ObjectiveTo explore the role of fine nursing in laparoscopic repair of hiatal hernia. Methods the clinical data of 300 patients who underwent laparoscopic esophageal hiatus repair in the operating room of people's Hospital of Xinjiang Uygur Autonomous Region from January 2018 to December 2019 were retrospectively analyzed.
Methods150 cases of patients with laparoscopic hiatal hernia repair from January to December 2018 were selected as the control group, and 150 cases from January to December 2019 were selected as the experimental group. The operation nursing cooperation of the experimental group was treated with fine nursing, while the control group was treated with conventional management methods. The occurrence of intraoperative complications, operating room efficiency, patient satisfaction and physician satisfaction of the two groups before and after the implementation were compared It's a matter of intention. The measurement data were expressed as mean ± standard deviation (±s) by t test, and the count data were expressed as percentage (%) by chi square test.
Resultsthe incidence of intraoperative pressure injury, hypothermia, deep venous thrombosis and other complications in the experimental group was lower than that in the control group, and the difference was statistically significant (χ2=4.147, 4.253, 4.124; P<0.05). The turnover time, preparation time and operation time of the experimental group were shorter than those of the control group (F=69.437, 48.394; P<0.05). The difference of satisfaction between the two groups was statistically significant (χ2=4.353, P<0.05). There was a significant difference in the satisfaction of the two groups (χ2=0.605, P<0.05).
Conclusionthe application of fine nursing intervention in laparoscopic hiatal hernia repair has obvious effect, which is worthy of promotion. 相似文献
目的:分析腹主动脉球囊置入在凶险性前置胎盘剖宫产术中的临床应用效果。
方法:选取2015年6月至2018年6月于我院行剖宫产术的凶险性前置胎盘患者50例,根据手术方法分为常规组(n=30)和球囊组(n=20),所有患者均行常规剖宫产术,球囊组患者在剖宫产术之前先行腹主动脉球囊阻断术,比较两组患者术中、术后一般情况,分娩后胎儿的一般情况,患者住院期间及术后不良反应的发生情况。
结果:球囊组患者的手术时间[(96.49±6.94)min vs.(101.49±10.09)min]、术中出血量[(932.93±81.97)ml vs.(2 010.49±288.39)ml]、术中输血量[(652.47±88.94)ml vs.(1 546.39±237.18)ml]及子宫切除率(5% vs. 30%)均显著低于常规组,差异有统计学意义(t=3.055、27.633、26.985,χ2=4.678,P<0.05);两组患者的术中膀胱损伤率差异无统计学意义(0% vs. 3.33%,χ2=0.680,P>0.05)。球囊组总住院时间[(4.69±0.34)d vs.(5.27±1.06)d]、弥散性血管内凝血发生率(0% vs. 20%)、失血性休克发生率(0% vs. 23.3%)及肾功能异常率(5% vs. 33.3%)均显著低于常规组(t=2.064,χ2=5.613、4.454、5.425,P<0.05);两组患者术后感染率(10% vs. 20%)差异无统计学意义(χ2=0.399,P>0.05);两组患者分娩后胎儿体质量[(2.65±0.62)kg vs.(2.57±0.37)kg]、1 min Apgar评分[(8.49±1.65)分vs.(8.86±2.07)分]及5 min Apgar评分[(9.53±0.97)分vs.(9.72±1.06)分]比较差异无统计学意义(t=0.517、-0.701、-0.653,P>0.05);两组患者的术后不良反应发生率(3.3% vs. 15%)差异无统计学意义(χ2=0.779,P>0.05)。
结论:凶险性前置胎盘患者在行剖宫产前先行腹主动脉球囊阻断术,能改善患者术中及术后情况,同时降低其胎盘切除的可能性,且安全性相对较好。 相似文献