细节护理与非湿化短期低流量吸氧用于腹腔镜腹股沟斜疝修补术患儿中的临床效果

Effect of Detailed Nursing on Non Humidified Short-term Low Flow Oxygen Inhalation in Children Undergoing Laparoscopic Indirect Inguinal Hernia Repair

目的 探讨细节护理与非湿化短期低流量吸氧用于腹腔镜腹股沟斜疝修补术患儿的临床效果。方法 选择2021年1-12月在我院小儿外科住院行腹腔镜腹股沟斜疝修补术患儿120例,随机分为对照组(60例)和观察组(60例)。对照组患者给予湿化短期低流量吸氧方法治疗,观察组患儿给予非湿化短期低流量吸氧治疗,两组均在治疗期间配合细节护理。比较两组患儿不适症状、缺氧改善情况、血氧饱和度、呼吸频率、心率和护理满意度情况。结果 吸氧前,两组患儿的SpO_(2)、呼吸频率、心率比较差异无显著性,P均> 0.05。吸氧后,两组患儿的SpO_(2)比较差异有显著性(P<0.05),而两组呼吸频率与心率比较差异无统计学意义(P>0.0)。对照组患儿的缺氧症状改善率为83.33%,观察组患儿的缺氧症状改善率为85.00%,两组患儿的缺氧症状改善率差异无统计学意义(χ^(2)=0.063,P<0.05)。吸氧后,观察组患儿的恶心发生率明显高于对照组,差异具有统计学意义(P<0.05)。对照组患儿护理满意度为86.67%,观察组患儿护理满意度为98.33%,观察组患儿护理满意率高于对照组(χ^(2)=0.032,P<0.05)。结论 细节护理及非湿化短期低流量吸氧应用于腹腔镜腹股沟斜疝修补术的患儿可保证其临床效果和满足患儿及家属医疗需求,适合临床推广应用。

Objective To explore the nursing effect of detail nursing in non humidified short-term low flow oxygen inhalation for children undergoing laparoscopic indirect inguinal hernia repair. Methods One hundred and twenty children who underwent laparoscopic indirect inguinal hernia repair in pediatric abdominal surgery from January 2021 to December 2021 were randomly divided into control group(60 cases)and observation group(60 cases). The patients in the control group were treated with humidification short-term low flow oxygen inhalation, the children in the observation group were treated with non humidification short-term low flow oxygen inhalation, and both groups were treated with detailed care during treatment. The discomfort symptoms, improvement of hypoxia, blood oxygen saturation, respiratory rate, heart rate and nursing satisfaction were compared between the two groups. Results There was no significant difference in SpO_(2), respiratory rate and heart rate between the two groups before oxygen inhalation(P>0.05). There was significant difference in SpO_(2)between the two groups After oxygen inhalation(P<0.05),there was no significant difference between respiratory rate and heart rate between the two groups(P>0.05). The improvement rate of hypoxia symptoms in the control group was 83.33%, and that in the observation group was 85.00%, there was no significant difference in the improvement rate of hypoxia symptoms between the two groups(χ^(2)=0.063, P<0.05). After oxygen inhalation, the incidence of nausea in the observation group group was significantly higher than that in the control group(P<0.05). The nursing satisfaction of children in the control group was 86.67%, and that of children in the observation group was 98.33%, the difference was statistically significant, and the nursing satisfaction rate of children in the observation group was higher than that in the control group(χ^(2)=0.032, P<0.05). Conclusion The application of detail nursing and non humidified short-term low flow oxygen inhalation in children undergoing laparoscopic indirect inguinal hernia repair can ensure the clinic effect and meet the medical needs of children and their families, which is suitable for clinical application.