综合护理在先天性膈疝经腹腔镜下膈疝修补术治疗患儿中的应用效果
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摘要
目的探讨综合护理在先天性膈疝经腹腔镜下膈疝修补术治疗患儿中的应用效果。方法选取川北医学院附属医院2015年7月—2017年9月收治的经腹腔镜下膈疝修补术治疗的先天性膈疝患儿60例,随机分为对照组与观察组,每组30例。对照组给予常规护理,观察组在对照组基础上给予综合护理。比较两组患儿临床指标[手术操作时间、术中出血量、治疗时间、术后机械通气时间、术后24 h动脉血二氧化碳分压(PaCO2)]、复发和存活情况,并观察两组患儿术后并发症发生情况。结果观察组手术操作时间、治疗时间、术后机械通气时间短于对照组,术中出血量少于对照组,术后24 h PaCO2低于对照组(P<0.05)。观察组复发率、并发症发生率低于对照组,存活率高于对照组(P<0.05)。结论综合护理在先天性膈疝经腹腔镜下膈疝修补术治疗患儿中的应用效果明显,可提高治疗效果,缩短治疗时间,减少术后复发及并发症发生情况。
Objective To explore the application effect of comprehensive nursing in children with congenital diaphragmatic hernia treated by laparoscopic repair of diaphragmatic hernia.Methods A total of 60 cases of children with congenital diaphragmatic hernia treated by laparoscopic repair of diaphragmatic hernia were selected from July 2015 to September 2017 in Affiliated Hospital of North Sichuan Medical College,which were randomly divided into control group and observation group,30 cases in each group.The control group were given routine nursing,the observation group was given comprehensive nursing on the basis of the control group.The clinical parameters(operation time,intraoperative bleeding,treatment time,postoperative mechanical ventilation time,PaCO2 in arterial blood 24 hours after operation),recurrence and survival were compared between the two groups,and the postoperative complications were observed.Results The observation group of operative operation time,treatment time and postoperative mechanical ventilation time were shorter than those in control group,the intraoperative bleeding was less than control group,and PaCO2 in arterial blood 24 hours after operation was lower than control group(P<0.05).The observation group of recurrence rate and the incidence rate of complications were lower than control group,and the survival rate was higher than control group(P<0.05).Conclusion Comprehensive nursing has an obviously effect in children with congenital diaphragmatic hernia treated by laparoscopic repair of diaphragmatic hernia,it can improve the treatment effect,shorten the treatment time and reduce the recurrence and complications.
Objective To explore the application effect of comprehensive nursing in children with congenital diaphragmatic hernia treated by laparoscopic repair of diaphragmatic hernia.Methods A total of 60 cases of children with congenital diaphragmatic hernia treated by laparoscopic repair of diaphragmatic hernia were selected from July 2015 to September 2017 in Affiliated Hospital of North Sichuan Medical College,which were randomly divided into control group and observation group,30 cases in each group.The control group were given routine nursing,the observation group was given comprehensive nursing on the basis of the control group.The clinical parameters(operation time,intraoperative bleeding,treatment time,postoperative mechanical ventilation time,PaCO2 in arterial blood 24 hours after operation),recurrence and survival were compared between the two groups,and the postoperative complications were observed.Results The observation group of operative operation time,treatment time and postoperative mechanical ventilation time were shorter than those in control group,the intraoperative bleeding was less than control group,and PaCO2 in arterial blood 24 hours after operation was lower than control group(P<0.05).The observation group of recurrence rate and the incidence rate of complications were lower than control group,and the survival rate was higher than control group(P<0.05).Conclusion Comprehensive nursing has an obviously effect in children with congenital diaphragmatic hernia treated by laparoscopic repair of diaphragmatic hernia,it can improve the treatment effect,shorten the treatment time and reduce the recurrence and complications.
引文
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[3]WEIS M,SOMMER V,LLNER F G Z,et al.对2岁内行先天性膈疝修补术后的儿童采用基于兴趣区与基于全肺肺段分析的方法进行MR肺灌注定量分析的对比[J].国际医学放射学杂志,2017,40(1):109.
[4]王宁.一例小儿肝移植术后并发左膈疝修补术后的护理[J].天津护理,2016,24(4):343-344.
[5]周芳,耿熹洁,吴敏,等.3例产时先天性膈疝修补术之围术期护理体会[J].当代护士,2016,24(8):105-107.
[6]傅焕珍.胸腔镜下新生儿先天性膈疝修补术的麻醉处理[J].中国药物与临床,2016,16(6):879-881.
[7]晏萍兰,候小芹.经胸腔镜新生儿先天性膈疝修补术21例围手术期护理[J].实用医学杂志,2012,28(21):3657-3659.
[8]张晶,齐海妮,唐芳宁,等.先天性膈疝修补术患儿护理[J].护理实践与研究,2012,9(9):67-68.