基于快速康复外科理念的护理对无张力腹股沟疝修补术患者手术指标及术后疼痛的影响

目的探究基于快速康复外科（ERAS）理念的护理对无张力腹股沟疝修补术患者手术指标及术后疼痛的影响。 方法选取2018年1月至2019年3月，连云港市第一人民医院高新区手术室就诊的107例腹股沟疝患者，随机分为观察组（54例）和对照组（53例），所有患者均行腹腔镜下无张力腹股沟疝修补术进行治疗。对照组给予常规护理。观察组给予基于ERAS理念的护理。观察并比较2组的手术指标、胃肠功能恢复时间、下床活动时间、疼痛视觉模拟评分（VAS）以及不良反应发生情况。 结果观察组手术时间、术中出血量以及住院时间分别与对照组比较，差异无统计学意义（P>0.05）。观察组肠鸣音恢复时间、肛门排气时间、进食时间、下床活动时间与对照组比较，差异均有统计学意义（P<0.05）。术后24 h、48 h，观察组患者的VAS评分与对照组比较，差异均有统计学意义（P<0.05）。对照组不良反应总发生率18.87%高于观察组5.56%，差异有统计学意义（P<0.05）。 结论基于ERAS理念的护理对无张力腹股沟疝修补术患者具有较高的应用价值，可有效控制术后疼痛以及并发症发生情况，促进患者快速康复，值得临床推广。

Influence on surgical indexes and postoperative pain of patients undergoing tension-free inguinal hernia repair by nursing based on concept of ERAS

ObjectiveTo explore the effect on the surgical indexes and postoperative pain of patients undergoing tension-free inguinal hernia repair by nursing based on the concept of enhanced recovery after surgery (ERAS). MethodsOne hundred and seven patients with inguinal hernia treated in the operating room of high-tech zone of Lianyungang First People's hospital from January 2018 to March 2019 were randomly divided into the observation group (54 cases) and the control group (53 cases). All patients were treated with laparoscopic tension-free inguinal hernia repair. The control group was given routine nursing and the observation group was given nursing based on concept of ERAS. The operation indexes, gastrointestinal function recovery time, ambulation time, visual analogue scale (VAS) and adverse reactions in the two groups were observed and compared. ResultsThere were no statistical differences in the operation time, intraoperative blood loss and hospitalization time between the two groups (P>0.05). The recovery time of bowel sounds, anal exhaust time, eating time and ambulation time in the observation group were shorter than those in the control group (P<0.05). At 24 hours and 48 hours after operation, the scores of VAS of patients in the observation group were significantly lower than those in the control group (P<0.05). The number of adverse reactions in the observation group was significantly lower than that in the control group (5.56% vs. 18.87%) (P<0.05). ConclusionNursing based on ERAS concept has high application value for patients undergoing tension-free inguinal hernia repair. It can effectively control postoperative pain and complications, and promote rapid recovery of patients. It is worthy of clinical application.