小儿手外伤患者清创缝合术的护理体会

Coordination of debridement and suturing for pediatric patients with hand trauma

目的探讨实施小儿手外伤清创缝合术的手术配合方法。方法选择30例患者实施常规护理,并与实施本研究护理干预措施的30例患儿进行比较,观察两组患儿术中配合情况及生命体征的变化情况。结果观察组发生反抗及哭闹的患儿比率显著低于对照组(P<0.05),术中较好配合的患儿比率显著高于对照组(P<0.05),观察组患儿术中心率、呼吸均较平稳,且血氧饱和度显著高于对照组(P<0.05)。结论对于小儿手外伤实施局麻下清创缝合者,从患儿心理护理出发,有效地进行术中安慰与鼓励、术后奖励等,是取得患儿自主配合手术的关键。

Objective To investigate the method of coordination for debridement and suturing with hand trauma of pedi- atric patients. Methods Thirty cases with usual care and 30 cases with nursing intervention, compared the two groups with situation during the operation and the changes in vital signs. Results Observation group with resistance and crying children ratio were significantly lower than control group （P 〈 0.05）, and better matched ratio was higher than control group （P 〈 0.05）, heart rate, respiration of observation group were relatively stable, oxygen saturation was significantly higher than con- trol group（P 〈 0.05）. Conclusion For the hand injuries under local anesthesia in children with debridement, children＇s psy- chological nursing is very important, the comfort and encouragement during the operation and postoperative incentive mea- sures are the key factor for the operation to achieve.