摘要
目的探讨为行先天性巨结肠根治术的患儿提供围手术期护理干预的临床运用价值。方法选择2016年3月至2017年10月我院收治的先天性巨结肠患儿共126例为研究对象。采用随机数字表法将患儿分为观察组和对照组各63例。两组均行先天性巨结肠根治术。对照组予以常规护理,观察组予以围手术期护理干预。记录两组患儿手术前后腹围变化情况,并比较治愈率、并发症发生率和住院时间。结果两组经手术后,腹围均较术前显著缩小(P<0.05)。观察组术后腹围和住院时间分别为(30.1±5.7)cm、(17.5±3.9)d,均低(短)于对照组,差异有统计学意义(t=3.846、4.180,P<0.05)。观察组治愈率为100.00%,显著高于对照组(χ~2=4.131,P<0.05)。观察组并发症发生率为3.17%,显著低于对照组(χ~2=3.910,P<0.05)。结论为行先天性巨结肠根治术的患儿提供围手术期护理干预,能够取得更好的治疗效果,缩短患儿住院时间,提高治愈率,降低患儿并发症发生率,在临床中具有积极的运用价值。
Objective to explore the clinical value of perioperative nursing intervention for children with congenital giant colon radical surgery. Methods from March 2016 to October 2017, a total of 126 cases of congenital giant colon were studied in our hospital. The children were divided into observation group and control group in 63 cases by random number table method. Both groups underwent radical resection of hirschsprung’s colon. The control group was given routine nursing, and the observation group was perioperative nursing intervention. The changes of abdominal circumference before and after operation in two groups were recorded, and the cure rate, complication rate and hospitalization time were compared. Results the abdominal circumference of the two groups was significantly reduced before operation(P<0.05). Observation group postoperative abdominal circumference and hospitalization time were(30.1±5.7) cm,(17.5±3.9) days. All were lower than in the control group, the difference was statistically significant(t=3.846, 4.180,P< 0.05). The cure rate of observation group was 100%, which was significantly higher than that in control group(χ^2=4.131,P<0.05). The incidence of complication in observation group was 3.17%, significantly lower than that of control group(χ^2=3.910,P<0.05). Conclusion to provide perioperative nursing intervention for children with congenital giant Colon radical operation can obtain better curative effect, shorten hospitalization time, improve cure rate, reduce complication rate of children, and have positive application value in clinic.
作者
鲁玉林
LU Yu-lin(Pediatric Surgery of the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui,233000)
出处
《智慧健康》
2018年第30期82-83,共2页
Smart Healthcare
关键词
先天性巨结肠
根治术
围手术期护理干预
腹围
Congenital giant colon
Radical surgery
Perioperative nursing intervention
Abdominal circumference
