常规切口、小切口与腹腔镜下疝囊高位结扎治疗小儿腹股沟斜疝的护理研究

目的研究常规切口、小切口与腹腔镜下疝囊高位结扎治疗小儿腹股沟斜疝的护理方法及效果。方法选择腹股沟斜疝患儿作为研究对象,随机分为给予护理干预的观察组和常规护理的对照组,观察手术相关指标、术后家长及患儿的应激状态。结果观察组患儿术中出血量、手术时间以及术后卧床时间、出院时间、血糖水平及家长的HAMD评分、HAMA评分均明显低于对照组;胰岛素水平明显高于对照组。结论护理干预能够有效的减小手术创伤、缓解家长及患儿的应激状态,具有积极的临床价值。

Objective： to study the effect of nursing in treating indirect inguinal hernia received conventional incision,small incision and laparoscopic high ligation of the hernia sac. Methods： children with indirect inguinal hernia were randomly divided into observation group given nursing intervention and control group given usual care. Then operation related index,postoperative stress of parents and children were observed. Results： intraoperative bleeding volume,operation time,postoperative bed time,discharge time,BG level and HAMD score,HAMA score of observation group were significantly lower than control group; insulin levels were significantly higher than control group. Conclusion： nursing intervention has positive clinical value for it can effectively reduce the operation wound, relieve the stress of parents and children.