李早红 张宿迪

[摘要] 目的 研究并得出在腹腔镜下小儿先天性巨结肠根治术后施用手术室全期护理的临床作用结果和体会。方法 方便选取在2017年3月—2018年3月间于该院符合相关检测要求采取腹腔镜下小儿先天性巨结肠根治术的患者90例，随机将其等份地分为观察组和对照组，将手术室全期护理施用于观察组，将一般常规护理措施施用于对照组，一段时间后，比较小儿先天性巨结肠患儿手术时间和术中出血量等相关指标差异，并进行统计分析，对两组患儿手术时间等及患儿家属护理满意度等情况进行分析比较。 结果 两组患儿手术时间等指标比较，两者就这些指标差异有统计学意义（t=2.099，P=0.039）。观察组出现并发症3例（6.67%），对照组的并发症16例（35.55%），两组差异有统计学意义（χ2=11.275 0，P<0.001）。 结论 给予腹腔镜下小儿先天性巨结肠根治术患儿手术室全期护理干预能有效改善患者疾病治疗情况，应该被用于临床。

[关键词] 腹腔镜；小儿；先天性巨结肠根治术；手术室护理

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）08（b）-0123-03

Laparoscopic Surgery of Pediatric Congenital Megacolon Radical Surgery in the Operating Room

LI Zao-hong， ZHANG Su-di

Xiamen Maternal and Child Health Hospital， Xiamen， Fujian Province， 361000 China

[Abstract] Objective To study and obtain the clinical results and experience of laparoscopic surgery for pediatric congenital Hirschsprung's disease. Methods A total of 90 patients who underwent laparoscopic congenital Hirschsprung's disease radical surgery in the hospital from March 2017 to March 2018 were convenient selected and randomly divided into observation group and control group. The whole-period care of the operating room was applied to the observation group. The general routine nursing measures were applied to the control group. After a period of time， the operative time， blood loss， and other relevant indicators of the pediatric Hirschsprung's disease were compared and analyzed statistically. The operative time of the two groups and the satisfaction of the patient's family care were analyzed and compared. Results Comparing the operative time and other indicators of the two groups， the difference was statistically significant （t=2.099， P=0.039）. The observation group had 3 complications （6.67%） and the control group had 16 complications （35.55%）. The difference was statistically significant（χ2=11.275 0， P<0.001）. Conclusion The use of laparoscopic surgery for the treatment of congenital Hirschsprung's disease in the operating room can effectively improve the patient's disease treatment and should be used in clinical practice.

[Key words] Laparoscopy； Pediatric； Congenital megacolon radical surgery； Operating room nursing

先天性巨結肠，主要是因为结肠缺乏神经细胞引起肠道痉挛，导致粪便排出困难淤积在肠道尾部附近，导致近端的结肠变大变肥引起扩张[1]。是小儿常见的肠道性质的疾病，目前导致发病的病因尚不是很清楚，在现在看来觉得可能是与遗传有一定的关系，常见的可能是便秘、呕吐和腹部痉挛等症状[2]。目前主要的是进行在腹腔镜下先天性巨结肠根治术，研究表明，在根治术后进行手术室全期护理会更好地促进患儿恢复健康，获得的较为满意的结果。因此该研究方便选择2017年3月—2018年3月间于该院符合相关检测要求采取腹腔镜下小儿先天性巨结肠根治术的患儿90例，想研究并得出在腹腔镜下小儿先天性巨结肠根治术后施用手术室全期护理的临床作用结果和体会，现报道如下。……