自制静脉止血带在儿童腹腔镜疝修补手术中的应用

目的探讨自制静脉止血带在儿童腹腔镜疝修补手术中的应用价值及护理经验。 方法选择2017年1月至2018年12月,首都医科大学附属北京朝阳医院行儿童腹腔镜疝修补手术224例患儿的临床资料。将2017年1至12月行手术治疗的115例患儿设置为对照组,使用传统圆形止血带进行静脉穿刺。2018年1至12月行手术治疗的109例患儿设置为观察组,使用自制静脉止血带进行静脉穿刺。比较2组穿刺疼痛度及穿刺成功率。 结果观察组在减轻静脉穿刺疼痛度,提高静脉穿刺成功率方面与对照组比较,差异有统计学意义（P<0.05）。 结论自制止血带的应用可以减轻儿童腹腔镜疝修补手术静脉穿刺疼痛度提高静脉输液成功率。

Application of self-made venous tourniquet in laparoscopic herniorrhaphy in children

Objectiveto investigate the value of homemade venous tourniquet in laparoscopic hernia r epair in children and summarize its nursing experience: introduce the making and application of homemade venous tourniquet. The patients with laparoscopic hernia repair from January to December 2017 were set up as control groups and intravenous puncture was performed using traditional circular tourniquet. From January to December 2018, 109 patients with laparoscopic hernia repair were set up as observation groups and intravenous puncture was performed using self-made venous tourniquet. The puncture pain and puncture success rate were compared between the two groups. ResultsThe observation group was statistically significant in reducing the degree of venous pain and improving the success rate of venous puncture. (P<0.05). ConclusionThe application of homemade tourniquet can reduce the pain degree of laparoscopic hernia repair and improve the success rate of intravenous infusion.