张星 汪春霞 洪燕

[摘要]目的 研究路徑化护理措施对腹股沟疝患者术中出血量及并发症的影响。方法 选取2017年7月～2018年8月我院收治的85例腹股沟疝围术期患者，按照随机数字表法分为两组，对照组43例和观察组42例。对照组进行常规围术期护理，观察组实施路径化护理措施，比较两组术中出血量、疼痛持续时间、下床时间、住院时间、住院费用及治疗期间不良反应发生率。结果 观察组术中出血量少于对照组，差异有统计学意义（P<0.05）;观察组术中及术后出血率低于对照组，差异有统计学意义（P<0.05）。观察组术后疼痛持续时间、下床时间、住院时间短于对照组，住院费用低于对照组，差异均有统计学意义（P<0.05）;观察组术后创口疼痛、炎症感染和尿潴留的发生率低于对照组，差异均有统计学意义（P<0.05）。结论 对腹股沟疝围术期患者实施路径化护理措施，明显降低患者术中出血量，缩短术后康复时间及住院时间，降低患者术后并发症发生率。

[关键词]路径化护理措施;腹股沟疝围术期;术中出血量;并发症

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）7（a）-0208-04

Effect of routed nursing measures on intraoperative bleeding and complications in patients with inguinal hernia

ZHANG Xing1   WANG Chun-xia1   HONG Yan2

1. Department of Surgery， the Fourth Affiliated Hospital of Nanchang University， Jiangxi Province， Nanchang   330000， China; 2. Operating Room， the Fourth Affiliated Hospital of Nanchang University，   Jiangxi Province， Nanchang   330000， China

[Abstract] Objective To study the effect of pathological nursing measures on intraoperative bleeding and complications in patients with inguinal hernia. Methods From July 2017 to August 2018， 85 patients with perioperative inguinal hernia admitted to our hospital were selected and divided into two groups according to the random number table method， 43 cases in the control group and 42 cases in the observation group. The control group received routine perioperative nursing， and the observation group underwent pathological nursing measures. The patients′ intraoperative blood loss， pain duration， bed time， hospitalization time， hospitalization cost， and incidence of adverse reactions during treatment were compared between two groups. Results The intraoperative blood loss in the observation group was less than that in the control group， and the difference was statistically significant （P<0.05）. The postoperative blood loss rate in the observation group was lower than that in the control group， and the difference was statistically significant （P<0.05）. The postoperative pain duration， the time of getting out of bed， and the length of hospital stay in the observation group were shorter than those in the control group， and the hospitalization costs was lower than that in the control group， and the differences were statistically significant （P<0.05）. The incidence of retention was lower than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion The implementation of pathological nursing measures for patients with inguinal hernia during perioperative period can significantly reduce the intraoperative blood loss， shorten the postoperative recovery time and hospital stay， and reduce the incidence of postoperative complications.

[Key words] Pathological nursing measures; Perioperative period of inguinal hernia; Intraoperative blood loss; Complications

腹股沟疝病变部位位于下腹壁和大腿交界的一个三角区域，腹股沟疝指腹股沟区突出包块[1]。腹股沟疝具体有两种疾病状态，即腹股沟直疝和腹股沟斜疝。主要病发人群多为老年人，以腹股沟斜疝多见，需及时治疗，否则可能引发更严重并发症[2]。临床治疗该疾病有两种方式，保守治疗虽可缓解患者症状，但无法根除，病情严重患者要手术治疗。路径化护理措施主要是根据单个疾病或手术质量管理定向制定的一种护理模式，主要以临床路径表为标准，根据住院患者制定的详细护理流程[3]。目前，临床针对腹股沟疝围术期患者实施路径化护理措施研究甚少，本研究分析路径化护理措施对腹股沟疝围术期患者术中出血量及并发症的影响，现报道如下。

1资料与方法

1.1一般资料

选取2017年7月～2018年8月我院收治的85例腹股沟疝围术期患者为研究对象，采用随机数表法分为两组，对照组42例，观察组43例。……