日间手术围术期护理模式在经喉罩七氟醚吸入麻醉联合神经阻滞下腹股沟疝患儿中的应用

Application of perioperative nursing mode of daytime operation in children with abdominal inguinal hernia under laryngeal mask sevoflurane inhalation anesthesia combined with nerve block

目的:探讨日间手术围术期护理模式在经喉罩七氟醚吸入麻醉联合神经阻滞下腹股沟疝患儿中的应用效果。方法:以2017年9月至2019年6月我院收治的84例腹股沟疝患儿为研究对象,全部患儿均行外科手术,采用喉罩七氟醚吸入麻醉联合神经阻滞,依据围术期护理方案不同分为试验组(日间手术护理模式,42例)和对照组(常规手术护理模式,42例),评价两组患儿术前哭闹情况,比较观察两组基本手术指标与术后麻醉苏醒情况,统计患儿家长护理满意度。结果:试验组患儿术前哭闹发生率低于对照组,哭闹时间短于对照组,差异有统计学意义(P<0.05)。试验组术前等待时间与手术接台时间均短于对照组,差异有统计学意义(P<0.05)。试验组患儿术后苏醒时间早于对照组,术后躁动评分低于对照组,家长护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:日间手术围术期护理模式在经喉罩七氟醚吸入麻醉联合神经阻滞下腹股沟疝患儿中的应用效果确切,可以缩短手术等待时间,提高患儿配合程度,改善麻醉苏醒情况,提高家长满意度。

Objective:To explore the application effect of perioperative nursing mode of daytime operation in children with inguinal hernia under laryngeal mask sevoflurane inhalation anesthesia combined with nerve block.Methods:84 children with inguinal hernia treated in our hospital from September 2017 to June 2019 were studied.All children underwent surgery and were treated with laryngeal mask sevoflurane inhalation anesthesia combined with nerve block Different nursing schemes were divided into experimental group(day operation nursing mode,42 cases)and control group(routine operation nursing mode,42 cases),evaluate the preoperative crying of children in the two groups,compare and observe the basic operation indexes and postoperative anesthesia awakening of the two groups,and count the nursing satisfaction of children’s parents.Results:The incidence of preoperative crying in the experimental group was lower than that in the control group,and the crying time was shorter than that in the control group,the difference was statistically significant(P<0.05).The pre-operative waiting time and operation connection time in the experimental group were shorter than those in the control group,the difference was statistically significant(P<0.05).The postoperative recovery time of children in the experimental group was earlier than that in the control group,the postoperative agitation score was lower than that in the control group,and the parental nursing satisfaction was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The perioperative nursing mode of daytime operation is effective in children with abdominal inguinal hernia under laryngeal mask sevoflurane inhalation anesthesia combined with nerve block.It can shorten the waiting time for operation,improve the degree of cooperation of children,improve the recovery of anesthesia and improve the satisfaction of parents.