精细化护理在腹腔镜阑尾炎切除术患儿中的应用

The Application of Meticulous Nursing in Children with Laparoscopic Appendicitis Resection

目的:探讨精细化护理在腹腔镜阑尾炎切除术患儿中的应用效果。方法:将2018年9月1日~2019年10月31日实施腹腔镜阑尾炎切除手术的60例患儿随机分为对照组28例和实验组32例,对照组采用常规护理方法,实验组在常规护理基础上实施精细化护理方案。比较两组麻醉时(T0)、麻醉0.2 h(T1)、麻醉0.4 h(T2)、麻醉0.6 h(T3)、麻醉0.8 h(T4)、麻醉1 h(T5)、手术结束时(T6)7个时刻患儿体温及血糖、乳酸浓度。结果:T2时刻两组患儿体温均低于T0时刻(P<0.05),T3时刻两组患儿体温比较差异有统计学意义(P<0.05),T5时刻实验组患儿体温基本保持稳定,而对照组呈持续下降状态;T2时刻两组患儿血糖值与T0时刻比较差异有统计学意义(P<0.05),T4时刻两组患儿血糖值比较差异有统计学差异(P<0.05);T5时刻两组患儿乳酸值比较差异有统计学意义(P<0.05),且T5时刻两组乳酸值与T0时刻比较差异有统计学意义(P<0.05)。结论:精细化护理应用于小儿腹腔镜手术围术期,可有效预防低体温发生,稳定血糖、乳酸浓度,促进患儿术后恢复。

Objective:To explore the effect of meticulous nursing in children with laparoscopic appendicitis resection.Methods:From September 1,2018 to October 31,2019,60 cases of children undergoing laparoscopic appendicitis resection were randomly divided into control group(28 cases)and experimental group(32 cases).The control group was given conventional nursing,and the experimental group was given meticulous nursing program based on conventional nursing.The body temperature,blood glucose and lactic acid concentration of the two groups were compared at 7 moments after anesthesia(T0),0.2 h(T1),0.4 h(T2),0.6 h(T3),0.8 h(T4),1 h(T5),and the end of surgery(T6).Results:At time T2,the body temperature of the children in both groups was lower than that at time T0(P<0.05),and there was a statistically significant difference in body temperature between the two groups at time T3(P<0.05).At time T5,the body temperature of the children in the experimental group was basically stable,while that of the control group was continuously decreasing.The difference in blood glucose between the two groups at time T2 and time T0 was statistically significant(P<0.05),and the difference in blood glucose between the two groups at time T4 was statistically significant(P<0.05).The difference of lactic acid value between the two groups at time T5 was statistically significant(P<0.05),and the difference of lactic acid value between the two groups at time T5 and time T0 was statistically significant(P<0.05).Conclusion:The application of meticulous nursing in the perioperative period of laparoscopic surgery in children can effectively prevent the occurrence of hypothermia,stabilize the concentration of blood glucose and lactic acid,and promote the postoperative recovery of children.