吴彩玲

[摘要]目的 探討改良护理干预在经脐单孔腹腔镜下精索静脉曲张（VC）术后患者中的应用效果。方法 选取2017年7月～2018年7月我院收住的VC手术60例患者，以简单化随机分组法分为对照组和观察组，每组各30例。对照组选择常规方式，观察组加用改良护理方式，比较两组护理总有效率、精子密度、有效精子数、精子活力指数、伤口愈合时间、住院时间、焦虑自评量表（SAS）分值。结果 观察组护理总有效率（93.33%）高于对照组（80.00%），并发症总发生率（10.00%）低于对照组（26.67%），差异均有统计学意义（P<0.05）;观察组精子密度为（102.41±11.74）× 106/ml、有效精子数为（43.52±10.02）×106/ml、精子活力指数为（30.06±1.31）%，对照组精子密度为（83.56±10.31）×106/ml、有效精子数为（36.89±10.14）×106/ml、精子活力指数为（24.65±1.27）%，观察组各项指标高于对照组，差异均有统计学意义（P<0.05）;观察组伤口愈合时间为（3.38±1.42）d，住院时间为（4.05±1.26）d，对照组伤口愈合时间为（5.27±2.05）d，住院时间为（6.89±1.52）d，观察组伤口愈合时间与住院时间短于对照组，差异均有统计学意义（P<0.05）;观察组SAS评分为（15.06±2.08）分，对照组SAS评分为（29.01±5.14）分，观察组SAS评分低于对照组，差异有统计学意义（P<0.05）。结论 经脐单孔腹腔镜下VC术给予改良式护理干预，能有效辅助治疗效果提高，加速患者康复并缓解负面情绪，有较满意的临床效果。

[关键词]改良护理;经脐单孔腹腔镜;精索静脉曲张术;前瞻性研究

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）6（c）-0230-03

Application effect of improved nursing intervention on patients with varicocele after transumbilical single-site laparoscopic surgery

WU Cai-ling

Department of General Surgery， Fuzhou First People′s Hospital， Jiangxi Province， Fuzhou   344000， China

[Abstract] Objective To explore the application effect of improved nursing intervention on patients with varicocele （VC） performed with transumbilical single-site laparoscopic surgery. Methods A total of 60 patients with VC for surgeries who were admitted to our hospital from July 2017 to July 2018 were selected. They were divided into observation group and control group by simplified randomized method. The conventional nursing was conducted in the control group and the improved nursing was added in the observation group. The total effective rate of nursing， sperm density， effective sperm number， sperm vitality index， wound healing time， hospital stay， and self-rating anxiety scale （SAS） score of the two groups were compared. Results The total effective rate of nursing in the observation group was 93.33%， higher than that of the control group， accounting for 80.00%， the total incidence of complications was 10.00% in the observation group， lower than that of the control group for 26.67%， with statistical differences （P<0.05）. In the observation group， the sperm density was （102.41±11.74）×106/ml， effective sperm number was （43.52±10.02）×106/ml， sperm vitality index was （30.06±1.31）%; in the control group， the sperm density was （83.56±10.31）×106/ml， effective sperm number was （36.89± 0.14）×106/ml， sperm vitality index was （24.65±1.27）%; all indicators in the observation group were higher than those of the control group， with statistical differences （P<0.05）. In the observation group， the wound healing time and hospital stay were （3.38±1.42） d and （4.05±1.26） d. In the control group， the wound healing time and hospital stay were （5.27±2.05） d and （6.89±1.52） d. The wound healing time and hospital stay of the observation group were shorter than those of the control group， with statistical differences （P<0.05）. The SAS score of the observation group was （15.06±2.08） points， and the SAS score of the control group was （29.01±5.14） points. The SAS score of the observation group was lower than that of the control group， with statistical difference （P<0.05）. Conclusion Modified nursing intervention on VC patients after transumbilical single-site laparoscopic surgery can effectively improve the therapeutic effect， accelerate the rehabilitation of patients and alleviate their negative sentiment. It has a satisfactory clinical effect.

[Key words] Improved nursing; Transumbilical single-site laparoscopy; Varicocele; Prospective study

精索静脉曲张（VC）是临床导致男性不育常见疾病之一，根据临床研究显示，在男性不育群体中，19%～41%患者为VC，严重影响男性患者的生活质量[1]。在当前的临床中，针对VC的治疗，最主要的治疗方式是手术。而在医学技术持续性发展支持下，腹腔镜手术方式在VC治疗中的应用逐渐深入。腹腔镜术有微创、高效优点，在患者接受度方面有明显优势。但在围术期很多患者可能存在抑郁及焦虑负面情绪，要通过科学合理的护理干预，改善患者负面情绪，并提高患者临床护理质量[2-4]。为研究改良护理干预对经脐单孔腹腔镜下VC术患者影响，通过我院不同护理干预的效果比较，探讨科学有效的护理干预模式，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7月我院住院治疗的60例经脐单孔腹腔镜下VC术患者为研究对象。……