加速康复理念在日间腹股沟疝无张力修补术患者中的应用

目的研究加速康复护理在日间腹股沟疝无张力修补术护理中的应用效果。方法选择2017年1月至2019年2月,上海交通大学医学院附属第九人民医院接受日间手术治疗的260例腹股沟疝患者为研究对象,采用随机数字表分为对照组(130例)和观察组(130例)。对照组患者采用常规护理,观察组患者则在常规护理的基础上应用加速康复外科理念加以干预。对比2组患者的术后首次肛门排气时间、首次进食时间及首次下床活动时间等康复指标以及阴囊积液水肿、切口异物感、腹胀、深静脉血栓等术后并发症发生情况。结果观察组患者康复指标以及并发症的发生率均比对照组有不同程度的缩短和降低,差异有统计学意义(P<0.05)。结论将加速康复外科理念应用在日间腹股沟疝无张力修补术患者护理过程中,可有效减少术后应激反应发生,减低术后并发症发生率,缩短住院天数,减轻患者的痛苦,明显促使患者早日康复,值得临床推广应用。

Application effect of the concept of fast track surgery in the nursing of day surgery tension-free repair of inguinal hernia

Objective To study the application effect of the concept of fast track surgery in the nursing of day surgery tension-free repair of inguinal hernia.Methods Two-hundred and sixty patients with inguinal hernia who underwent day operation in the Ninth People's Hospital of Shanghai Jiaotong University School of Medicine from January 2017 to February 2019 were selected as the study subjects,and were divided into control group(n=130)and observation group(n=130)by random number table.Patients in the control group received routine nursing,while patients in the observation group received intervention based on the concept of rapid rehabilitation surgery.The recovery indexes such as the time of first anal exhaust,the time of first eating,the time of first getting out of bed,and the occurrence of postoperative complications such as scrotal effusion edema,incision foreign body sensation,abdominal distension and VTE were compared between the two groups.Results The recovery indexes and complication rates of patients in observation group were shorter and lower than those in control group in different degrees,and the difference was statistically significant(P<0.05).Conclusion Applying the concept of fast track surgery to the nursing process of patients undergoing day surgery tension-free repair of inguinal hernia can effectively reduce the occurrence of postoperative stress reaction,reduce the incidence of postoperative complications,shorten the length of hospital stay,alleviate the pain of patients,and obviously promote the early recovery of patients,and it is worthy of clinical popularization and application.