小兒疝氣腹腔鏡手術(shù)的臨床應(yīng)用價(jià)值及圍手術(shù)期的舒適護(hù)理

1、小兒疝氣腹腔鏡手術(shù)的臨床應(yīng)用價(jià)值及圍手術(shù)期的舒適護(hù)理?xiàng)钽y娣（連云港市婦幼保健院手術(shù)室 222000）摘要：目的： 摘要：目的：探討我院新開(kāi)展的小兒疝氣腹腔鏡手術(shù)的臨床應(yīng)用價(jià)值及舒適護(hù)理在腹腔鏡下小兒疝氣手術(shù)中的應(yīng)用效果。方法： 方法：選擇 2013 年 10 月 1 日至2014 年 12 月 31 日本院收治的 1-12 歲 152 例小兒疝氣手術(shù)病例。將其中 84 例行腹腔鏡下疝氣手術(shù)患兒的手術(shù)時(shí)間與 68 例行普通疝氣手術(shù)患兒

2、的手術(shù)時(shí)間進(jìn)行比較，然后將 84 例行腹腔鏡下疝氣手術(shù)患兒隨機(jī)分成干預(yù)組 42 例，和對(duì)照組 42 例，干預(yù)組應(yīng)用舒適護(hù)理，對(duì)照組應(yīng)用常規(guī)護(hù)理，通過(guò)評(píng)分表對(duì) 2 組患兒的舒適度和滿意度進(jìn)行比較。結(jié)果：腹腔鏡組手術(shù)時(shí)間明顯較普通組縮短(P<O．05)。對(duì)照組和干預(yù)組的患兒出院時(shí)舒適度比較差異有統(tǒng)計(jì)學(xué)意義(P<0．05)，滿意度比較差異有統(tǒng)計(jì)學(xué)意義(P<0．05)。結(jié)論： 結(jié)論：小兒腔鏡手術(shù)以其手術(shù)時(shí)間短，創(chuàng)傷小、恢復(fù)快、

3、腹部瘢痕隱蔽等優(yōu)點(diǎn)被患兒家屬接受。舒適護(hù)理在行腹腔鏡下疝氣手術(shù)患兒的運(yùn)用，能有效提高患兒舒適度，消除患兒恐懼心理，提高手術(shù)室服務(wù)質(zhì)量。關(guān)鍵詞： 關(guān)鍵詞：小兒疝氣；腹腔鏡；臨床應(yīng)用價(jià)值；舒適護(hù)理Pediatric Pediatric laparoscopic laparoscopic hernia hernia surgery surgery clinical clinical value value and and perioperat

4、ive perioperative comfort comfort care care Yang Yindi（MCH operating room Lianyungang 222000）Abstract: Abstract: Objective: Objective: To investigate the clinical value of carring out the new pediatric laparosco

5、pic hernia and comfort care in pediatric laparoscopic hernia surgery application effect. Methods: Methods: October 1, 2013 to December 31，2014 in our hospital, 152 hernia surgery cases of children duri

6、ng 1-12 years old. Which will be under 84 children underwent laparoscopic hernia surgery operation time and 68 ordinary routine hernia surgery in children are compared operative time, and then the children under

7、 84 underwent laparoscopic hernia surgery were randomly divided into 42 cases in the intervention group, and 42 cases in the control group, the intervention group received comfort care, the control group

8、 received usual care, by the score sheet for the two groups of children with comfort 2．結(jié)果2.1 腹腔鏡組患兒手術(shù)時(shí)間與普通手術(shù)組患兒比較見(jiàn)表1表 1 2組患兒手術(shù)時(shí)間比較（ ?x ±s，分）例數(shù) 時(shí)間（x ±s，分）t p腹腔鏡組 84 25.53±3.20 24.50 <0．05

9、普通手術(shù)組 68 46.02±6.782組患兒手術(shù)時(shí)間分別為（25.53±3.20）分，和（46.02±6.78）分，2者比較t=24.50，p<0．05，差異有統(tǒng)計(jì)學(xué)意義。2.2 干預(yù)組與對(duì)照組患兒舒適度評(píng)分比較見(jiàn)表2表 2 2組患者舒適度評(píng)分比較（ ?x ±s，分）例數(shù) 分?jǐn)?shù)（x ±s，分）t p干預(yù)組 42 7.74±0.33 10.18 <0．05對(duì)照組

10、 42 7.03±0.302組患兒舒適度分別為（7.74±0.33）分，和（7.03±0.30）分，2者比較t=10.18，p<0．05，差異有統(tǒng)計(jì)學(xué)意義。2.3 干預(yù)組與對(duì)照組患兒滿意度評(píng)分比較見(jiàn)表3表 3 2組患者滿意度評(píng)分比較（ ?x ±s，分）例數(shù) 分?jǐn)?shù)（x ±s，分）t p干預(yù)組 42 9.07±0.43 5.76 <0．05對(duì)照組 42 8.55&#