中西医结合护理应用于腹腔镜疝修补术围手术期效果分析
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R656.2+4

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浙江省科技计划项目(2014C33208)


Analysis on the Effect of Integrated Chinese and Western Medicine Nursing for Laparoscopic Herniorrhaphy in Perioperative Period
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    摘要:

    目的:观察中西医结合护理在腹腔镜腹壁疝修补术围手术期中的应用效果。方法:选取在本院行腹腔镜疝修补术的患者82例,采用随机数字表法分为对照组和观察组各41例。对照组实施常规护理,观察组实施中西医结合护理。检测患者入院时及手术前的收缩压、心率、焦虑自评量表(SAS)评分及手术后和出院时的视觉模拟评分法(VAS)评分,记录并发症发生情况。结果:2组入院时的收缩压和心率比较,差异均无统计学意义(P>0.05)。手术前,观察组的收缩压和心率均低于对照组,差异均有统计学意义(P<0.05)。与入院时比较,观察组手术前的SAS评分降低(P<0.05),且低于同期对照组(P<0.05)。对照组入院时的SAS评分与手术前比较,差异无统计学意义(P>0.05)。观察组出院时的SAS评分低于同期对照组,差异有统计学意义(P<0.05)。2组术后当天的VAS评分比较,差异无统计学意义(P>0.05)。观察组出院时的VAS评分低于对照组,差异有统计学意义(P<0.05)。术后随访半年,观察组便秘发生率低于对照组,差异有统计学意义(P<0.05)。2组伤口慢性疼痛、皮下积血、阴囊积液积血、肠粘连发生率及疝复发率比较,差异均无统计学意义(P>0.05)。结论:中西医结合护理干预腹腔镜腹壁疝手术围手术期患者,能减轻其焦虑状况,对手术的开展及术后康复均有积极的作用。

    Abstract:

    Objective:To observe the effect ofintegrated Chinese and western medicine nursing forlaparoscopic herniorrhaphy in perioperative period.Methods:Selected 82 cases of patients who receivedlaparoscopic herniorrhaphy in the hospital,and divided them into the control group and the observation group randomly,41 cases in each group.The control group was given routine nursing,while the observation group was given integrated Chinese and western medicine nursing.Detected systolic blood pressure,heart rate as well as scores of self-rating anxiety scale(SAS)and visual analogue scale(VAS)when patients were on admission and before operation.Recorded complications as well.Results:No significant difference was found in the comparison of systolic blood pressure and heart rate when on admission between the two groups(P>0.05).Before operation,systolic blood pressure and heart rate in the observation group were lower than those in the control group,differences being significant(P < 0.05).Before operation,SAS scores in the observation group were lower than those on admission(P < 0.05),and were lower than those in the control group at the same time(P<0.05).Compared SAS scores in the control group on admission with those before operation,no significance was found in differences(P>0.05).SAS scores in the observation group on discharge were lower than those in the control group, the difference being significant(P<0.05).No significance was found between the two groups in the comparison of VAS scores at the day of the operation(P>0.05).When patients were discharged,VAS scores in the observation group were lower than those in the control group(P<0.05).In the follow-up of six months after the operation,the incidence of constipation in the observation group was lower than that in the control group(P<0.05).Nosignificant difference was found in the comparison of wound with chronic pain,subcutaneous hematoma, hematoscheocele,the incidence of intestinal adhesions,and the recurrence rate of hernia between the two groups(P > 0.05).Conclusion:Integrated Chinese and western medicine nursing takes effect in treating patients with laparoscopic herniorrhaphy during perioperative period,which can decrease anxiety and has positive effect on both operations and postoperative rehabilitation.

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陈兴,金泓,朱月飞.中西医结合护理应用于腹腔镜疝修补术围手术期效果分析[J].新中医,2017,49(12):149-151

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  • 在线发布日期: 2017-12-02
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