您的位置: 首页 > 2024年7月 第55卷 第7期 > 文字全文
2023年7月 第38卷 第7期11
目录

快速康复理念联合腹腔镜手术治疗对小儿腹股沟疝疗效观察

Observation on the therapeutic effect of rapid rehabilitation concept combined with laparoscopic surgery for inguinal hernia in children

来源期刊: 广州医药 | 781-785 发布时间:2024-08-21 收稿时间:2025/11/13 18:47:27 阅读量:38
作者:
关键词:
快速康复理念腹腔镜手术腹股沟疝疼痛程度
rapid rehabilitation conceptlaparoscopic surgeryinguinal herniadegree of pain
DOI:
10.3969/j.issn.1000-8535.2024.07.014
收稿时间:
2023-10-25 
修订日期:
 
接收日期:
 
引用总数:
1  
目的 探讨快速康复理念联合腹腔镜手术治疗对小儿腹股沟疝疗效观察。方法 选取焦作市妇幼保健院2021年1月—2023年1月收治的86例腹股沟疝患儿进行分析与研究,应用随机数字表法将其分为观察组与对照组,各组均为43例。所有患儿均采取腹腔镜手术治疗,对照组采取常规护理,观察组采取快速康复理念护理。对比两组围术期恢复情况,术后4、12、24、48 h疼痛程度,并发症及护理满意度情况。结果 观察组首次下床时间、首次肛门排气时间、进食时间、住院时间短于对照组(P<0.05);两组患儿术后4、12、24、48 h视觉模拟量表(VAS)评分逐渐降低,观察组低于对照组(P<0.05);两组恶心呕吐、尿潴留、腹胀腹痛、感染并发症发生率对比差异无统计学意义(P>0.05);观察组患儿及家长健康教育、住院环境、专科护理、检查指导、病情观察相关护理满意度评分高于对照组(P<0.05)。结论 快速康复理念联合腹腔镜手术治疗小儿腹股沟疝效果显著,可进一步促进患儿早日康复,缩短住院时间,术后疼痛水平低,同时可提升患儿及家长护理满意度。
Objective To explore the therapeutic effect of rapid rehabilitation concept combined with laparoscopic surgery on pediatric inguinal hernia.Methods A total of 86 children with inguinal hernia admitted to Jiaozuo Maternal and Child Health Care Hospital from January 2021 to January 2023 were selected for analysis and study,and divided into observation group and control group by random number table method,with 43 cases in each group.All patients were treated with laparoscopic surgery,while the control group received routine care,while the observation group received rapid recovery concept care.The perioperative recovery,pain level,complications,and nursing satisfaction at 4,12,24,and 48 hours after surgery were compared.Results The first discharge time,first anal exhaust time,feeding time,and hospitalization time were shorter than the control group(P<0.05).The VAS scores decreased after 4 h,12 h,24 h and 48 h,and the observation group was lower than the control group(P<0.05).The incidences of nausea and vomiting,urinary retention,abdominal distension,abdominal pain and infectious complications between the two groups were significantly insignificant(P>0.05).The health education,inpatient environment,specialized care,nursing examination guidance and condition observation were significantly higher than that of the observation group(P<0.05).Conclusions The combination of rapid recovery concept and laparoscopic surgery for the treatment of inguinal hernia in children has a significant effect,which can further promote early recovery,shorten hospital stay,lower postoperative pain levels.At the same time,it can improve the nursing satisfaction of children and parents.
1、 左剑,张文婷,赵举芳.FTS护理干预在先天性心脏病术后患儿中的应用[J].齐鲁护理杂志,2023,29(12):44-47. 左剑,张文婷,赵举芳.FTS护理干预在先天性心脏病术后患儿中的应用[J].齐鲁护理杂志,2023,29(12):44-47.
2、 蔡华容. 腹式呼吸训练联合快速康复外科理念护理对阑尾炎患者术后康复的影响[J].基层医学论坛,2023,27(21):85-87. 蔡华容. 腹式呼吸训练联合快速康复外科理念护理对阑尾炎患者术后康复的影响[J].基层医学论坛,2023,27(21):85-87.
3、 张引妮,杨健.快速康复外科理念在硬膜下血肿患者术后康复护理中的应用效果[J].贵州医药,2023,47(9):1489-1490. 张引妮,杨健.快速康复外科理念在硬膜下血肿患者术后康复护理中的应用效果[J].贵州医药,2023,47(9):1489-1490.
4、 汪洁. 围术期加速康复外科在老年无张力腹股沟疝修补术的应用效果分析[J].河南外科学杂志,2023,29(2):102-104. 汪洁. 围术期加速康复外科在老年无张力腹股沟疝修补术的应用效果分析[J].河南外科学杂志,2023,29(2):102-104.
5、 韩朝辉,马虹宇,薛文飞,等.中医药联合快速康复外科在胸外科围手术期患者的临床应用研究[J].河北中医,2023,45(7):1114-1119. 韩朝辉,马虹宇,薛文飞,等.中医药联合快速康复外科在胸外科围手术期患者的临床应用研究[J].河北中医,2023,45(7):1114-1119.
6、 陈嘉,屠义梅,戚腾,等.多学科合作快速康复模式在小儿腹股沟疝日间手术中的应用及卫生经济学分析[J].中国医药科学,2023,13(4):95-98. 陈嘉,屠义梅,戚腾,等.多学科合作快速康复模式在小儿腹股沟疝日间手术中的应用及卫生经济学分析[J].中国医药科学,2023,13(4):95-98.
7、 刘赛青. 基于目标管理的快速康复护理对腹股沟疝手术患者术后胃肠功能康复及生命质量的影响[J].医疗装备,2023,36(9):113-115. 刘赛青. 基于目标管理的快速康复护理对腹股沟疝手术患者术后胃肠功能康复及生命质量的影响[J].医疗装备,2023,36(9):113-115.
8、 胡雪素. 快速康复外科护理下肝胆外科手术患者术后康复指标、护理满意度分析[J].中国医学创新,2023,20(4):136-140. 胡雪素. 快速康复外科护理下肝胆外科手术患者术后康复指标、护理满意度分析[J].中国医学创新,2023,20(4):136-140.
9、 ABEBE M S,TAREKE A A,ALEM A,et al.Worldwide magnitude of inguinal hernia:Systematic review and meta-analysis of population-based studies[J].SAGE Open Med,2022(10):20503121221139150. ABEBE M S,TAREKE A A,ALEM A,et al.Worldwide magnitude of inguinal hernia:Systematic review and meta-analysis of population-based studies[J].SAGE Open Med,2022(10):20503121221139150.
10、 SOLAINI L,CAVALIERE D,AVANZOLINI A,et al.Robotic versus laparoscopic inguinal hernia repair:an updated systematic review and meta-analysis[J].J Robot Surg,2022,16(4):775-781. SOLAINI L,CAVALIERE D,AVANZOLINI A,et al.Robotic versus laparoscopic inguinal hernia repair:an updated systematic review and meta-analysis[J].J Robot Surg,2022,16(4):775-781.
11、 吕晨,邹建玲,沈淑华,等.视觉模拟量表和语言评价量表用于术后疼痛评估的比较[J].全科医学临床与教育,2004,2(4):214-219. 吕晨,邹建玲,沈淑华,等.视觉模拟量表和语言评价量表用于术后疼痛评估的比较[J].全科医学临床与教育,2004,2(4):214-219.
12、 MORINI F,DREUNING K M A,JANSSEN LOK M J H,et al.Surgical management of pediatric inguinal hernia:A systematic review and guideline from the European pediatric surgeons' association evidence and guideline committee[J].Eur J Pediatr Surg,2022,32(3):219-232. MORINI F,DREUNING K M A,JANSSEN LOK M J H,et al.Surgical management of pediatric inguinal hernia:A systematic review and guideline from the European pediatric surgeons' association evidence and guideline committee[J].Eur J Pediatr Surg,2022,32(3):219-232.
13、 黄思思,陆丽,徐洪辉.基于快速康复外科理念的腹腔镜腹股沟疝修补术对患儿围术期胃肠功能及FRS评分的影响[J].中国妇幼保健,2023,38(3):567-571. 黄思思,陆丽,徐洪辉.基于快速康复外科理念的腹腔镜腹股沟疝修补术对患儿围术期胃肠功能及FRS评分的影响[J].中国妇幼保健,2023,38(3):567-571.
14、 江菊芬,赵坤,文喜陵,等.快速康复外科护理对老年腹股沟疝患者术后早期应激反应及康复的影响[J].国际护理学杂志,2023,42(2):316-319. 江菊芬,赵坤,文喜陵,等.快速康复外科护理对老年腹股沟疝患者术后早期应激反应及康复的影响[J].国际护理学杂志,2023,42(2):316-319.
15、 CIROCCHI R,BURINI G,AVENIA S,et al.Asymptomatic inguinal hernia:does it need surgical repair?A systematic review and meta-analysis[J].ANZ J Surg,2022,92(10):2433-2441. CIROCCHI R,BURINI G,AVENIA S,et al.Asymptomatic inguinal hernia:does it need surgical repair?A systematic review and meta-analysis[J].ANZ J Surg,2022,92(10):2433-2441.
16、 SEKHON INDERJIT SINGH H K,MASSEY L H,ARULAMPALAM T,et al.Chronic groin pain following inguinal hernia repair in the laparoscopic era:Systematic review and meta-analysis[J].Am J Surg,2022,224(4):1135-1149. SEKHON INDERJIT SINGH H K,MASSEY L H,ARULAMPALAM T,et al.Chronic groin pain following inguinal hernia repair in the laparoscopic era:Systematic review and meta-analysis[J].Am J Surg,2022,224(4):1135-1149.
17、 AIOLFI A,CAVALLI M,FERRARO S D,et al.Treatment of inguinal hernia:Systematic review and updated network Meta-analysis of randomized controlled trials[J].Ann Surg,2021,274(6):954-961. AIOLFI A,CAVALLI M,FERRARO S D,et al.Treatment of inguinal hernia:Systematic review and updated network Meta-analysis of randomized controlled trials[J].Ann Surg,2021,274(6):954-961.
1、林雪莹,王运迪.传统小切口与腹腔镜手术在小儿腹股沟疝中治疗效果研究[J].医药前沿,2025,15(09):50-53.DOI:10.20235/j.issn.2095-1752.2025.09.012. 林雪莹,王运迪.传统小切口与腹腔镜手术在小儿腹股沟疝中治疗效果研究[J].医药前沿,2025,15(09):50-53.DOI:10.20235/j.issn.2095-1752.2025.09.012.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录