浅析腹股沟斜疝行无张力疝修补术的术后护理体会

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摘要    [摘要 ] 目的 研究分析针对性护理对接受无张力疝修补术治疗的腹股沟斜疝术后患者的临床影响。方法 此次研究的对象是选取 2015年 1月— 2016年 6月间该院接受无张力疝修补术治疗的 60例腹股沟斜疝患者,将其临床资料进行回顾性分析,并采用随机数表法分为观察组( 30例,术后接受针对性护理)、对照组( 30例,术后接受常规护理)。出院时,对比两组患者的护理质量评分及并发症率;术后随访 6个月,比较两组患者疝复发率。结果 观察组护理质量总评分为( 55.7±7.4)分,显著高于对照组的( 48.3±5.6)分( P<0.05)。此外,观察组术后并发症率为 10.0%,明显低于对照组 33.3%( P<0.05)。随访期 6个月发现,观察组复发率为 3.3%,也显著低于对照组 20.0%( P<0.05)。结论 针对无张力疝修补术后腹股沟斜疝患者的特点,实施针对性护理干预,有助于促进术后康复、提高护理质量、降低疝复发率及并发症率,值得临床应用。     [关键词 ] 腹股沟斜疝;无张力疝修补术;针对性护理;观察  Objective: To study and analyze the clinical effect of targeted nursing on patients with inguinal hernia treated by tension-free hernia repair. Methods the objective of this study was to select 60 cases of inguinal hernia treated by tension free herniorrhaphy from January 2015 to June 2016. The clinical data were analyzed retrospectively, and the random number table was used to divide the patients into the observation group (30 cases, after the operation for targeted nursing) and the control group (30 cases received routine post operation). Nursing). At the time of discharge, the nursing quality score and complication rate of the two groups were compared. After 6 months follow-up, the hernia recurrence rate of the two groups was compared. Results the total score of nursing quality in the observation group was (55.7 + 7.4), which was significantly higher than that in the control group (48.3 + 5.6) (P<0.05). In addition, the postoperative complication rate in the observation group was 10%, which was significantly lower than that in the control group (33.3%) (P<0.05). The follow-up period was 6 months. The recurrence rate in the observation group was 3.3%, which was also significantly lower than that in the control group (20%) (P<0.05). Conclusion targeted nursing intervention for the patients with inguinal hernia after tension-free herniorrhaphy can help to promote postoperative rehabilitation, improve the quality of nursing, reduce the rate of hernia recurrence and the rate of complications. It is worthy of clinical application.
出处 《系统医学》 2018年07期
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出版日期 2019年12月17日(中国期刊网平台首次上网日期,不代表论文的发表时间)