优质精细化术中护理在小儿腹腔镜腹股沟疝手术中的应用效果

目的探究优质精细化护理管理在小儿腹股沟疝手术中的应用效果。 方法选取2020年1月至2021年1月西南医科大学附属医院收治的拟行腹腔镜腹股沟斜疝疝囊高位结扎术的患儿100例，按照随机分组法，分为对照组与研究组，每组50例。对照组予围手术期常规护理干预结合精细化管理，研究组在对照组基础上行优质手术室护理。对比2组患儿干预前、后，患儿住院时间、麻醉清醒时间、并发症发生率、手术效率相关指标、家长与医护人员满意度，进一步分析评价护理效果。 结果研究组患儿术中麻醉清醒时间、住院时间、手术接送时间皆优于对照组（P<0.05）；研究组患儿在进入手术室后焦虑程度显著低于对照组（P<0.05），且研究组患儿家长满意程度显著高于对照组（P<0.05）。 结论优质护理结合精细化管理应用于手术室护理对行腹腔镜腹股沟斜疝疝囊高位结扎术的患儿效果良好，能明显缩短患儿手术接送时间、住院时间，减轻患儿手术交接、诱导麻醉时的焦虑情绪，提升患儿家长满意度。

Analysis of application effect of high quality and fine intraoperative nursing in laparoscopic inguinal hernia surgery in children

ObjectiveTo explore the application effect of high-quality and fine nursing management in the repair of inguinal hernia in children. Methods100 children who planned to undergo high ligation of indirect inguinal hernia sac in Affiliated Hospital of Southwest Medical University from January 2020 to January 2021 were randomly divided into control group (group A) and study group (group B), with 50 cases in each group. The control group was given perioperative routine nursing intervention combined with fine management, and the study group was given high-quality operating room nursing on the basis of the control group. The hospitalization time, anesthesia awake time, complication rate, indicators of operation efficiency, satisfaction of family members and medical staff of the two groups before and after the intervention were compared to further analyze and evaluate the nursing effect. ResultsThe anesthesia awake time, hospital stay and operation transfer time in group B were better than those in group A (P<0.05). After entering the operating room, the degree of anxiety of children in group B was significantly lower than that in group A (P<0.05), and the satisfaction of family members of children in group B was significantly higher than that in group A (P<0.05). ConclusionThe application of high-quality nursing combined with fine management in operating room nursing has a good effect on children undergoing high ligation of indirect inguinal hernia sac, which can significantly shorten the operation transfer time and hospital stay, reduce the anxiety of children during operation handover and induction of anesthesia, and improve the satisfaction of children's family members.