首页|围手术期综合护理模式在胸腔镜治疗新生儿Gross Ⅲ型食管闭锁中的应用效果

围手术期综合护理模式在胸腔镜治疗新生儿Gross Ⅲ型食管闭锁中的应用效果

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目的 探究围手术期综合护理模式在胸腔镜治疗新生儿Gross Ⅲ型食管闭锁中的应用效果.方法 选择2018年1月至2021年1月郑州大学第一附属医院收治的58例新生儿Gross Ⅲ型食管闭锁患儿为研究对象,术后均完整随访2 a以上,随机分为对照组(27例)和观察组(31例),对照组接受常规护理模式,观察组接受围手术期综合护理模式,比较两组患儿围手术期相关指标、围手术期体温及并发症发生率.结果 58例患儿均手术成功并接受随访,两组患儿术中出血量、术后住院时间、新生儿重症监护病房(NICU)停留时间、术后机械通气时间、护理满意度、体重增加量、围手术期体温以及并发症发生率比较,差异有统计学意义(P<0.05).结论 围手术期综合护理模式在胸腔镜治疗新生儿Gross Ⅲ型食管闭锁中的应用效果良好,能有效提高护理效果,促进患儿术后恢复,降低围手术期并发症发生率.
Effect of Perioperative Comprehensive Nursing Mode in the Treatment of Neonatal Gross Ⅲ Esophageal Atresia with Thoracoscopy
Objective To investigate the effect of perioperative comprehensive nursing mode on the thoracoscopy treatment of neonatal Gross Ⅲ esophageal atresia.Methods The study population consisted of 58 neonates with Gross Ⅲ esophageal atresia admitted to the First Affiliated Hospital of Zhengzhou University from January 2018 and January 2021.All patients were monitored for more than two years.They were randomly divided into control group(27 case)and observation group(31 cases).The control group received standard nursing care,while the observation group received comprehensive perioperative nursing care.Perioperative related indicators,perioperative body temperature and incidence of complications between two groups were compared.Results All 58 patients underwent surgery successfully and were followed up.There were statistical differences between the two groups in terms of intraoperative bleeding,postoperative hospital stay time,neonatal intensive care unit(NICU)stay time,postoperative mechanical ventilation time,nursing satisfaction,weight gain,perioperative body temperature and perioperative complications(P<0.05).Conclusion The application of perioperative comprehensive nursing mode in the treatment of newborn Gross Ⅲ esophageal atresia with thoracoscopy has a good effect,which can effectively improve the nursing effect,promote the postoperative recovery of children,and reduce the incidence of perioperative complications.

neonatal esophageal atresiathoracoscopyperioperative periodcomprehensive nursing model

王柯、李志萍、尚震月

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郑州大学第一附属医院手术室,河南郑州 450000

新生儿食管闭锁 胸腔镜 围手术期 综合护理模式

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(5)
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