探讨优质护理在腹腔镜治疗腹壁缺损患者术后的干预效果。

回顾性分析2014年1月至2017年10月南通市中医院收治78例腹壁缺损患者的临床资料。根据护理方式不同分为观察组（39例）和对照组（39例）。78例患者行无张力修补开放手术后，给予对照组患者围手术期常规护理，给予观察组患者围手术期优质护理。比较2组患者术后切口愈合情况、术后并发症、手术相关临床参数及疼痛程度情况。

对照组1例患者拆线后伤口为Ⅱ期愈合，其余患者均为Ⅰ期愈合。与对照组比较，观察组术后自主活动时间提前，住院时间缩短，并发症发生率降低，差异均有统计学意义（P<0.05）。术后12 h至7 d，2组患者视觉模拟评分均呈逐渐降低趋势，观察组低于对照组，差异有统计学意义（P<0.05）。

优质护理模式能够减轻腹壁缺损患者术后疼痛，促进伤口愈合，降低并发症发生风险。

To explore the effect of high-quality nursing intervention in patients with abdominal wall defect after laparoscopic operation.

The clinical data of 78 patients with abdominal wall defects admitted to Nantong Traditional Chinese Medicine hospital from January 2014 to October 2017 were retrospectively analyzed, and they were divided into the experiment group (n=39) and the control group (n=39) according to the different ways of nursing care. After the patients underwent tension-free repair, patients in the control group received routine nursing during the perioperative period, and patients in the experiment group received high-quality care during the perioperative period. The surgical incision healing, postoperative complications, surgery related clinical parameters and pain degree were compared between the 2 groups.

In the control group, one patient had wound healed in second-stage after the suture removal, and the other patients reached the first stage of healing. Compared with the control group, the autonomic activity time of the experiment group advanced, the hospitalization time shortened, the incidence rate of complications decreased (P<0.05). Compared with before surgery, the VAS scores of the 2 groups gradually decreased from 12 h to 7 d after operation, and the experiment group were lower than the control group (P<0.05).

High-quality nursing model can reduce postoperative pain of patients with abdominal wall defects, promote wound healing, and reduce the risk of complications.