的40例高龄双侧疝患者的资料。总结围手术期护理过程中的连续护理策略。

结果

40例患者术中生命体征平稳、术程顺利，手术时间40～60 min，出血量20～50 ml；术后患者恢复良好，随访24个月，无复发。

结论

连续护理能够为高龄患者提供持续的护理关怀和支持，能够使患者以轻松、平静的状态来接受手术，并协助其安全度过手术期。

关键词: 高龄患者, 腹股沟双侧疝, 腹膜前间隙无张力疝修补术, 连续护理
Objective

To summarize the experience of continuous nursing intervention in elderly patients undergoing median incision bilateral inguinal hernia repair.

Methods

The perioperative nursing process of 40 elderly patients undergoing bilateral hernia with tension-free hernioplasty in the anterior peritoneal space via median incision from January 2016 to October 2016 at Nanjing Hospital Affiliated to Nanjing Medical University was retrospectively analyzed. The continuous nursing strategy during perioperative nursing process was summarized.

Results

The vital signs of 40 patients were stable and the operations were successful. The operation time was 40-60 minutes, the bleeding loss was 20-50 ml, and all patients returned to the wards safely after operations. The patients recovered well after operations and were followed up for 12-24 months without recurrence.

Conclusion

Continuous nursing care can provide constant nursing care and support for the elderly patients, enable them to receive the operation in a relaxed and calm state, and help them safely get through the operation period.

Key words: Elderly patients, Bilateral inguinal hernia, Tension-free hernioplasty in preperitoneal space, Continuous nursing care
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