摘要
目的观察小儿疝气应用小切口手术治疗的临床疗效。方法选取某医院2015年7月——2016年7月收治的38例采取传统手术治疗疝气的患儿为对照组,选取2016年8月至2017年8月收治的38例采取小切口手术治疗疝气的患儿为研究组,对手术相关指标、并发症发生率及患者护理前后生活质量评分等观察指标进行对比分析。结果研究组患儿术中出血量(3.2±0.7)mL,少于对照组的(8.1±1.3)mL;研究组切口(1.1±0.2)cm,小于对照组(2.7±0.5)cm;研究组平均住院时间(2.1±0.8)d,短于对照组的(3.6±0.2)d,差异均有统计学意义(P<0.05)。研究组患儿治疗总有效率97.37%,高于对照组的84.21%;研究组患儿并发症发生率5.26%,低于对照组的21.05%,差异有统计学意义(P<0.05)。生活质量评分比较,研究组、对照组患儿护理前比较,差异无统计学意义(P>0.05);研究组患儿护理后评分比对照组高,差异有统计学意义(P<0.05)。结论小儿疝气临床采取小切口手术治疗,切口小,出血量少,并发症低,平均住院时间短,利于患儿生活质量的提高,具有临床应用价值。
Objective To evaluate the therapeutic effect of small incision surgery on children with hernia.Methods From July 2015 to July 2016, 38 children with hernia who were treated with traditional surgery were selected as a control group, and from August 2016 to August 2017, 38 children with hernia who were treated with small incision surgery were selected as a trial group, and the related indexes, the incidence of complications, and the scores of life before and after nursing were observed and compared.Results The amount of intraoperative hemorrhage in the trail group [(3.2±0.7) mL] was less than that in the control group [(8.1±1.3) mL];the incision in the trail group [(1.1±0.2) cm] was smaller than that in the control group [(2.7±0.5) cm];the average length of hospital stay of the trial group [(2.1±0.8) days] was shorter than that of the control group [(3.6±0.2) days], and the difference was statistically significant(all P<0.05). The total effective rate was97.37% in the trial group, which was higher than that in the control group(84.21%), the incidence of complications in the trial group was 5.26%, which was lower than that in the control group(21.05%), and the difference was statistically significant(P<0.05). The average score of quality of life was compared between the two groups before the nursing, and there was no statistical difference(P>0.05), but after the nursing, the average score in the trial group was higher than that in the control group, and the difference was statistically significant(P<0.05).Conclusion The small incision surgery in the treatment of children with hernia has the advantages, such as small incision, less bleeding, low complications, and short hospitalization time, which are beneficial to the improvement of children’s quality of life.
作者
邓庆旺
林力
DENG Qing -wang;LIN Li(Jianyang First Hospital, Nanping 254200, Fujian, China)
出处
《中国校医》
2019年第5期376-378,共3页
Chinese Journal of School Doctor
关键词
手术
小儿
疝
腹股沟
surgery
child
hernia, groin
