摘要
目的探讨加速康复外科理念在腹股沟疝无张力修补术的应用效果。方法选取2018年1月至2018年9月扬州大学附属医院诊治的106例无张力修补术的腹股沟疝患者作为研究对象。按照随机数字表法随机分成对照组(n=53)和观察组(n=53)。观察组患者予以应用加速康复外科理念实施护理干预,对照组则予以围术期常规护理干预,并对两组患者进行为期6个月术后随访。比较两组患者的术后恢复情况、并发症发生情况、慢性疼痛情况以及生活质量(GQLI、KPS评分)。结果①观察组患者的胃肠道恢复情况以及住院时间均显著优于对照组患者,差异均具有统计学意义(均P<0.05);②观察组患者的术后并发症发生率(7.55%)明显低于对照组患者的并发症发生率(22.64%),差异具有统计学意义(P<0.05);③随访期间观察组患者慢性疼痛(5.66%)显著低于对照组患者的发生率(18.87%),差异具有统计学意义(P<0.05);④观察组的GQLI、KPS评分显著优于对照组患者,差异具有统计学意义(P<0.05)。结论应用加速康复外科理念对腹股沟疝并行无张力修补术患者实施围术期护理干预,可显著促进患者胃肠道功能恢复,降低慢性疼痛的发生率,显著改善患者术后生活质量,能够取得较好的临床护理效果,值得临床上广泛推广。
Objective To explore the application effect of accelerated rehabilitation surgery in tension-free repair of inguinal hernia.Methods A total of 106 patients with inguinal hernia who underwent tension-free repair in our hospital from January 2018 to September 2018 were selected and randomly divided into control group and observation group,with 53 cases in each group.The control group received perioperative routine nursing intervention,and the observation group were treated with accelerated rehabilitation surgery for nursing intervention.All the patients in the two groups were followed up for 6 months.Postoperative recovery,complications,chronic pain,and quality of life were compared between the two groups.Results①The time of anal exhaust,recovery of bowel sounds,time of getting out of bed,time of eating and time of hospitalization in the observation group were shorter than those in the control group,with statistically significant differences(both P<0.05).②The incidence of postoperative complications in the observation group(7.55%)was lower than that in the control group(22.64%),with statistically significant differences(P<0.05).③During the follow up,the incidence of chronic pain in the observation group(5.66%)was lower than that in the control group(18.87%),with statistically significant differences(P<0.05).④The General Quality Of Life Inventory(GQLI)and KPS scores of the observation group were significantly better than those of the control group,with statistically significant differences(P<0.05).Conclusions Applying the concept of accelerated rehabilitation surgery to patients with inguinal hernia undergoing tension-free repair can effectively promote the recovery of gastrointestinal function,reduce the incidence of complications and chronic pain,significantly improve the life quality of patients after operation,hereby achieving better clinical nursing effect,which is worthy of wide clinical promotion.
作者
王兆锦
林志娟
倪庆
WANG Zhao-jin;LIN Zhijuan;NI Qing(Department of General Surgery,Affiliated Hospital of Yangzhou University(School of Nursing,Yangzhou University),Yangzhou 225000,Jiangsu,China;Department of General Surgery,Affiliated Hospital of Yangzhou University,Yangzhou 225000,Jiangsu,China)
出处
《中国性科学》
2020年第7期25-29,共5页
Chinese Journal of Human Sexuality
基金
江苏省卫生计生委2017年委医学科研课题(Z2017019)。
