腹股沟斜疝行无张力疝修补术术后护理探讨.docVIP

腹股沟斜疝行无张力疝修补术术后护理探讨 　　DOI：10.16662/j.cnki.1674-0742.2017.07.143 　　[摘要] 目的 探?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 方便选取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，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（P0.05）。此外，观察组术后并发症率为10.0%，明显低于对照组33.3%（P0.05）。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%（P0.05）。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 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2017）03（a）-0143-03 　　Study on Postoperative Nursing of Tension-free Hernia Repair in Treatment of Indirect Inguinal Hernia 　　LI Cui-lian 　　Department of Surgery， Sheyang Hospital of Traditional Chinese Medicine， Yancheng， Jiangsu Province， 224300 China 　　[Abstract] Objective To study the clinical effect of targeted nursing on patients with indirect inguinal hernia treated with tension-free hernia repair. Methods 60 cases of patients with indirect inguinal hernia admitted treated in our hospital from January 2015 to June 2016 were convenient selected and divided into two groups with 30 cases in each， the observation group adopted the targeted nursing after operation， while the control group adopted the routine nursing after operation， after discharge， the nursing quality score and complication rate were compared between the two groups， and recurrence of hernia was compared between the two groups after 6-month follow-up after operation. Results The total score of nursing quality in the observation group was obviously higher than that in the control group[（55.7±7.4）points vs （48.3±5.6）points]， in addition， the complication rate after operation and recurrence rate in the observation group were obviously lower than those in the control group（10.0%， 3.3% vs 33.3%， 20.0%）（P0.05）. Conclusion The targeted nursing intervention according to the features of patients with indirect inguinal hernia treated with tension-free hernia repair contributes to promoti