腹股沟区压迫装置对腹股沟疝手术后生活质量及血清肿发生率影响的研究

目的观察压迫装置对腹股沟疝手术患者术后生活质量及并发症的影响。 方法观察分析首都医科大学附属北京朝阳医院进行腹股沟疝日间手术80例患者的临床资料，其中腹腔镜手术53例，开放手术27例，全部患者手术后采用加压装置对手术区域进行加压，分析患者术后疼痛评分、卡罗来纳舒适量表生活质量评分（CCS）及血清肿相关情况。 结果腹腔镜组和开放组患者的术后1周CCS评分分别为（25.88±5.77）和（27.32±6.23）分，差异无统计学意义（P>0.05）。开放组与腹腔镜组使用加压装置前的2组的疼痛评分分别为（5.12±1.41）和（4.53±1.62）分，使用加压装置当天疼痛评分分别为（3.54±0.67）和（3.55±0.72）分，术后7 d的疼痛评分分别为（1.19±0.21）和（1.09±0.19）分，差异均无统计学意义（P>0.05）。手术当天使用加压装置后能够改善患者的疼痛程度，对术后加压装置整体评估满意度2组患者分别为90.56%和85.19%，差异无统计学意义（P>0.05）。2组患者血清肿发生率比较，差异无统计学意义（P>0.05）。 结论压迫装置能够改善腹股沟疝患者术后疼痛情况并且提升术后生活质量，患者的整体使用满意度较高，并且对症状性血清肿的预防能够起到一定的预防作用。

Study of effect for inguinal compression device on quality of life and incidence of seroma after inguinal hernia repair

ObjectiveTo observe the effect of compression device on postoperative quality of life and complications of patients undergoing inguinal hernia surgery. MethodsA total of 80 patients undergoing inguinal hernia day surgery in Beijing Chaoyang Hospital affiliated to Capital Medical University were observed and analyzed, including 53 patients undergoing laparoscopic surgery and 27 patients undergoing open surgery. All patients were pressurized with a compression device to the operation area after surgery. Postoperative pain score, Carolinas Comfort Scale (CCS) and seroma were analyzed. ResultsThe CCS scores of the laparoscopic group and the open group were (25.88±5.77) and (27.32±6.23) points at 1 week after surgery, respectively, and there was no significant difference between the two groups (P>0.05). The pain scores before the use of compression device were (5.12±1.41) points in the open group and (4.53±1.62) points in the laparoscopic group, the pain scores of the two groups on the day using the compression device were (3.54±0.67) and (3.55±0.72) points, respectively, and the pain scores of the two groups on the 7 days after the operation were (1.19±0.21) and (1.09±0.19) points, respectively, and there was no significant difference between the two groups (P>0.05). The use of compression devices on the day of surgery could improve the pain degree of patients. The overall satisfaction of the evaluation of postoperative compression devices was 90.56% and 85.19% in the two groups, respectively, with no significant statistical difference (P>0.05). There was no significant difference in the incidence of seroma between the two groups (P>0.05). ConclusionCompression device can improve the postoperative pain of patients with inguinal hernia and improve the postoperative quality of life, the overall satisfaction of patients was high, and it can play a certain role in the prevention of symptomatic seroma.