快速康复外科在腹股沟疝合并前列腺增生患者腹腔镜疝修补手术中的应用

Fast track surgical nursing in laparoscopic inguinal hernia repair for patients with inguinal hernia complicated with benign prostatic hyperplasia

目的探讨快速康复外科在腹股沟疝合并前列腺增生患者腹腔镜疝修补手术中的应用效果。方法选择2015年5月至2017年4月,武汉市中心医院疝与腹壁外科212例腹股沟疝合并前列腺增生患者,所有患者均行全麻腹腔镜下无张力疝修补术治疗,选择快速康复护理干预患者共110例作为试验组,102例患者予以围手术期常规护理干预并作为对照组。结果 212例患者手术均获成功,手术切口均达到甲级愈合标准。试验组和对照组术后并发症尿潴留发生率比较[15.45%(17/110)比37.25%(38/102)],差异有统计学意义(χ2=0.351,P=0.013)。试验组住院时间(2.8±0.6)d低于对照组平均住院时间(5.3±1.2)d,差异有统计学意义(t=-5.173,P=0.021)。试验组患者满意度较对照组高(92.1%比80.7%),差异有统计学意义(χ2=2.135,P=0.042)。结论腹股沟疝合并前列腺增生患者,予以全身麻醉腹腔镜腹股沟疝修补术治疗,围手术期快速康复护理,能减少术后尿潴留等并发症的发生,及早达到预期手术效果,具有较高的患者满意度,明显缩短了患者康复进程。

Objective Toinvestigate the effect of fast track surgical nursing in laparoscopic hernia repair in patients with inguinal hernia and benign prostatic hyperplasia.Methods From May 2015 to April 2017,212 casesdiagnosed with inguinalhernia and benign prostatic hyperplasiawho underwent laparoscopic hernia repair in Wuhan Central Hospital were randomly divided into observation group（102 cases） and control group（101 cases）.The control group received conventional nursing model,while observation group received fast track surgical nursing model.Results All the 212 patients were successfully operated.There was a statistically significant difference in the incidence of postoperative urinary retention between the observation group and the control group（χ2=0.351,P=0.013）.The hospital stay of observation group [（2.8±0.6） days] was lower than that of the control group [（5.3±1.2） days],and the difference was statistically significant（t=-5.173,P=0.021）.Patient satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant（χ2=2.135,P=0.042）.Conclusion Fast track surgical nursing in laparoscopic inguinal hernia repair for inguinal hernia complicated withbenign prostatic hyperplasiacan effectively shorten the hospital stay of patients and reduce the occurrence of postoperative urinary retention.