腹腔镜腹股沟疝修补术后应用弹力裤预防并发症的疗效观察

Effect analysis of stretch pants to prevent complications following laparoscopic inguinal hernia repair

目的探讨腹腔镜腹股沟疝修补术后应用弹力裤预防术后并发症的效果。方法回顾性分析2012年10月至2013年12月,山东省聊城市人民医院收治的腹股沟疝患者50例,均采用腹腔镜腹股沟疝修补术。术后将患者随机分为实验组和对照组,每组各25例。实验组在常规护理基础上应用弹力裤1周。对照组术后应用阴囊托抬高阴囊,沙袋压迫患侧腹股沟区。观察二组患者术后切口疼痛程度、阴囊肿胀情况等。结果实验组腹股沟疝患者在手术后12、24、48 h的疼痛程评分与对照组比较差异均有统计学意义(t=5.102、8.294、7.745,P=0.026、0.017、0.019)。二组患者术后12、24、48 h阴囊肿胀发生率比较差异有统计学意义(χ2=27.29、30.13、25.65,P=0.030、0.021、0.034)。结论腹腔镜腹股沟疝修补术后应用弹力裤可预防或减少术后并发症的发生。

Objective To evaluate the efficacy of stretch pants in prevention of complications after laparoscopic inguinal hernia repair. Methods A retrospective study was conducted 50 patients who underwent laparoscopic inguinal hernia repair were randomly divided into experimental and control groups （25 cases for each group）. Routine nursing care was taken in the control group and stretch pants were additionally applied to the patients for 1 week in the experimental group based upon routine nursing care. Elevating scrotum and pressing inguinal region with sandbags, were applied in the control group. The observations were made on degree of wound pain, scrotal swelling. Results The statistically significant differences were found in the comparison of degree of wound pain, scrotal swelling between the two groups at 12, 24, 48 hours after operation, respectively. Conclusion Application of stretch pants after laparoscopic inguinal hernia repair can prevent or reduce the incidence of postoperative complications.