盐水冰袋冷敷联合弹力裤在开放无张力腹股沟疝修补术后的应用效果观察

Clinical application of combined saline ice pack compress and stretch pants after open tension-free inguinal hernia repair

目的探讨早期冰袋冷敷联合弹力裤对开放无张力腹股沟疝修补术后切口区域疼痛、肿胀的影响。方法本研究病例均选自2014年10月至2015年10月在聊城市人民医院行腹股沟疝开放无张力修补术患者,根据入院日期的单、双号将100例无张力腹股沟疝修补术后患者分为观察组(53例)和对照组(47例),术后观察组在一般常规护理的同时联合弹力裤早期使用10%盐水冰袋冷敷切口处6 h,对照组则采取联合弹力裤使用常规普通常温清水袋处理。根据两组患者术后切口处的疼痛、肿胀的分级不同进行比较。结果根据患者术后切口处疼痛和肿胀情况发生率,观察组明显低于对照组,差异有统计学意义(P<0.05)。结论无张力腹股沟疝修补术后切口区域早期使用冰袋冷敷联合弹力裤可有效减轻疼痛、肿胀程度。

Objective To explore the effect of combined ice pack compress and stretch pants on incisional pain and swelling in early stage after open tension-free hernia repair. Methods 100 patients who underwent open tension-free hernia repair in Liaocheng peoples＇ hospital from October 2014 to October 2015 were divided into two groups by the single or double of admission date number： observation group （53 patients） and control group （47 patients）. The observation group was treated with combined 10% saline ice pack compress and stretch pants for 6 hours. The control group was treated with combined normal water packs and stretch pants. Compare the pain and swelling level of the incision area between the two groups. Results The pain and swelling level in the observation group was lower than those in the control group, the difference were statistically significant （ P 〈 0.05 ）. Conclusion Combined ice pack compress and stretch pants in early stage to patients after open tension-free hernia repair can effectively alleviate the pain and swelling.