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目的:探讨小儿腹股沟疝手术后的卧床时间及体位,为临床护理实践提供依据。方法:对照组60例术后常规平卧3 d,观察组60例手术当日平卧8~10 h,之后不严格限制卧床时间,体位以患儿感觉舒适为主,观察两组患儿的伤口、疼痛及拆线时间。结果:两组患儿的伤口情况与拆线时间差异无统计学意义(P>0.05),伤口疼痛程度差异有统计学意义(P<0.01)。结论:小儿腹股沟疝手术后可不必严格限制卧床时间,体位以患儿感到舒适为主,下床后的活动量不宜过大,以免加重伤口疼痛,同时要注意避免腹压增高的因素。
Objective: To investigate the time and position of bed rest after pediatric inguinal hernia surgery, and provide the basis for clinical nursing practice. Methods: The control group of 60 patients were routinely supine for 3 days, and the observation group of 60 patients were supine for 8-10 hours on the day of operation. After that, they did not strictly limit the time of bed rest, and their position was comfortable for children. The wounds of two groups were observed , Pain and stitches time. Results: There was no significant difference between the two groups (P> 0.05). There was significant difference in wound pain between the two groups (P <0.01). Conclusion: Children with inguinal hernia surgery may not have to strictly limit the time of bed rest. The position should be comfortable for children. After going to bed, the amount of activity should not be too large, so as not to aggravate the wound pain. At the same time, we should pay attention to avoid the increase of abdominal pressure.